Roc Royal Teen Entrepreneur Program Ages 14-18
Youth must be available 2 days a week from February-April to participate in our program.
Youth Name
*
First Name
Last Name
AGE
*
Please Select
14
15
16
17
18
Date of Birth
*
-
Month
-
Day
Year
Date
Phone Number
*
Please enter a valid phone number.
Email Address
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
School
*
Grade Level
*
Current GPA
*
What entrepreneur class are you interested in most?
*
Please Select
CULINARY
EVENT PLANNING/DECOR
What would be your 2nd option if not selected for your 1st option.
*
Please Select
CULINARY
EVENT PLANNING/DECOR
Have you participated in Roc Royal Youth Entreprenuer Program before?
Please Select
CULINARY
PHOTOGRAPHY/VIDEOGRAPHY
EVENT PLANNING/DECOR
DJ
GRAPHIC DESIGN
SEWING
Are you able to commit 2 days a week for 2 months to participate in program beginning in February to April.
*
YES
NO
Parent/Guardian Information
Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Email Address
*
Please enter a valid phone number.
Relationship
*
Acknowledgment
I agree to follow the guidelines, rules, and policies of the organization.
I allow my child to be photographed or be part of the video that will be used for marketing, promotion, and advertisements.
Parent/Guardian registered in this form has legal custody over the child.
I allow my child to ride any vehicle that is related to the group's activities provided that there's an adult on board.
I release this organization from any and all liability from accident or injury to the child during the organization related events.
Parent/Guardian Signature
*
Date Signed
*
-
Month
-
Day
Year
Date
Submit
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