Event Registration

EAST COAST: TEENS - Teens Enrolled in Summer Programs

07/19/2025 09:30 AM - 07/20/2025 05:00 PM ET

Teen Information

Enter the information for the person participating in the Torch Training.

First Name: Last Name: Email: Cell Phone: Birth Date: / / Grade: Gender: Ethnicity: How did you hear about the Torch Training? School: Areas of Interest (Select all that apply)

Feeling better about myself

Anger management

Improving grades

Improve my relationships

Improve decision making

Improve listening skills

More consistency in taking self-responsibility

Setting goals for myself

Honoring my commitments

Address: City: State: Zip Code: -

Parent/Guardian Information

Enter the information for the Parent/Guardian of the individual attending the Torch Training.

First Name: Last Name: Email: Cell Phone: Relationship to Student: Is the Parent/Guardian's Home Address the same as the Student's? (If not, please proceed with the questions below) I accept that I must surrender my phone during the Torch Foundation workshop. I understand that this is a 2 (two) day workshop and 4 (four) week coaching and that my full participation is important Please provide your electronic signature below indicating that you understand and will abide with The Torch Foundation protocol in its entirety.

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