EEYP and YMCA Freedom Tour 2025 Application

About Expose Excellence Youth Program

Mission

To provide a safe environment for youth interaction while promoting positive self-expression and development of life skills and artistic expression.

Participants of the EEYP and YMCA Freedom Tour will get an immersive, first-hand learning experience of the Civil Rights Movement. The trip will include visits to museums, memorials, and historical landmarks, and each day will end in small reflection groups where the students will share their thoughts in a safe environment led by an adult chaperone. Students will gain a deeper context for the sites they visit, and participate in challenging, educational, and value-driven growth sessions where they can express themselves regarding their experiences along the tour.

2024 Tour: https://youtu.be/g4le32thJfo?si=CeTnsZm_FSjTqlkX

Interested students must apply to express interest in participating in the 2025 Freedom Tour. Selected students will be contacted in May to complete further paperwork. A $100 deposit must be paid at the Parent Meeting scheduled for June 14th.

2025 Freedom Tour Stops

Atlanta, Georgia
Montgomery/Selma/Tuskegee/Birmingham, Alabama
Memphis, Tennessee
New Orleans, Louisiana

Dates

July 6th-July 13th

Dates and itinerary are subject to change.

Deadline: APRIL 30TH AT 5:00PM

Applicants will be reviewed and selected by Expose Excellence and YMCA.

If financial assistance is needed, please contact Raven.Forrester@fortbendcountytx.gov.
Student Information
Name*

First NameLast Name
Student Email*
example@example.com
EEYP or YMCA Student?*
Affiliation will be verified
Current Age*
Date of Birth*

MonthDayYear
Date
School*
Grade*
Applicants must be rising 10th graders - first year college student to be eligible for this field trip
T-Shirt Size*
Gender*
This question is required for room assignment purposes
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent/Guardian Information
Guardian #1*

First NameLast Name
Guardian #1 Phone*
Please enter a valid phone number
Guardian #1 Email*
example@example.com
(Optional) Guardian #2 Name

First NameLast Name
Guardian #2 Phone
Please enter a valid phone number.
Guardian #2 Email
example@example.com
Emergency Contact Information
Emergency Contact Name*

First NameLast Name
Emergency Contact Phone*
Please enter a valid phone number.
Relation to Participant*
Example: Grandparent, Aunt/Uncle, Sibling
Background Information

The information below is ONLY collected for demographic reporting purposes. This information is not used for selection purposes.
Race (select all that apply):*

Hispanic or LatinxAfrican American or BlackAsian American or Pacific IslanderNative American or American IndianWhite, CaucasianOther
Primary Language In Home*

EnglishSpanishOther
Please select all that apply:*

ADD/ADHDAsthmaDiabetes (Type 1/Type2)Learning Disabilities or Developmental DelaysN/AOther
Food/General Allergies*
Enter N/A if not applicable
Medication(s) taken by participant*
Enter N/A if not applicable
Video Submission - 3 minutes maximum

To be considered for the 2025 Freedom Tour, applicants must submit a video answering the following prompt: Why is it important to learn about the Civil Rights Movement? Upload media OR insert a link below.
File Upload (MP4 or MOV)

Cancelof
Link to Video- Dropbox, YouTube, Google Drive, etc
Make sure your settings are for public viewing, and test your link before submitting
Permission to Obtain Medical Care

I authorize Expose Excellence Youth Program to obtain medical care for my child in the case of a medical emergency. I understand that i am financially responsible for the care given. medical treatement includes transportation for the child by emergency vehicle to an appropriate health care facility and pre-hospital medicle care, all hospital and physician services, whether medical, surgical and/or dental, necessary for the benefit/safety/well being of the student.
Media Release

I grant permission for my child to be photographed and/or videotaped during the event, and for the images, my child's name, and/or recordings to be published, reproduced, or distributed by Expose Excellence Youth Program and its affiliates, without financial remuneration to me, in all outlets, including, but not limited to, television, newspapers, internet, Expose Excellence Youth Program publications, recruitment materials, and ads without liability or limitation on me.
Disclosure of Information

Participants in Expose Excellence Youth Program have the right to confidentiality and privacy. Fort Bend County Expose Excellence Youth Program will not share any of your personal information unless you give us written permission to do so.
I agree to abide by said policies and to cooperate with staff to ensure my compliance with Fort Bend County Expose Excellence Youth Program policies and acknowledge that I have read, understood, and agree to the above waiver of liability.
Should be Empty:

Student Information

Parent/Guardian Information

Emergency Contact Information

Background Information

Video Submission - 3 minutes maximum