2016 Teen Group Sign-Up Form
TEENS MAKE A DIFFERENCE DAY- SATURDAY OCTOBER 29TH, 2016
PROJECTS TO BE COMPLETED: 9:00 a.m. - 12:00 p.m.
FREE PIZZA LUNCH AND GIVE AWAYS: CENTRAL BOYS & GIRLS CLUB:12:00 p.m. -1:00 p.m.

Forms Due by October 17th.

Are you a teacher, church youth group, coach, parent or leader of an extracurricular social youth group that would like to get a group of youth involved in taking part in their community? Fill this form out and we will pair your group up with a project. If you have your own project just fill out a project form and turn that in with your Teens form.

Adult Team Leader Name:
Main Contact for the Group- First and Last Name
Your answer
Adult Leader T-Shirt Size
Main Contact from above question
Leaders Email Address:
(For Nonprofit Center use only) For event updates
Your answer
Leader Cell #:
Must have cell # for Emergency purposes
Your answer
Group Name:
Ex. (Add School Name)Student Council, Band, Choir etc.... or make up a name for your group
Your answer
Has your group arranged your own project?
You ARE NOT required to provide your own project but are welcome to do so, otherwise you will be provided a project that has been submitted to the Nonprofit Center.
If you have your own project, put Project Name here:
If you have arranged your own project, you must fill out the Project Form as well so we don't pair your group with another project.
Your answer
SMALLS
Please calculate your total number of SMALL T-Shirts your group needs, place a "0" if you don't need any of that size
Your answer
MEDIUMS
Please calculate your total number of MEDIUM T-Shirts your group needs
Your answer
LARGES
Please calculate your total number of LARGE T-Shirts your group needs
Your answer
X-LARGE
Please calculate your total number of X-LARGE T-Shirts your group needs
Your answer
2X-LARGE
Please calculate your total number of T-Shirts your group needs
Your answer
3X-LARGE
Please calculate your total number of 3X-LARGE T-Shirts your group needs
Your answer
4X-LARGE
Please calculate your total number of 4X-LARGE T-Shirts your group needs
Your answer
Total # of Teens:
Please calculate your total number of youth participating
Your answer
Total # of Adults:
Please calculate your total number of Adults
Your answer
Teen Sign Up List
Please enter youth names with their ages, ex. Joe Smith-14. (additional group leaders put ADULT next to their name)
Your answer
Comments/Other:
Your answer
Photo Release
***PHOTO RELEASE Attendance and/or participation in the program and event, “Teens Make a Difference”, grants The Nonprofit Center permission and release to record images of any person and use said imagery with or without an associated name in distribution for any lawful purpose, including, but not limited to, publicity, illustration, advertising and web content. Attendance and/or participation by any minor or person under guardianship is deemed sanctioned by parent/guardian of said participant or attendee and implicitly grants abovementioned release to The Nonprofit Center as well as indemnifies The Nonprofit Center, its board, staff, agents and volunteers against any and all recourse resulting from said attendance or participating activity.***
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