Registration

Thank you for allowing your student(s) to participate in our program. Each section of this online form must be read and completed by a parent or guardian. Once finished, your young man will be registered with The Manhood Project at his respective school. Please note, you will still be required to complete and return the physical participation waiver.

* Indicates required field

Parent or Guardian Name *

First

Last

Primary Cell Phone Number *

Email *

Student Name *

First

Last

Age (of student) *

School *

Grade *

*If you have more than one child participating in TMP, please enter the applicable information (Full Name, age, School and Grade level) below. *

General and Media Parental Consent
I hereby consent for my son to participate in all prescribed training and activities. I recognize The Manhood Project is committed to the development of youth. In all, I give permission for The Manhood Project to use any photo or digital image, verbal or written testaments of the person named above, or similar promotional use another network used of The Manhood Project associated with the program, project, event, or function.

Do you consent to general participation in the program? *

Yes No

Emergency Contact Name *

First

Last

Emergency Contact Phone Number *

Relationship to student *

To complete this registration, please type your full name below. This will serve as your electronic signature.

Parent/Guardian E-Signature *

Submit

Together we can...