SayPro Participant Registration Form A form to gather personal information, session preferences (in-person or online), and emergency contact details.

SayPro Youth Leadership Training Camp: Participant Registration Form

The SayPro Youth Leadership Training Camp registration form is designed to gather essential participant information and preferences, ensuring a smooth enrollment process. It will collect details on personal information, session preferences (in-person or online), and emergency contact information to ensure participant safety and appropriate session planning.

Participant Registration Form

Welcome to the SayPro Youth Leadership Training Camp!
Please fill out the following information to register for the camp. This will help us prepare for your participation and tailor the experience to suit your needs.

Personal Information

1. Full Name
   First Name: _______________________
   Last Name: ________________________
2. Date of Birth
   MM/DD/YYYY: ______________________
3. Gender
   ☐ Male
   ☐ Female
   ☐ Non-Binary
   ☐ Prefer not to say
   ☐ Other: ___________________________
4. Phone Number
   Mobile: _____________________________
5. Email Address
   Email: ______________________________
6. Home Address
   Street Address: _______________________________
   City: _________________________________
   State/Province: _________________________
   Postal Code: _________________________
   Country: ______________________________

Session Preferences

7. Which format do you prefer for the camp?
   Please select one:
   ☐ In-Person (at Neftalopolis)
   ☐ Online (Virtual Camp)
8. Please indicate any specific accessibility requirements (if applicable):
   Example: Physical accessibility, hearing, visual impairments, etc.

Emergency Contact Information

9. Emergency Contact Name
   Full Name: ___________________________
10. Relationship to Participant
    e.g., Parent, Guardian, Sibling: ___________________________
11. Emergency Contact Phone Number
    Mobile: ___________________________
    Alternate Phone (if applicable): ___________________________
12. Emergency Contact Email Address
    Email: ______________________________

Medical Information

13. Do you have any medical conditions or allergies we should be aware of?
    Please list any relevant conditions:

14. Medications (if applicable):
    Please list any medications you are currently taking:

15. Do you require any special accommodations during the camp?
    Example: Dietary restrictions, mobility support, etc.

Consent and Acknowledgements

16. Parent/Guardian Consent (if participant is under 18):
    I hereby give my consent for [participant’s name] to attend and participate in the SayPro Youth Leadership Training Camp.
    Parent/Guardian Name: ___________________________
    Signature: ___________________________
    Date: ___________________________
17. Participant Acknowledgement and Waiver
    By submitting this form, I acknowledge that I will adhere to the rules and guidelines set forth by SayPro for the camp. I also understand that SayPro may take photos or videos during the camp for promotional purposes.
    ☐ I agree to the terms and conditions.
18. Media Release (Optional)
    ☐ I consent to the use of photos, videos, and testimonials of me during the camp for SayPro marketing and promotional purposes.
    ☐ I do not consent.

Additional Information

19. Why are you interested in participating in the SayPro Youth Leadership Training Camp?
    Please share a brief statement on what motivated you to apply:

20. How did you hear about the SayPro Youth Leadership Training Camp?
    ☐ SayPro Website
    ☐ Social Media
    ☐ Word of Mouth
    ☐ School/Organization
    ☐ Other: _______________________________

Submit Registration

By submitting this form, you confirm that the information provided is accurate to the best of your knowledge.

Submit Button: [Submit Registration]

Confirmation of Registration

After submitting, you will receive a confirmation email with further instructions regarding the camp and additional resources.

Note: This form should be created in an easy-to-use online format (using platforms such as Google Forms, Typeform, or custom web forms) to ensure seamless collection of participant details and enhance the registration experience.