Four easy steps to register your TEEN:

  1. Parent fill in ALL blanks below
  2. Click the SUBMIT button
  3. Choose form of payment and pay (you’ll be redirected to payment page after submitted registration form below)
  4. Sign your teen in August 27 at 10:15am

*If applying for scholarship assistance, follow instructions on scholarship application and we will be in touch

* Please don’t let money be an issue, if you want to come register, and we can figure it out.

As the parent or legal guardian, I give permission for my son/daughter to participate in the TEEN EXPERIENCE. Their schedule will allow them to complete the hours as follows:

  • Thursday, August 27         11:00am – 11:00pm* (Check-in 10:15am)
  • Friday, August 28             11:00am – 11:00pm*
  • Saturday, August 29         11:00am – 11:00pm* (Family Celebration at 9:15pm)

*Ending times are approximate

Registration Form

TEEN Full Name:

TEEN Name on Nametag (first or nickname name):

TEEN Date of Birth (MM/DD/YY):

TEEN Gender:

TEEN Best Phone (w/area code):

TEEN Best Email Address:

TEEN City & Zip coming from:

Mode of Transportation:

Possible Availability to Carpool (yes/no)?:
 Yes No

PARENT/Guardian #1 (First & Last Name):

PARENT/Guardian #1 Phone (w/area code):

PARENT/Guardian #1 Email Address:

PARENT/Guardian #2 (First & Last Name):

PARENT/Guardian #2 Phone (w/area code):

PARENT/Guardian #2 Email Address:

Additional Contact Name & Phone:

How did you hear about us?:

TEEN Food Allergies/Sensitivities:

TEEN Physical/Medical Concerns:
(List any prescription medications and/or special conditions)

TEEN Anything else we should know: