First Name *

Last Name *

Date of birth *

Current Status *

Phone *

Email *

City / Zip Code *

How did you hear about YG26? *

T-Shirt Size *

Emergency Contact Info *

Parent/Guardian First Name
Emergency Contact Phone
Emergency Contact Relationship

Food Allergies or Dietary Restrictions *

Any conditions, medications, or notes the YG26 team should be aware of on event day

I agree to the YG26 Participation Agreement. I confirm the student named in this registration will attend the Young & Gifted 26 Youth Business Summit on October 24, 2026 at Centerpoint Church in Gahanna, Ohio. I understand the $25 registration fee is non-refundable. I agree that YG26 and Centerpoint Church are not liable for personal injury, loss, or damage to property during the event.

I agree to the YG26 Code of Conduct. The student will participate respectfully, treat all attendees, speakers, and staff with dignity, and follow all directions from the YG26 team. YG26 reserves the right to remove any attendee whose behavior disrupts the experience for others, without refund.

Media Release checkbox:

I grant Young & Gifted 26, Centerpoint Church Gahanna, and their partners permission to photograph and/or video record the student during the summit for promotional use including social media, websites, and event marketing. This is optional. You may withdraw consent at any time by contacting [email protected].

Electronic Signature *

Parent/Guardian Info

Parent/Guardian First Name
Parent/Guardian Last Name
Parent/Guardian Email
Parent/Guardian Phone

Relationship to Student