Rising Stars Program in the Cut Registration Form 🎉✨

Rising Stars Program in the Cut Registration Form 🎉✨

Please fill out this registration form to join the Rising Stars Program in the Cut, a year-round youth development initiative starting April 1, 2026.
Participant Information
First Name*
Last Name*
Date of Birth*

MonthDayYear
Date
Age*
Gender

FemaleMaleNon-binaryPrefer not to sayOther
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Home Address
City
State
Zip Code
Educational and Employment Background
Current educational status
Employment status
Program Eligibility and Required Acknowledgments
Enrollment Notice
Eligibility and Acknowledgment*

I confirm the participant is between 18 and 24 years oldI understand enrollment is limited to 10 participants and registration is accepted until all slots are filledI understand submission does not guarantee acceptance if the program has already reached capacityI confirm the participant is available for a year-round program starting April 1, 2026
Do you acknowledge that participation depends on available space and final acceptance?*

YesNo
Emergency and Contact Details
Emergency Contact Name*

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

Phone CallText MessageEmail
How did you hear about the program?
Program Interest and Needs
What are your goals for joining the program?*
Which areas are you most interested in?*

LeadershipArtsSportsSTEMCommunity ServiceCareer ExplorationOther
Do you have any talents, skills, or interests you would like to share?
What support or accessibility needs should we know about?

Mobility SupportHearing SupportVision SupportLearning SupportBehavioral SupportMeal AccommodationsOther
Do you need transportation assistance to participate?*
Please list any medical conditions, allergies, or other information relevant to safe participation.
Participation Consents and Signatures
Consent to Participation Expectations*

I agree to follow program rules and attendance expectationsI understand participation is voluntaryI understand failure to comply may affect participation
Photo and Media Release*

I grant permission for photos/video to be used for program promotionI do not grant permission for photos/video use
Emergency Medical Treatment Authorization*

I authorize emergency medical treatment if I cannot be reachedI do not authorize emergency medical treatment
Parent/Guardian Name

First NameMiddle NameLast Name
Parent/Guardian Phone
Please enter a valid phone number.Format: (000) 000-0000.
Parent/Guardian Email
example@example.com
Parent/Guardian Consent Signature
Participant Signature
Should be Empty:

Rising Stars Program in the Cut Registration Form 🎉✨

Participant Information

Educational and Employment Background

Program Eligibility and Required Acknowledgments

Emergency and Contact Details

Program Interest and Needs

Participation Consents and Signatures