The Forge Leadership Experience Registration

The Forge Leadership Experience Registration

Complete the form to register your student for the summer leadership program at Valley Forge Military College.
Thank you for your interest in The Forge Leadership Experience at Valley Forge Military College.

This 3-day leadership program is designed for students ages 15–18 and includes physical training, leadership development, and exposure to military and college pathways.

To secure your student’s spot, please complete the form below and submit payment.

Dates: July 14–16
Location: Valley Forge Military College

Early Bird: $250 (Until June 15)

Standard Rate: $300 (June 16 - July 6th)

***July 6th 2026 is the last day to submit your student's information***
Student Information
Student Full Name*

First NameMiddle NameLast Name
Date of Birth*

MonthDayYear
Date
Age*
Gender

MaleFemalePrefer not to say
Current Grade*
Current School*
If a Scouts participant, which troop are you with?
Allergies?*
Please provide list of allergies
Allergy / Medical Note:If your student has any allergies, please let us know above. If they require an EpiPen, inhaler, or other emergency medication, they should bring it with them each day.Our staff will be made aware, and we will follow a VFMC emergency response plan to ensure student safety.
Dietary Restrictions*
Please provide your food restrictions
Food Restrictions Note: Let us know about any food restrictions above. If your student has more specific needs, you're welcome to send food with them to ensure they have what they need.
Parent / Guardian Information
Parent / Guardian Full Name*

First NameMiddle NameLast Name
Relationship to Student*
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email Address*
example@example.com
Emergency Contact
Emergency Contact Name*

First NameMiddle NameLast Name
Relationship*
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Emergency Contact Name*

First NameMiddle NameLast Name
Relationship*
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Emergency Contact Name*

First NameMiddle NameLast Name
Relationship*
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Program Logistics
T-shirt Size*
Pick-up Authorization
Individuals Authorized to Pick Up the Student*
Acknowledgment*

I acknowledge that only the authorized individuals listed above may pick up the student and that identification may be requiredI understand and agree to the pick-up authorization requirements
Program Agreements
Liability Waiver*

I acknowledge that participation includes physical activity such as physical training, outdoor exercises, and leadership challenges, and I voluntarily assume all inherent risks, including injury, and release and hold harmless Valley Forge Military College, its staff, representatives, and affiliates from liability.
Medical Authorization*

I confirm that the student is physically able to participate, and in an emergency I authorize staff to seek medical treatment and accept responsibility for associated costs.
Code of Conduct*

I agree that the student will follow instructions, respect staff and peers, and participate appropriately, and understand that failure to comply may result in dismissal without refund.
Media Release*

I grant permission for the student to be photographed and/or recorded for marketing and promotional purposes by Valley Forge Military College.
Refund Policy*

I understand that full refunds are available if cancellation is requested before July 6, that no refunds are available after the program begins, and that no refunds are issued if the student is dismissed.
Signature
Parent/Guardian e-Signature*
Date Signed*

MonthDayYear
Date

Payment*

Early Bird Registration

Available through June 15 only.

$250.00

Total

$0.00

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Should be Empty:

The Forge Leadership Experience Registration

Student Information

Parent / Guardian Information

Emergency Contact

Program Logistics

Pick-up Authorization

Program Agreements

Signature