👋🏾 Welcome! Select a camp below to view registrations.
On a laptop or desktop, campers are displayed in a sortable table — click any column heading to sort by date, name, or age. On mobile, you'll see easy-to-read cards. Hit View Entry on any device to pull up a camper's full registration details.
139 Registered
| # | Date Registered ↕ | Child Name ↕ | Age ↕ | Registered By | Cell | |
|---|---|---|---|---|---|---|
| 1 | Jul 27, 2026 | Injoy Crawford | 11 | Brooke OBrien | (248) 469-7362 | |
| 2 | Jun 18, 2026 | Chloe Harris | 12 | Jela Morris | (313) 333-3727 | |
| 3 | Jun 17, 2026 | Baylee Jones | 11 | Mercedies Harris | (586) 298-2779 | |
| 4 | Jun 16, 2026 | Layal Sheffield | 12 | Constance Sheffield | (313) 673-1860 | |
| 5 | Jun 16, 2026 | Antoine Crowder | 12 | Antoine Crowder | (248) 818-3546 | |
| 6 | Jun 15, 2026 | Andrew Sanders | 11 | Erica Sanders | (313) 316-9639 | |
| 7 | Jun 15, 2026 | Phoenix Gore Hurt | 11 | Lekita Gore | (419) 503-6993 | |
| 8 | Jun 15, 2026 | Desherick Varner | 11 | Diamond Embree | (313) 377-7432 | |
| 9 | Jun 15, 2026 | Londyn Little | 11 | LaDawn Little | (313) 333-4438 | |
| 10 | Jun 15, 2026 | Karson Harbert | 11 | Patrice Harbert | (313) 598-0066 | |
| 11 | Jun 13, 2026 | Shon’yra Stoudmire | 13 | Brooke Obrien | (248) 469-7362 | |
| 12 | Jun 13, 2026 | La’Vonn Jones | 12 | La’Nelle Jones Johnson | (313) 544-0659 | |
| 13 | Jun 13, 2026 | Nylah Hill | 12 | Shiba Hill | (313) 459-4651 | |
| 14 | Jun 12, 2026 | Eva Burks | 12 | Ariane Burks | (313) 424-9960 | |
| 15 | Jun 12, 2026 | Koda Mark | 12 | Sarah Mark | (313) 461-0752 | |
| 16 | Jun 11, 2026 | Caleb Branch | 12 | DANETTA BRANCH | (313) 587-6616 | |
| 17 | Jun 11, 2026 | Gabrielle Swift | 11 | Johnny Swift | (313) 828-9361 | |
| 18 | Jun 11, 2026 | Kyle Styles | 12 | Marika Styles | (313) 409-4078 | |
| 19 | Jun 8, 2026 | JaNice Hollins | 13 | Thilicia Keyes | (734) 486-9373 | |
| 20 | Jun 8, 2026 | Ja'Niala Gore | 11 | Cheryl Melson | (313) 978-8799 | |
| 21 | Jun 8, 2026 | Aaliyah Brown | 12 | Nailah Ellis | (313) 570-0840 | |
| 22 | Jun 6, 2026 | Tamari Hollins | 12 | Thilicia Keyes | (734) 486-9373 | |
| 23 | Jun 6, 2026 | Winston Brooks | 10 | Chonquonda Parrish | (313) 932-3184 | |
| 24 | Jun 6, 2026 | Wren Peck | 12 | Kristen Calverley | (248) 376-7410 | |
| 25 | Jun 5, 2026 | Jacqueline Rocha-Ortiz | 12 | Irma Ortiz | (313) 392-3995 | |
| 26 | Jun 5, 2026 | Chloe Fears | 13 | Tammy Fears | (313) 729-9980 | |
| 27 | Jun 5, 2026 | KHLOE FRAZIER | 12 | KYLIE FRAZIER | (313) 544-3491 | |
| 28 | Jun 4, 2026 | Caleb Smith | 11 | Courtney Alexander Smith | (248) 670-8864 | |
| 29 | Jun 4, 2026 | Leila Branham | 13 | Andria Cunningham | (248) 412-3600 | |
| 30 | Jun 4, 2026 | Amanda Lee | 12 | Erin Bundy | (248) 379-9961 | |
| 31 | Jun 3, 2026 | Marielle Jordan | 13 | Ellen Mills | (313) 518-1228 | |
| 32 | Jun 2, 2026 | Leia Yawson-Dickerson | 13 | Laurie Yawson | (248) 469-6793 | |
| 33 | May 31, 2026 | Jeremy Davis | 11 | Kelly Stanton | (734) 318-5990 | |
| 34 | May 31, 2026 | Serenity Brownne’e | 13 | Starkiesha Leonard | (313) 559-0069 | |
| 35 | May 31, 2026 | Vern Sanders | 13 | Erica Sanders | (313) 316-9639 | |
| 36 | May 30, 2026 | Melrose Stafford | 11 | Kimberly Stafford | (313) 420-9537 | |
| 37 | May 28, 2026 | Kardell Jr Euseary | 12 | Kahteela Euseary | (918) 695-7519 | |
| 38 | May 28, 2026 | Zahna Euseary | 11 | Kahteela Euseary | (918) 695-7519 | |
| 39 | May 28, 2026 | Evan Jenkins Jr. | 13 | Diamond Jenkins | (313) 695-0491 | |
| 40 | May 27, 2026 | Taraji Wilson | 13 | Kelley Wilson | (313) 258-2948 | |
| 41 | May 26, 2026 | Yisrayl Knight | 12 | Katreia Knight | (313) 221-7627 | |
| 42 | May 26, 2026 | Amaree Thomas | 11 | Bianca Reeves | (313) 857-5945 | |
| 43 | May 26, 2026 | serenity Stephens | 13 | Bianca Reeves | (313) 857-5945 | |
| 44 | May 25, 2026 | Faith Nunn | 13 | Helena Nunn | (313) 686-1010 | |
| 45 | May 24, 2026 | Saraiah Dawson | 12 | Sheleta Reed | (313) 463-3022 | |
| 46 | May 24, 2026 | Rapi Campbell | 11 | Paula Jarrett-Papaioannou | (313) 856-5747 | |
| 47 | May 23, 2026 | Berry Aubree | 13 | Alexa Patricia Berry | (313) 879-9872 | |
| 48 | May 23, 2026 | BrooklynReign Bush | 10 | Yvette Bush | (313) 918-9356 | |
| 49 | May 22, 2026 | Halo Swayne | 13 | Brandy Slack | (231) 392-9261 | |
| 50 | May 22, 2026 | Ethan Respress | 10 | Havana Respress | (313) 218-4016 | |
| 51 | May 21, 2026 | Ashly Coats | 11 | Ashly Coats | (313) 329-9078 | |
| 52 | May 21, 2026 | RyHanna Doze | 12 | Gemini Doze | (313) 624-7574 | |
| 53 | May 21, 2026 | Brooklynn Ulmer | 12 | Karicia Shorts | (313) 236-6301 | |
| 54 | May 20, 2026 | Santana Summers | 10 | Ka'Nessa Cooper | (313) 854-2601 | |
| 55 | May 20, 2026 | Sonia Summers | 12 | Ka'Nessa Cooper | (313) 854-2601 | |
| 56 | May 20, 2026 | Avery Taylor | 12 | Leslie Wright | (313) 622-4047 | |
| 57 | May 19, 2026 | I'Lan Bennett | 12 | Latanya Satawhite | (313) 953-7945 | |
| 58 | May 17, 2026 | Jacey Womack | 10 | Archemee Womack | (313) 213-5058 | |
| 59 | May 17, 2026 | Anjolaoluwa Daramola | 12 | Jasmine Jones | (313) 457-5509 | |
| 60 | May 16, 2026 | Aubree Cadmus | 11 | Fletchia Brand | (248) 910-4783 | |
| 61 | May 15, 2026 | Zoe Franklin | 12 | Darlene Shropshire | (313) 623-2533 | |
| 62 | May 15, 2026 | Aniya Burton | 11 | Angelique Wilson | (313) 384-6014 | |
| 63 | May 15, 2026 | Ameriana Gordon | 10 | Alisha Jackson | (313) 424-3661 | |
