2026 YBOE Male Interest Form

Calling all Raleigh, NC and surrounding Triangle Families

No experience is required Everyone is taught the art of stepping

Thank you for your interest in YBOE. Please make sure we have your correct email and contact number for all communication. More information will be sent to all parents. If you have any questions please send a text 973-573-6704

Parent Name

First NameLast Name

Phone Number

Format: (000) 000-0000.

E-mail

example@example.com

Do you(parent) have an Instagram/ Facebook/ Tik Tok account?

Which of the below social media accounts do you(parent) have?

What is your(parent) Facebook, Instragram and Tik Tok name?

How would you prefer to receive information?

Youth Name

First NameLast Name

Date of Birth

MonthDayYear

Age

Does your child have any medical conditions, allergies, or injuries we should be aware of? If none type N/A

Please explain any other sports or extracurricular activities that your son currently or previously participated in. (this information will not be shared or discussed) If this doesn't apply type N/A

Can your son participate in a group text chat? We will be sending videos of basic team drills and a simple step for him to learn. Again, no experience is needed because everyone will be taught the art of stepping.

Child Personal Number

Format: (000) 000-0000.

Current School Name

What is your grade level?

Do you have an Instagram/ Facebook/Tik Tok account?

What is your (son) social media name? If doesn't apply type N/A

What are you hoping to get out of being a part of YBOE(Young Brothers of Empowering?

Everyone must attend the information meeting

The registration fee is $50 per young king and may be paid using one of the following payment methods:

Cash App: $esst15 (Account Name: Tameka Campbell)
Please enter your child's name in the "For" section.

Zelle: 973-573-6704

Important Reminders:Registration fees are non-refundable.
There is NO monthly membership fees for the first year which is our founding read