2025 Ballers Registration

Baller’s Conference Registration Form 2025

Student(s)

Student First Name *

Student Last Name *

Student Date of Birth *

Grade Entering *

Student Gender *

Student Email

Student Mobile Phone Number

T-shirt Size

Add Another Child Remove

Parent First Name *

Parent Last Name *

Mobile Phone Number *

Email Address *

Home Address

Parent Consent

Completing this registration confirms that my child will be in attendance July 19, 2025. If my student is no longer able to attend I will email carmen@epicyouth.org at least 2 weeks prior to the event. I am the parent or legal guardian of the child/youth/children named above, and grant consent for their attendance at ICE Mentors programs. I also grant ICE Mentors my permission to use the child/youth/children likeness in photographs for any legal use, including but not limited to: publicity, copyright purposes, advertising, and web content.

If you are human, leave this field blank.

Boys

Girls

Epic Leadership Academies

School Programs

Mentorship Programs

Baller's Conference Youth Financial Literacy Experience

Give That Girl The Mic: All Girl Showcase

Girls Will! Summit International Day of the Girl

Black Boy Honors Ceremony

2025 Ballers Registration

Student(s)