| 64 | May 15, 2026 | Kelis Travis | 11 | Kanieth Travis | (313) 978-6562 | |
| 65 | May 14, 2026 | Kristian Travis | 12 | Erin Gooch | (313) 929-5580 | |
| 66 | May 14, 2026 | Yareli Alfaro-Ortiz | 10 | Marcela Alfaro | (313) 629-6162 | |
| 67 | May 14, 2026 | David Alfaro-Ortiz | 12 | Marcela Alfaro | (313) 629-6162 | |
| 68 | May 13, 2026 | Akari Caudill | 11 | Kyra Whitsell | (313) 953-3426 | |
| 69 | May 12, 2026 | Bryce Greene | 11 | Monet Trammell | (313) 740-3032 | |
| 70 | May 12, 2026 | Cole Hobson | 12 | Shavon Andrews | (313) 926-9131 | |
| 71 | May 12, 2026 | Bailey Greene | 11 | Monet Trammell | (313) 740-3032 | |
| 72 | May 11, 2026 | Cayden Theus | 13 | Crystal Oldham | (586) 823-2786 | |
| 73 | May 8, 2026 | Mason Siler | 13 | Ashley Robinson | (313) 986-3596 | |
| 74 | May 8, 2026 | Jeremiah Williams | 10 | Tarasha jenkins | (313) 338-4013 | |
| 75 | May 8, 2026 | Joaiah Williams | 10 | Tarasha jenkins | (313) 338-4013 | |
| 76 | May 8, 2026 | Nasir DeBose | 12 | Tanisha DeBose | (248) 607-2032 | |
| 77 | May 7, 2026 | Kameron Moncreif | 10 | Hope Jordan | (313) 663-9308 | |
| 78 | May 7, 2026 | Jade Robinson | 12 | Hope Jordan | (313) 663-9308 | |
| 79 | May 7, 2026 | MaKenna Reed | 13 | Shanayl Bennett-Reed | (313) 358-5701 | |
| 80 | May 4, 2026 | Serena Buchanon | 13 | Whitley Buchanon | (248) 200-8811 | |
| 81 | May 3, 2026 | Noah White | 11 | Alise White | (313) 452-2460 | |
| 82 | Apr 30, 2026 | Lailah Duncan | 12 | Saphonia Shorts | (313) 738-4225 | |
| 83 | Apr 30, 2026 | Messiah Jones | 11 | Renita Williams | (313) 989-2086 | |
| 84 | Apr 29, 2026 | Rahziel Smith | 13 | Sherrie Smith | (313) 471-4005 | |
| 85 | Apr 29, 2026 | Royal Warr | 11 | Angela Clay | (313) 900-2800 | |
| 86 | Apr 29, 2026 | Landon Amos | 12 | Kameshea Amos | (313) 766-8406 | |
| 87 | Apr 28, 2026 | AYDEN EVANS-MARTIN | 12 | MICHELLE EVANS | (313) 445-9064 | |
| 88 | Apr 28, 2026 | Jaedyn Pitts | 10 | Jazzmin Pitts | (248) 832-7694 | |
| 89 | Apr 26, 2026 | Aiden Turner | 12 | April Turner | (313) 412-5305 | |
| 90 | Apr 25, 2026 | Riyah Coleman | 11 | Stacey Coleman | (313) 970-3026 | |
| 91 | Apr 25, 2026 | Whitney Page | 13 | Wilmonie Page | (313) 506-2008 | |
| 92 | Apr 23, 2026 | Corde Brize | 12 | Jasmine Brize | (313) 918-7639 | |
| 93 | Apr 23, 2026 | Kylee Jenkins | 13 | Dana McDade | (313) 673-7730 | |
| 94 | Apr 22, 2026 | Khaiden Donaldson | 13 | Ju'elle Donaldson | (313) 703-6618 | |
| 95 | Apr 22, 2026 | Jamari Peterson | 13 | Kimbreya Hicks | (313) 333-5468 | |
| 96 | Apr 20, 2026 | Levi Andrews | 11 | Allyson Andrews | (313) 888-1444 | |
| 97 | Apr 20, 2026 | Brandon Andrews | 12 | Allyson Andrews | (313) 888-1444 | |
