The Boys of Color Conference Registration

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Join us for the Boys of Color Conference on April 6, from 9 AM to 4 PM at the Agricenter. This empowering event, filled with workshops and activities, is aimed at inspiring young men from 3rd grade to high school seniors. (Registration is Closed for Grades 3, 4, and 5. Spots only available for Grades 6-12). For any questions, email a.moss@thegentsleague.org.

Section 1 - To be completed by Parent/Guardian

Section 2 - To be completed by Student Attending Conference

Student's Name *

Student's Email *

If the student does not have an email, then add in the parent/guardian's email.

Student's Contact Number *

If the student does not have a cell phone, then add in the parent/guardian's cell phone.

Student's Current Grade (Registration is Closed for Grades 3, 4, and 5. Spots only available for Grades 6-12) *

Student's School Name *

Student's T-shirt Size *

Youth S

Youth M

Youth L

Youth XL

Adult S

Adult M

Adult L

Adult XL

Adult 2XL

Other:

Emergency Contact Name *

Should be the Parent/Guardian who is registering the student.

Emergency Contact Email *

Should be the Parent/Guardian who is registering the student.

Emergency Contact Number *

Should be the Parent/Guardian who is registering the student.

Student's Dietary Restrictions (Check all that apply) *

Gluten-free

Halal

Kosher

Lactose - Intolerant

Peanut Allergy

Shell-fish Allergy

Vegetarian

None

Other:

Required

Do you have any medical concerns or conditions regarding your child that we should be aware of during the conference? Please provide details to ensure their safety and well-being.

Conference Permission and Release Form

The Gentlemen’s League (TGL), in partnership with Kudzukian Media Group, is excited to include your child in our upcoming Boys of Color Conference. By completing this registration form, you provide consent for TGL to capture and use images and videos of your child at the event for promotional and educational purposes across various media. These materials are essential for showcasing the conference's impact and furthering our mission. Rest assured, personal identities will be protected and not disclosed in any public media without additional explicit consent. Your support is invaluable, and we are committed to ensuring a positive and enriching experience for all participants.

Please check each of the following:

I hereby provide my informed consent and permission for my child to participate in the Boys of Color Conference hosted by The Gentlemen’s League and Kudzukian Media Group, along with its associated activities.

I consent to allow The Gentlemen’s League and Kudzukian Media Group to use any photographic images or video recordings taken of my child during the conference. I understand these images may be used for promotional, educational, or marketing materials related to the activities of The Gentlemen’s League. I also understand that no third-party companies will be permitted to use or capture any footage; the only authorized parties for such activities are The Gentlemen's League and Kudzukian Media Group.

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