2018 BYA

DEBUTANTE REGISTRATION FORM

PERSONAL INFORMATION
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PARENT/GUARDIAN INFORMATION
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BIOGRAPHICAL INFORMATION
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SIGNATURES REQUIRED

Parents, please indicate that you understand the following statements:
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APPLICANT:
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PARENT:
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EMERGENCY CONTACT INFORMATION: Person to be notified in the event of an emergency.
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REQUIRED ATTACHEMENTS:
Non-refundable Application Fee, $25 (Cash or Check. Make checks payable to BYA Debutante Program).
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Provide to the committee two (2) letters of recommendation. Letters of recommendation can obtained from a teacher, member of your church or a community service coordinator.
Provide to the Committee: Debutante-Parent Commitment Form (to be completed by May 19, 2018).

Completed applications and required attachments are due no later than May 19, 2018. All incomplete and late received applications will be rejected with no further action taken for considerations by the BYA Debutante Program Committee. Completed applications and corresponding documents can be e-mailed to byaorg1978@gmail.com or mailed to: Black Youth in Action Debutante Committee, Debutante Program , P.O. Box 604, Aberdeen, MD 21001
PARENT COMMITMENT FORM:
I/we (parent/parents) give our daughter/son permission to participate in the Black Youth in Action Debutante Program. I/we acknowledge that a portion of the program is raising money in the form of fundraising, advertisements, donations, and/or ticket sales. I/we understand that if my daughter/son misses 3 workshops and/or ball practices she/he may be asked to withdraw from the program with no option to return until the following year. Additionally, I understand that any monies that we have provided the Black Youth in Action Debutante Program towards stipends, ticket sales, etc., may be forfeited and integrated into the program. I/we certify our agreement to our commitment of the BYA Debutante Program by checking off the box below.
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DEBUTANTE COMMITMENT FORM:
I (Debutante) acknowledge my commitment to the Black Youth in Action Debutante Program. I acknowledge that a portion of the program is raising money in the form of fundraising, advertisements, donations and/or ticket sales. I understand that if I miss 3 workshops and/or ball practices I may be asked to withdraw from the program with no option to return until the following year. Additionally, I understand that any monies that I have provided the Black Youth in Action Debutante Program towards stipends, ticket sales, etc., may be forfeited and integrated into the program. I acknowledge commitment to the program and agree to the terms by checking off the box below. of the program.
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