Student-Athlete Event Registration & $50 Donation Confirmation
Complete the form and confirm your Zelle donation to finalize your registration for the virtual session on July 29, 2026.
Student & Guardian Information
Student Full Name
*
First Name
Middle Name
Last Name
Parent/Guardian Full Name
*
First Name
Middle Name
Last Name
Student Email
*
example@example.com
Parent/Guardian Email
*
example@example.com
Student Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Parent/Guardian Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Current School
*
City and State
*
Current Grade Level
*
Please Select
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Other
Age
*
Sport(s)
*
Primary Position or Event
*
Graduation Year
*
Please Select
2027
2028
2029
2030
2031
2032
2033
Other
Current GPA
*
Current School Level
*
Middle School
High School
Donation Confirmation
Required Donation Notice
Zelle Sender Name
*
Date Sent
*
-
Month
-
Day
Year
Date
Confirm Donation Sent
*
Yes
No
Payment Confirmation Screenshot
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Acknowledgment
*
I understand registration is not complete until both the form and the $50 donation are received.
I acknowledge the donation supports both foundations.
Goals & Background
As an athlete, what is one goal you have?
*
As a student, what is one goal you have?
*
For community service and giving back, what is one goal you have?
*
Beyond sports, what is one goal you have?
*
What extracurricular activities are you involved in?
Please describe any community service experience you have.
Please list any academic or athletic honors you have received.
What do you hope to learn from this presentation?
Consent & Media Release
Consent to be Contacted
*
I agree that the foundations may contact the student and parent/guardian about this event and future youth, scholarship, mentorship, and HBCU-related opportunities
Media Release Consent
I consent to the use of event screenshots, photos, or recordings for promotional and educational purposes
I do not consent to media use
Submit Registration
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