| 98 | Apr 20, 2026 | Marcel Reid | 13 | Veronica Scott | (734) 560-0637 | |
| 99 | Apr 19, 2026 | Akeem Crowder | 13 | Asia Crowder | (313) 334-9159 | |
| 100 | Apr 18, 2026 | Maison Corley | 11 | Martise Corley | (313) 826-5689 | |
| 101 | Apr 18, 2026 | Amir Taylor | 11 | Alisia Taylor | (313) 613-3400 | |
| 102 | Apr 18, 2026 | Ariel Taylor | 13 | Alisia Taylor | (313) 613-3400 | |
| 103 | Apr 17, 2026 | Zariyah Jones | 11 | Chantele Willis | (313) 671-0032 | |
| 104 | Apr 17, 2026 | Jeremiah Howard | 13 | Kendra Wade | (313) 283-0919 | |
| 105 | Apr 17, 2026 | Harper Rice | 11 | Margrit Allen | (248) 205-9948 | |
| 106 | Apr 17, 2026 | Cristión Matthews | 11 | Kendra Matthews | (248) 781-5874 | |
| 107 | Apr 16, 2026 | Ava Navarro | 10 | Tiara Rouse | (313) 736-7534 | |
| 108 | Apr 16, 2026 | Londyn McGee | 13 | Kristana Parker | (313) 646-1995 | |
| 109 | Apr 16, 2026 | Raylan Royal | 12 | Stephanie Greenlaw | (248) 752-4784 | |
| 110 | Apr 15, 2026 | Lacey Walker | 13 | Donshay Williams | (586) 945-4091 | |
| 111 | Apr 15, 2026 | Jace Holt | 11 | Candise Holt | (313) 930-0633 | |
| 112 | Apr 15, 2026 | Seven Anthony | 10 | Chauncey Anthony | (313) 633-3354 | |
| 113 | Apr 15, 2026 | Azure Anthony | 12 | Chauncey Anthony | (313) 633-3354 | |
| 114 | Apr 14, 2026 | Xzavier Oliver | 11 | Wanda Dukes | (313) 682-2533 | |
| 115 | Apr 14, 2026 | Kaya Webb | 11 | Patricia Quaglia | (313) 422-5644 | |
| 116 | Apr 14, 2026 | Maurice Webb | 13 | Patricia Quaglia | (313) 422-5644 | |
| 117 | Apr 13, 2026 | Kennedie Garrett | 13 | Whitley Buchanon | (248) 200-8811 | |
| 118 | Apr 13, 2026 | Aiden Lipsey | 11 | Lakeisha Lipsey | (248) 812-6817 | |
| 119 | Apr 13, 2026 | Ronald Richardson III | 12 | Mildred Richardson | (313) 932-8685 | |
| 120 | Apr 13, 2026 | Aniya Porter | 13 | Jela Morris | (313) 333-3727 | |
| 121 | Apr 13, 2026 | Tyrel Toney | 13 | Renee Toney | (313) 655-1500 | |
| 122 | Apr 13, 2026 | Christian Keeler | 13 | Rolanda Edwards | (248) 455-9062 | |
| 123 | Apr 13, 2026 | Gabby Buford | 13 | Keith Buford | (248) 752-0698 | |
| 124 | Apr 13, 2026 | Jaiden Townsend | 12 | Alyssa Landcaster | (734) 833-8228 | |
| 125 | Apr 13, 2026 | Dayonna Banks | 12 | Brittney DuBose | (248) 993-6227 | |
| 126 | Apr 13, 2026 | London Loving | 12 | Tawanna Burns | (586) 854-2704 | |
| 127 | Apr 12, 2026 | Destini-Paul Lawson | 13 | NaKisha Kimble | (313) 408-8660 | |
| 128 | Apr 12, 2026 | Joi Brown | 11 | Tiffany Hudson | (586) 571-4343 | |
| 129 | Apr 11, 2026 | Brielle Rambus | 10 | Sumara Rambus | (947) 282-3064 | |
| 130 | Apr 11, 2026 | Loghan Carthage | 10 | LaTasha Carthage | (313) 492-6663 | |
| 131 | Apr 10, 2026 | Eli James | 12 | Tianna James | (313) 303-1339 | |
