Intake Form
🔐This page is only for the registrants of the Grinding to Glory Youth Empowerment Summit. Only the registered young men and their parents/guardians should complete this form. Must be completed before the event.
Follow these instructions to complete the application form.
✅Each youth must be 13 years or older to receive a device
✅ONE application is required for each young man attending the event
✅IF anyone other than the young man is completing the form, please select “Filling it out on behalf of someone else” for the first question
✅ When completing the form, EVERYONE must select “None of the above- put me on the waitlist" when selecting the event you are attending
✅ All forms completed for a minor requires a signature from the minor and a parent or guardian
✅ Each young man's name, address, date of birth, phone number (if applicable) and email (if applicable) should be entered on every application submitted
✅ List "student" as the employment status for all minors
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