Student's Name: *

First Name

Last Name

Date of Birth *

MM

DD

YYYY

Sex: *

Male

Female

Prefer Not To Say

Other:

Home Phone

(###)

###

####

Cell Phone *

(###)

###

####

In consideration of acceptance of my application, I do hereby, for myself, my heirs, executors, and administrators, waive, release and forever discharge any and all rights and claims for damages which I may have or which may hereafter accrue to me while traveling to and from or participating in the YETP against The Cedarmore Corporation and respective officers, agents, representatives, or successors along with sponsors, supporters and volunteers of said event, as a result of my child’s participation in this program. I have read the above statement, I understand that my signature confirms its full acceptance.Parental consent to use child’s photograph by The Cedarmore Corporation without compensation for use is

I Agree

I Disagree

I have considered the other activities I’m currently involved in, as well as other demands on mytime and energy, and I want to participate in The Young Entrepreneurs Training Program. 1. I agree to participate in the training, from beginning to end. 2. I agree to take good care of myself. 3. I agree to help my peers, along with other students in maintaining the program 4. I agree to work as a team member, respect and try to be sensitive to the needs of each participant. 5. I will be responsible for my personal belongings and will not hold The CedarmoreCorporation or their volunteers and/or employees responsible for the loss of said personalbelongings due to my negligence or abuse. 6. I will treat the facilities and equipment provided The Cedarmore Corporation with care. 7. I understand that if I am sent home early due to any serious misconduct, it will be at myexpense, and The Cedarmore Corporation will make my travel arrangements. 8. I will comply with The Cedarmore Corporation Code of Ethics: “Treat others as you wouldlike to be treated.” 9. I understand that unacceptable behavior will not be tolerated by The Cedarmore Corporationin partnership.10. I understand that no weapons can be brought to the site and The Cedarmore Corporationhave a zero tolerance on the use of alcohol, violence and drugs.

I Agree

I Disagree

Please indicate whether applicant receives free or reduced lunch from his/her school:

Yes

No

Racial / Ethnic Identification:

American Indian

Alaskan Native

Asian

Pacific Islander

African American

Hispanic

Caucasian

Other

Parent Marital Status *

Married

Divorced

Separated

Single

Family Employment Status

Employed

Unemployed

Total household income

Up to $62,100

$62,101 - $70,950

$70,951 - $79,800

$79,801 - $88,650

$88,651 - $95,750

$95,751 - $102,850

$102,851 - $109,950

$109,951 - $117,050

Have you completed the YETP before? *

Yes

No

Would you like to start your own business? *

Yes

No

Maybe