| 132 | Apr 10, 2026 | Layla Cheek | 12 | Jasmine Cunningham-Cheek | (248) 514-4888 | |
| 133 | Apr 10, 2026 | Ayden Smith | 10 | Ochga Smith | (313) 805-5487 | |
| 134 | Apr 9, 2026 | Rayonna Banks | 12 | Richard Cantrell | (313) 761-8103 | |
| 135 | Apr 9, 2026 | Sebastian Johnson | 11 | Nakia Middleton | (313) 471-1887 | |
| 136 | Apr 9, 2026 | Paige Elliott | 12 | Marie Durham | (810) 830-8714 | |
| 137 | Apr 9, 2026 | Skylur Addison | 13 | Nakia Middleton | (313) 400-5445 | |
| 138 | Apr 9, 2026 | Ronald Lee III | 13 | Ronald Lee Jr. | (313) 549-3531 | |
| 139 | Apr 9, 2026 | Chandler Duckett | 13 | Erica Duckett | (313) 742-1751 |
1
Injoy Crawford
11
Date RegisteredJul 27, 2026
Registered ByBrooke OBrien
Cell(248) 469-7362
Emailbrookelynnobrien12@gmail.com
2
Chloe Harris
12
Date RegisteredJun 18, 2026
Registered ByJela Morris
Cell(313) 333-3727
Emailjelamorris@gmail.com
3
Baylee Jones
11
Date RegisteredJun 17, 2026
Registered ByMercedies Harris
Cell(586) 298-2779
EmailHmercedies@gmail.com
4
Layal Sheffield
12
Date RegisteredJun 16, 2026
Registered ByConstance Sheffield
Cell(313) 673-1860
EmailConstancesheffield24@gmail.com
5
Antoine Crowder
12
Date RegisteredJun 16, 2026
Registered ByAntoine Crowder
Cell(248) 818-3546
Emailantoinemcrowder@gmail.com
6
Andrew Sanders
11
Date RegisteredJun 15, 2026
Registered ByErica Sanders
Cell(313) 316-9639
Emailericasanders1024@gmail.com
7
Phoenix Gore Hurt
11
Date RegisteredJun 15, 2026
Registered ByLekita Gore
Cell(419) 503-6993
Emaillekitagore27@gmail.com
8
Desherick Varner
11
Date RegisteredJun 15, 2026
Registered ByDiamond Embree
Cell(313) 377-7432
Emaildiamondembree@yahoo.com
9
Londyn Little
11
Date RegisteredJun 15, 2026
Registered ByLaDawn Little
Cell(313) 333-4438
Emailladawnvesey@gmail.com
10
Karson Harbert
11
Date RegisteredJun 15, 2026
Registered ByPatrice Harbert
Cell(313) 598-0066
Emailmrsharbert@outlook.com
11
Shon’yra Stoudmire
13
Date RegisteredJun 13, 2026
Registered ByBrooke Obrien
Cell(248) 469-7362
Emailbrookelynnobrien12@gmail.com
12
La’Vonn Jones
12
Date RegisteredJun 13, 2026
Registered ByLa’Nelle Jones Johnson
Cell(313) 544-0659
Emaillanelle.jones0104@gmail.com
13
Nylah Hill
12
Date RegisteredJun 13, 2026
Registered ByShiba Hill
Cell(313) 459-4651
Emailshibaq.hill@gmail.com
14
Eva Burks
12
Date RegisteredJun 12, 2026
Registered ByAriane Burks
Cell(313) 424-9960
Emailarianeburks@gmail.com
15
Koda Mark
12
Date RegisteredJun 12, 2026
Registered BySarah Mark
Cell(313) 461-0752
Emailthesarahmark@gmail.com
16
Caleb Branch
12
Date RegisteredJun 11, 2026
Registered ByDANETTA BRANCH
Cell(313) 587-6616
EmailDANETTABRANCH@YAHOO.COM
17
Gabrielle Swift
11
Date RegisteredJun 11, 2026
