GYEP Summer 2023 Registration Form - The Generator Pine Bluff

GYEP Summer 2023 Registration

Parents First Name

Parents Last Name

Parents Phone Number

Parents Email

Student First Name

Student Last Name

Address

Address Line 1

Address Line 2

City

State

Zip Code

Students Age

What lane of entrepreneurship is your child interested in?

Emergency Contact Person

Emergency Contact Phone Number

Media Release

During the GYEP Summer Camp, we take photographs of activities involving students to share positive vibe and updates. By which incidentally, some photographs may capture your child's participation, directly or indirectly.

These photos may be published through our website, social media pages, news bulletins, billboards, and ads.

With this, we seek for your consent in allowing us to publish photos which may involve your child to the said platforms.

Please do provide your response by selecting your choice below and submitting this form:

I hereby allow the reproduction and publication of my child's photograph(s)

I do not allow the reproduction and publication of my child's photograph(s)