Parent/Guardian Section

First Name *

Last Name *

Phone *

Email *

Youth Camper Section

Youth Camper First Name *

Youth Camper Last Name *

Age on July 9th, 2025 *

Date of Birth *

Grade/Year (Fall 2025) *

Name of School *

Youth Email Address

Emergency & Health Information

Emergency Contact Info. (if different from Parent/Guardian) *

Known Allergies *

Medical Conditions or Special Needs *

Health Insurance Provider and Policy # *

Personal Development Questions

Why do you want to attend the B3 Business Camp? *

What does being a leader mean to you? *

What interests you most about business or entrepreneurship? *

Describe a time you took initiative or responsibility for something. *

How willing are you to participate fully?

Extremely willing

Very willing

Somewhat willing

Not very willing

Select One

Reflection & Readiness

How do you plan to stay focused and make the most of this camp experience? *

What’s one skill you hope to improve during the camp? *

B3 values leadership, service, and excellence. Which value do you connect with most, and why? *

Optional (But Encouraged)

Instagram handle:

TShirt Size

How did you hear about the Camp

I understand that attending the "I Am A Boss" Youth Business Camp is an opportunity to invest in my future. I commit to showing up on time, participating fully, and bringing a positive and respectful attitude.