Registered ByJohnny Swift
Cell(313) 828-9361
Emailjswift2@yahoo.com
18
Kyle Styles
12
Date RegisteredJun 11, 2026
Registered ByMarika Styles
Cell(313) 409-4078
Emailmlrstyles@yahoo.com
19
JaNice Hollins
13
Date RegisteredJun 8, 2026
Registered ByThilicia Keyes
Cell(734) 486-9373
Emailthiliciakeyes@yahoo.com
20
Ja'Niala Gore
11
Date RegisteredJun 8, 2026
Registered ByCheryl Melson
Cell(313) 978-8799
Emailcherylmelson3@gmail.com
21
Aaliyah Brown
12
Date RegisteredJun 8, 2026
Registered ByNailah Ellis
Cell(313) 570-0840
Emailnailahellis@yahoo.com
22
Tamari Hollins
12
Date RegisteredJun 6, 2026
Registered ByThilicia Keyes
Cell(734) 486-9373
Emailthiliciakeyes@yahoo.com
23
Winston Brooks
10
Date RegisteredJun 6, 2026
Registered ByChonquonda Parrish
Cell(313) 932-3184
Emailchonquonda734@gmail.com
24
Wren Peck
12
Date RegisteredJun 6, 2026
Registered ByKristen Calverley
Cell(248) 376-7410
Emailkristencalverley@gmail.com
25
Jacqueline Rocha-Ortiz
12
Date RegisteredJun 5, 2026
Registered ByIrma Ortiz
Cell(313) 392-3995
Emailirmaortiz.var07@gmail.com
26
Chloe Fears
13
Date RegisteredJun 5, 2026
Registered ByTammy Fears
Cell(313) 729-9980
Emailtcfears1@comcast.net
27
KHLOE FRAZIER
12
Date RegisteredJun 5, 2026
Registered ByKYLIE FRAZIER
Cell(313) 544-3491
EmailKYLIEFRAZIER@YAHOO.COM
28
Caleb Smith
11
Date RegisteredJun 4, 2026
Registered ByCourtney Alexander Smith
Cell(248) 670-8864
EmailCalexanderlove127@gmail.com
29
Leila Branham
13
Date RegisteredJun 4, 2026
Registered ByAndria Cunningham
Cell(248) 412-3600
Emailajwashing34@gmail.com
30
Amanda Lee
12
Date RegisteredJun 4, 2026
Registered ByErin Bundy
Cell(248) 379-9961
Emailvanityenterprisesllc@yahoo.com
31
Marielle Jordan
13
Date RegisteredJun 3, 2026
Registered ByEllen Mills
Cell(313) 518-1228
Emailemariemills@yahoo.com
32
Leia Yawson-Dickerson
13
Date RegisteredJun 2, 2026
Registered ByLaurie Yawson
Cell(248) 469-6793
Emaillyawson523@gmail.com
33
Jeremy Davis
11
Date RegisteredMay 31, 2026
Registered ByKelly Stanton
Cell(734) 318-5990
Emailkstanton476@gmail.com
34
Serenity Brownne’e
13
Date RegisteredMay 31, 2026
Registered ByStarkiesha Leonard
Cell(313) 559-0069
Emailstarscreations79@gmail.con
35
Vern Sanders
13
Date RegisteredMay 31, 2026
Registered ByErica Sanders
Cell(313) 316-9639
Emailericasanders1024@gmail.com
36
Melrose Stafford
11
Date RegisteredMay 30, 2026
Registered ByKimberly Stafford
Cell(313) 420-9537
Emailcontactkimstafford@gmail.com
37
Kardell Jr Euseary
12
Date RegisteredMay 28, 2026
Registered ByKahteela Euseary
Cell(918) 695-7519
Emailkdeuseary@gmail.com
38
Zahna Euseary
11
Date RegisteredMay 28, 2026
Registered ByKahteela Euseary
Cell(918) 695-7519
Emailkdeuseary@gmail.com
39
Evan Jenkins Jr.
