Rising Sons Iniative Application

Rising Sons Initiative Application

Please complete the form below. The information you provide will help us better serve your son and ensure he has a meaningful and enriching experience in the Rising Sons Initiative.

Applicant's Information

Applicant's First name

Applicant's Last name

Date of Birth

Month

Day

Year

School Name

Grade Level

Applicant's Email

Applicant's Phone

Mother/Guardian Information

Full Name

Mailing Address

Phone

Emergency Contact Information

Full Name

Relationship to the Participant

Phone

Program Information

Why do you want your son to participate in the Rising Sons Initiative?

Are there any specific issues or concerns you would like us to be mindful of?

Does your son have any medical conditions or allergies we should be aware of?

Is there anything else you would like to share about your son to help us better support him?

Consent and Agreement

By signing below, I confirm that the information provided is accurate and complete to the best of my knowledge. I understand that participation in the Rising Sons Initiative involves physical activities and interaction with various professionals and mentors. I give my consent for my son to participate in all program activities and for the use of his image in promotional materials.

Signature

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Date

Month

Day

Year