Teens Inc Membership Agreements

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This form is to be completed for membership to Teens Inc. It is the first step in becoming a member which will include an annual membership fee and orientation.

Email *

Teen's First Name

Last Name

Teen's Phone Number

Can we add your phone number to a Teens Inc text group for notifications?

Yes

Clear selection

Birth date (mm/dd/year)

YYYY

School

Grade

Freshman

Sophomore

Junior

Senior

Other:

Clear selection

What Attracted you to Teens Inc?

Service

Guatemala trip

Recreational activities

Inc Spot

Live music

Workshops for Teens

Safe place

New friends

Leadership

Community service and issues that you feel are most important for teens to get involved with.

Teens Inc is a 501c3 non-profit organization created to build, strengthen and grow community for teenagers by teenagers. We believe in Teens Creating Good and The Give is the Get. All participants agree to participate in community service (5-20 hours/month)

Education

Race relations

Environment

Social innovation

Gender issues

LGBTQ

Political Activism

Technology

Social justice

Global issues

Mental health

Homelessness

Identity

Sports

Other:

Please explain succinctly, why the above issues concern you most and your approach to participating in these issues.

We agree to ...

welcome all teens,

serve our community,

leave spaces better,

be safe,

be ready,

be present,

have fun.

Membership fee $199/year. The link to join will appear once you submit the form. (or $20/Month)

Agree

I would like to donate more

Other:

Clear selection

Are you interested in Teens Inc Leadership Team (TILT)?

TILT is our Teen Board that leads the direction of Teens Inc, chooses service and recreational activities, creates opportunities for other teens and rolls up their sleeves to make their communities better.

Yes

Maybe

Clear selection

Membership may be revoked for any gross misconduct including but not limited to the breech of the above agreements.

I agree.

I do not agree

Clear selection

All participants under the age of 15 must have permission to come to and leave the Inc Spot, Teens Inc hosted events, and/or service projects*. My child...

is under 15 and must check in with the Teens Inc representative as well as parents.

is under 15 and has permission to come and go without adult supervision.

is over 15, and I understand he/she may come and go as they please even at events in the evening.

is over 15 , BUT needs permission from a parent to leave any adult supervision.

Other:

Clear selection

Race/Ethnicity/Nationality

African American

Asian

Caucasian

Hispanic/Latino

Multi-racial

Native American

Native Hawaiian Pacific Islander

Unknown

Other:

Clear selection

Photo/Video:

By participating in the Teens Inc program, the participant agrees to allow Teens Inc to use photography and/or video of the participants well as his/her creative writing in promotional, documentary, or other educational publications either printed or electronic. By signing below, I have read, agree to, and understand the terms and conditions set forth by Teens Inc

Yes

Yes, approved first.

No. Please do not include my child in any images.

Clear selection

Parent signature

You may print out the form after you fill it out BEFORE you submit.

Parent Phone Number

Emergency Contact Name

Emergency Contact Number

Medical Concerns?

Anything else you would like to share with the staff of Teens Inc?

Would you (parent) like to be a part of the adult advisory board?

Yes

Maybe

Clear selection

A copy of your responses will be emailed to the address you provided.

Submit

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