SU2017 Middle School Meetup
Welcome to the Middle School Meetup organized by BAM!, Youth Crossroads, and Awake.

This program will help prepare entering 6th grade students for middle school. Older middle school and high school students will lead activities and a panel discussion. There will be games, food, and a group art project.

Tuesday, August 8, 4-6:30pm at Outtaspace
Thursday, August 10, 5-7:30pm at 16th Street Theater

This program is funded by various community sources and is free for participants. Donations are welcome!

Student First Name
Please use a separate registration for each participant.
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Student Last Name
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Age
if under 18
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Which meetup will your child attend? *
Parent/Guardian First Name
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Parent/Guardian Last Name *
If registering a child under 18
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Address
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City
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State
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Zip
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Contact Phone *
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Contact Email *
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Emergency Contact First Name *
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Emergency Contact Last Name *
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Emergency Contact Relationship
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Emergency Contact Phone *
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Medical Conditions/Learning Disabilities/Other helpful info
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Who may pick up your child from this class? If you child will walk or bike on their own, please let us know.
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Release *
As an adult or as a legal guardian of the minor named above, I hereby confirm that I have chosen to participate in the Middle School Meetup, including all planned and arranged activities. I am aware that this program may present risks of personal injury, property loss, or damage to participants. I accept all responsibility for any injury, death, or other loss or damage that may occur to me and/or to the minor as a result of the my or the minor’s participation in the Middle School Meetup. I release BAM!, Youth Crossroads, and Awkae and will indemnify and hold harmless these orgnizations, their agents, affiliates, and successors from all claims, judgments, and costs, including attorney’s fees, incurred in connection with any action that may be brought as a result of my or the minor’s participation in the Middle School Meetup. I have read the Agreement and Release of Liability. I understand and agree to the terms.
Required
Photography *
We may occasionally take pictures of participants for use in marketing material. I hereby consent to the use of my and/or my dependent's photograph in said marketing materials, including brochures, publications, presentations, and social media. Participants will not be named in these photographs.
I would like to make a donation.
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