Y.E.S.
YOUTH EXCELLENCE SUMMIT
Building a strong foundation today, for tomorrow.
Name:
Register for the Winter Leadership Summit Here!
If you would like to attend our Winter Leadership Summit, December 28-30, 2009, Please fill out and submit the registration information below. Take the first step in ensure your success in the future!
DOB:
Classification:
School:
In 200 words or less describe why you are an EXCELLENT adolescent.
Zip Code:
Home Address:
State:
City:
Street Line 2:
Street Line 1:
PARTICIPANT INFORMATION
PARENT/GUARDIAN INFORMATION
Name:
Daytime Phone:
Email:
Email:
By signing below, I certify that I have the expressed consent of my parent and/or guardian to submit the information on this form.
Electronic Signature:
(Participant)
Electronic Signature:
(Parent/Guardian)
If you are interested in finding out more information about Y.E.S. our upcoming events or how your organization can partner with us to provide training to youth please contact us.
Email: smg.YES@gmail.com Phone: 202-683-2008 Point of Contact: Giselle Hendy
Click above to visit the Signature Management Group Inc. website.
After submitting your registration form, please return to this page be sure to "view shopping cart" to secure your place at the Winter Leadership Summit.
GPA:
Special Holiday Price!!
3-Day Lunch Option
Last Step!
