2016-2017 Youth Leadership Program Registration

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REGISTRATION IS CLOSED FOR THE 2016-2017 YOUTH LEADERSHIP PROGRAM.

IF YOU ARE A MEMBER OF THIS PROGRAM, PLEASE BE SURE TO REGISTER FOR THE 2016-2017 YOUTH LEADERSHIP CAMP. THE CAMP IS FREE TO MEMBERS OF THIS PROGRAM, BUT YOU MUST REGISTER AND COMPLETE THE REQUIRED FORMS.

Camp Registration

CAMP S.W.A.G. YOUTH LEADERSHIP PROGRAM PARTICIPANT INFORMATION: (OPEN TO ALL STUDENTS, AGE 13 – 19. WHO ARE CURRENTLY ENROLLED IN MIDDLE SCHOOL OR HIGH SCHOOL)

Youth Leadership Program Membership is $1000 per year plus a one-time non-refundable $75 processing and administrative fee (the first year only).

Please visit Camp S.W.A.G. Youth Leadership Program Membership for program benefits and details.

Participant Information
All CSWAG Youth Leadership Program members will receive a free CSWAG Youth Leadership Program T-Shirt. T-Shirts may be a little smaller than average, so you may want to order one size larger.
Main Contact (Parent or Guardian)
Please take a moment to answer the following questions honestly and in detail. This part of the application process is taken very seriously and we would love to know how you feel. This an opportunity for the CSWAG Youth Leadership Program staff to get to know you and hear your voice. This is an opportunity for self-reflection and self-awareness.
CERTIFICATION:

As the parent/guardian of the minor child listed above I hereby certify that the information contained in this application for Camp S.W.A.G. Leadership Program Membership is true and complete and that the applicant is either between the ages of 13 and 19 and enrolled in middle school or high school at the time this application is submitted. I understand that any misrepresentation or deliberate missing of a material fact in this application may disqualify the child listed above from the application process or terminate membership and no refund will be issued.

By Esigning and submitting this form, I acknowledge that I have read and agree to the terms of the Camp S.W.A.G. Code of Conduct and Release/Waiver of Liability/Indemnity Agreement/Photo Release. I also acknowledge that my credit card will be charged $1075 for the Camp S.W.A.G. Group Mentoring Program Membership, which includes a one-time $75 processing and administrative fee (the first year only). YOUTH LEADERSHIP PROGRAM MEMBERSHIP IS NOT COMPLETE UNTIL PAYMENT IS MADE IN FULL.