2024-2025 Jabberwock Registration Form

East Point/College Park Alumnae Chapter

2024-2025 Jabberwock Registration Form
Program Eligibility and Requirements
The East Point/College Park Alumnae Chapter of Delta Sigma Theta Sorority, Inc. Jabberwock Scholarship Program consists of five components, which support the Sorority mission and Five Point Programmatic Thrust; Educational Development, International Awareness and Involvement, Economic Development, Physical and Mental Health and Political Awareness and Involvement. Each component is strategically planned to integrate relevant youth challenges, issues and concerns with practical solutions, techniques, and life skills to enhance young adult development.

Deadline for application, GPA letter, and non-refundable $150 commitment deposit is September 20, 2024. Official letters from high schools reflecting current GPA must be postmarked by September 20, 2024 and mailed to:

East Point/College Park Alumnae - Delta Sigma Theta Sorority, Inc.

Attn: Jabberwock Cotillion

P.O. Box 578 Red Oak, GA 30272

1. Cotillion Program Eligibility:
- Must plan to attend a post-secondary college or institution (2 or 4 year)
- Must have a cumulative GPA of 2.5 or better on a 4.0 scale
- Must be a high school junior or senior for Fall 2024
- Must be involved in extra-curricular activities
2. Cotillion Program Requirements:
- Completed Registration Form
- Must submit an official letter from your high school reflecting current GPA
- Must be able to attend a minimum of 75% of activities, including rehearsals
- Signed Statement of Commitment Form
- Signed Tattoo & Pregnancy Form
- Complete Risk Management Training (Parent/Guardian and Participant)
- Submit a non-refundable $150.00 commitment deposit due at the time of registration
- Raise a minimum of $1,500
3. It is imperative that participants be punctual for all activities. (I.e. Monthly Program Workshops, Community Service, Rehearsals, Cultural Activities and Scheduled Events). Attendance will be taken at all events and/or program activities.

4. Jabberwock participants represent Delta Sigma Theta Sorority, Inc. at school and in the community. Therefore, the following is applicable regarding appropriate behavior:
- A participant expelled or suspended from school will be terminated from participation in the Cotillion presentation.
- A participant who exhibits unacceptable behavior, which can be substantiated, will be given one (1) warning. If unacceptable behavior continues, it will result in termination of the participant. This includes, but is not limited to, disruptive behavior during Jabberwock. Inappropriate and disruptive behavior is defined as, but not limited to:
  - Activities
  - Language
  - Negative attitude and disrespect
- A participant who exhibits substance use or abuse or has possession of a weapon will be terminated immediately from participation in the Jabberwock experience. NO FEES WILL BE REFUNDED.
5. It is imperative all participants conform to ALL guidelines pertaining to appropriate business attire when attending workshops and activities.
Participant Signature*

Clear
Date*

MonthDayYear
Date
Parent/Guardian Signature*

Clear
Date*

MonthDayYear
Date
Participant Personal Information
Participant Name*

First NameMiddle InitialLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Home Number

Area CodePhone Number
Cell Number*

Area CodePhone Number
Date of Birth*

MonthDayYear
Date
Age*
Email Address:*
Adult T-Shirt Size*
Source of Inspiration *
Career Aspirations*
Favorite Quote or Scripture*
College You Plan to Attend*
Major*
Academic Information
High School*
Grade for 2024 - 2025 Academic Year*
Extracurricular Activities*
Honors/Awards/Achievements*
Hobbies/Talents*
Parent/Guardian Information
Mother/Guardian Name*

First NameMiddle InitialLast Name
Home Number

Area CodePhone Number
Cell Number*

Area CodePhone Number
E-Mail*
example@example.com
Father/Guardian Name*

First NameMiddle InitialLast Name
Home Number

Area CodePhone Number
Cell Number*

Area CodePhone Number
E-Mail*
example@example.com
Tattoos & Pregnancy Form
Tattoos

All young ladies are asked to cover any visible tattoos on the night of the Jabberwock Cotillion prior to presentation. Any young lady with visible tattoos on the night of the Jabberwock Cotillion will NOT be presented. East Point/College Park Alumnae Chapter of Delta Sigma Theta Sorority, Inc. or any of its members will not provide or apply any products for the purpose of covering the tattoos. Products must be supplied by the participant. There will be no refunds of any monies for failure to adhere to this policy.

Pregnancy

In the event of pregnancy at any time during the Jabberwock season, the young lady will no longer be allowed to participate in any Jabberwock activities, including presentation at the Cotillion. There will be no refunds of any monies for failure to adhere to this policy.
Participant Name *

First NameLast Name
Participant Signature*

Clear
Parent/Guardian Signature *

Clear
Jabberwock Commitment Deposit

Commitment Deposit & Registration Payment Disclaimer **. (Payments include a PayPal transaction fee, which is automatically applied to your transaction. All funds received by the organization are non-refundable and non-transferable.)
Participant Name*
Full Name
*
prevnext( X )
Jabberwock Commitment Fee$154.78
** (Note: a PayPal fee of $4.78 will automatically be applied to your non-refundable commitment deposit, bringing your total PayPal charges to $154.78, the $150.00 commitment deposit will be credited towards the participants full registration fee. The remaining balance of $525.00 is due by 9/28/2024)**
Should be Empty:

East Point/College Park Alumnae Chapter

Program Eligibility and Requirements

Participant Personal Information

Academic Information

Parent/Guardian Information

Tattoos & Pregnancy Form

Jabberwock Commitment Deposit