EmailMeForm
TLP Annual Registration 2015-LC 1-4
This form is required for all teens wishing to remain in the TLP, regardless of their ability to attend a summer session.
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Teen Information
Teen Information
Name
*
First
Last
Nickname
Leadership Class
*
Please select
LC1 (entering 9th)
LC2 (entering 10th)
LC3 (entering 11th)
LC4 (entering 12th)
for 2016-2017 school year
LC1&2 Summer Session
Session 1: June 7 - June 26
Session 2: July 6 - July 25
I may not be able to attend my summer session. I will contact Wyman to discuss my options.
Sessions will be assigned on a first come, first served basis. Registration must be COMPLETE before a session can be assigned. We will send you a confirmation of your assigned session in the spring.
LC3 Summer Session
Session 1: June 5 - June 14
Session 2: July 10 - July 19
I may not be able to attend my summer session. I will contact Wyman to discuss my options.
Sessions will be assigned on a first come, first served basis. Registration must be COMPLETE before a session can be assigned. We will send you a confirmation of your assigned session in the spring.
LC4 Summer Session
Session 1: June 19 - June 25
Session 2: July 24 - July 30
I may not be able to attend my summer session. I will contact Wyman to discuss my options.
Sessions will be assigned on a first come, first served basis. Registration must be COMPLETE before a session can be assigned. We will send you a confirmation of your assigned session in the spring.
Birthdate
*
MM
/
DD
/
YYYY
Gender
*
Please select
Male
Female
T-Shirt Size
*
Please select
Small
Medium
Large
X-Large
XXL
3XL
4XL
What school will you attend in Fall of 2016?
*
What grade will you be entering Fall of 2016?
*
9th
10th
11th
12th
Teen Email Address
Teen Cell Phone
###
-
###
-
####
Teen Home Phone
###
-
###
-
####
Teen Home Address
*
Street Address
City
State / Province / Region
Postal / Zip Code
