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Youth Summit Application

When you’re ready to apply, simply fill out the application below and we’ll get back to you shortly!


Note: All fields are required unless you don’t meet a stated conditional (such as being over 18 and not needing parental approval). If you have any trouble filling out this form, please email magabook@youthsummit.info

About You

School Information

References

Health Insurance

If you do not have health insurance, it will be provided to you for a nominal fee

Allergies and Medications

Parent(s) or Guardian

Required, if you are under 18

Parent/Guardian Agreement

Upon receiving this application a call will be made for verification of this agreement.

Disclaimer

All students are subject to a background check under the Federal Fair Credit Report Act. Failure to consent to the consumer report, including the criminal record check, will result in ineligibility to participate in our program. You will be asked to sign a consent form authorizing this.
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