Boys to Men Seminar 2026 – Registration & Consent Form

Boys to Men Seminar 2026 – Registration & Consent Form

Please complete this form to register your high school student for the Boys to Men Seminar hosted by the Alpha Phi Alpha Fraternity, Inc. of Rho Omicron Lambda Chapter Parental consent and digital media release are required for participation. If you are having trouble filling the form out or have question in general about the event, please contact. Mr. Finley Woods, 478-919-5923, finleywoods48@gmail.com
Student's First and Last name

First NameLast Name
Student's Date of Birth

MonthDayYear
Date
Input the School that you Attend
What Grade is the Student In?
Student's Phone Number (If Student doesn't have a Phone then leave blank)
Please enter a valid phone number.Format: (000) 000-0000.
Student's Email Address (If Student doesn't have an Email then leave blank)
example@example.com
What your hobbies? (Extra-Curricular(s), Groups, Organziations)
Are there any Allergies/Dietary Restriction we need to know about you?
Are there any Medical Concerns/Arrangement Needed?
Is there any other information we need to know about you?

Parent/Guardian Info
Parent/Guardian First and Last Name

First NameLast Name
Parent/Guardian Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Parent/Guardian Email
example@example.com
Emergency Content (if different from what's listed above)

Parental Consent Form

Please read and sign below
By signing below, The Parental Consent Form is a form that parents or legal guardians of children must sign in order to allow children to participate in activities hosted by Alpha Phi Alpha Fraternity, Inc. All youth and guests (if applicable) under 21 years of age must have a signed form to participate in any activities under the guise of Alpha Phi Alpha Fraternity, Inc. It is recommended that parents/legal guardians keep a copy of the form and contact the activity leader in the event of any questions or in case emergency contact is needed.

I understand that participation in the activity involves a certain degree of risk. I have carefully considered the risk involved and have given consent for myself or my child to participate in the activity. I understand that participation in the activity is entirely voluntary and requires participants to abide by applicable rules and standards of conduct. I release Alpha Phi Alpha Fraternity, Inc., the chapter, the activity coordinators, and all employees, volunteers, related parties, or other organizations associated with the activity from any and all claims or liability arising out of this participation. In case of emergency involving my child, I understand every effort will be made to contact me. In the event I cannot be reached, I hereby give my permission to the medical provider selected by the adult leader in charge to secure proper treatment, including hospitalization, anesthesia, surgery, or injections of medication for my child. Medical providers are authorized to disclose to the adult in charge examination findings, test results, and treatment provided for purposes of medical evaluation of the participant, follow-up and communication with the participant’s parents or guardian, and/or determination of the participant’s ability to continue in the program activities.
I give permission for my child to participate in the Boys 2 Men Seminar and agree to the terms above.
Date of Signature

MonthDayYear
Date
Parental/Guardian Signature

PHOTOGRAPH & DIGITAL MEDIA AUTHORIZATION RELEASE FORM

Please read, review, and sign below
I/We, (“Parent/Guardian”), as parent(s) or legal guardian(s) of , give permission for Rho Omicron Lambda Chapter of Alpha Phi Alpha Fraternity, Incorporated (the “Chapter”) to publish on the Internet or media still photographs or moving images, including, if applicable any sound recordings accompanying the images (“Images”) taken of my child during participation in Youth Engagement Program activities, without payment or any consideration and without notifying me in advance. I/We also give permission for the Chapter to highlight my child’s achievements and activities in efforts to promote the Youth Engagement Program through newspapers, radio, TV, electronically, displays, brochures, and other types of media without payment or any consideration and without notifying me.

I/We understand and agree that these Images will become the property of the Chapter, which shall have complete ownership of the Images. I hereby irrevocably authorized the Chapter to publish or distribute these Images for the purpose of publicizing the Chapter’s programs, including the 2025 Boys 2 Men Seminar Program or for any other lawful purpose. In addition, I waive any right to inspect or approve the finished product wherein my child’s likeness appears. Additionally, waive any rights to royalties or other compensation arising out of or related to the use of the Images.

I/We hereby hold harmless and release and forever discharge the Chapter and any of its officers and members; Alpha Phi Alpha Fraternity, Incorporated; its officers; National Executive Board; employees; members; representatives; agents; and assigns from any and all claims, costs, suits, actions, judgments, and expenses which my child, his, representatives, executors, administrators, or any other persons acting on his behalf have or may have by reason of the use of the Images. This release specifically includes, without limitation, a complete release and discharge of any liability by virtue of any editing, distortion, alteration, or optical illusion, whether intentional or otherwise, that may occur or be produced in the taking of or editing of said Images, unless it can be shown that such was maliciously caused, produced and published solely for the purpose of subjecting my child to conspicuous ridicule, scandal, reproach, scorn and indignity.
Based on reviewing the "PHOTOGRAPH & DIGITAL MEDIA AUTHORIZATION RELEASE FORM" I grant permission for my child’s photo/video to be used for promotional purposes (such as social media posting).
Date of Signature

MonthDayYear
Date
Parental/Guardian Signature
Should be Empty:

Boys to Men Seminar 2026 – Registration & Consent Form

Parent/Guardian Info

Parental Consent Form

PHOTOGRAPH & DIGITAL MEDIA AUTHORIZATION RELEASE FORM