13
Date RegisteredMay 28, 2026
Registered ByDiamond Jenkins
Cell(313) 695-0491
Emaildiamonda.jenkins@gmail.com
40
Taraji Wilson
13
Date RegisteredMay 27, 2026
Registered ByKelley Wilson
Cell(313) 258-2948
Emailorgswishersweet@gmail.com
41
Yisrayl Knight
12
Date RegisteredMay 26, 2026
Registered ByKatreia Knight
Cell(313) 221-7627
Emailkknight922@yahoo.com
42
Amaree Thomas
11
Date RegisteredMay 26, 2026
Registered ByBianca Reeves
Cell(313) 857-5945
Emailbeautifuljourney36@att.com
43
serenity Stephens
13
Date RegisteredMay 26, 2026
Registered ByBianca Reeves
Cell(313) 857-5945
Emailbeautifuljourney36@att.com
44
Faith Nunn
13
Date RegisteredMay 25, 2026
Registered ByHelena Nunn
Cell(313) 686-1010
Emailhnunn@att.net
45
Saraiah Dawson
12
Date RegisteredMay 24, 2026
Registered BySheleta Reed
Cell(313) 463-3022
Emailshelonpurpose@gmail.com
46
Rapi Campbell
11
Date RegisteredMay 24, 2026
Registered ByPaula Jarrett-Papaioannou
Cell(313) 856-5747
Emailweddingextravaganzas711@gmail.com
47
Berry Aubree
13
Date RegisteredMay 23, 2026
Registered ByAlexa Patricia Berry
Cell(313) 879-9872
Emailpatriciaberry7@icloud.com
48
BrooklynReign Bush
10
Date RegisteredMay 23, 2026
Registered ByYvette Bush
Cell(313) 918-9356
EmailYvettebush31@gmail.com
49
Halo Swayne
13
Date RegisteredMay 22, 2026
Registered ByBrandy Slack
Cell(231) 392-9261
Emailaokikouture@gmail.com
50
Ethan Respress
10
Date RegisteredMay 22, 2026
Registered ByHavana Respress
Cell(313) 218-4016
Emailhjrobin336@yahoo.com
51
Ashly Coats
11
Date RegisteredMay 21, 2026
Registered ByAshly Coats
Cell(313) 329-9078
Emailkramcollective@gmail.com
52
RyHanna Doze
12
Date RegisteredMay 21, 2026
Registered ByGemini Doze
Cell(313) 624-7574
Emailgeminildoze89@gmail.com
53
Brooklynn Ulmer
12
Date RegisteredMay 21, 2026
Registered ByKaricia Shorts
Cell(313) 236-6301
Emailkariciashorts@gmail.com
54
Santana Summers
10
Date RegisteredMay 20, 2026
Registered ByKa'Nessa Cooper
Cell(313) 854-2601
EmailNessasummers10@gmail.com
55
Sonia Summers
12
Date RegisteredMay 20, 2026
Registered ByKa'Nessa Cooper
Cell(313) 854-2601
EmailNessasummers10@gmail.com
56
Avery Taylor
12
Date RegisteredMay 20, 2026
Registered ByLeslie Wright
Cell(313) 622-4047
Emailms_wright84@yahoo.com
57
I'Lan Bennett
12
Date RegisteredMay 19, 2026
Registered ByLatanya Satawhite
Cell(313) 953-7945
Emaillsatawhite@gmail.com
58
Jacey Womack
10
Date RegisteredMay 17, 2026
Registered ByArchemee Womack
Cell(313) 213-5058
Emailarchemee@gmail.com
59
Anjolaoluwa Daramola
12
Date RegisteredMay 17, 2026
Registered ByJasmine Jones
Cell(313) 457-5509
Emailjas30chelle@gmail.com
60
Aubree Cadmus
11
Date RegisteredMay 16, 2026
Registered ByFletchia Brand
Cell(248) 910-4783
EmailNBrand_01@yahoo.com
61
Zoe Franklin
12
Date RegisteredMay 15, 2026
Registered ByDarlene Shropshire
Cell(313) 623-2533
Emaildarlene.l.shropshire@gmail.com
62
Aniya Burton
11
Date RegisteredMay 15, 2026
Registered ByAngelique Wilson
Cell(313) 384-6014
Emailangeliqueewilson@gmail.com
63
Ameriana Gordon
10
Date RegisteredMay 15, 2026
Registered ByAlisha Jackson
Cell(313) 424-3661
Emailalisha.jackson1@icloud.com
64
Kelis Travis
11
Date RegisteredMay 15, 2026
Registered ByKanieth Travis
Cell(313) 978-6562
Emailkaniethtravis@gmail.com
65
Kristian Travis
12
Date RegisteredMay 14, 2026
Registered ByErin Gooch
Cell(313) 929-5580
Emailsuccessfule0813@gmail.com
66
Yareli Alfaro-Ortiz
10
Date RegisteredMay 14, 2026
Registered ByMarcela Alfaro
Cell(313) 629-6162
Emailmatiz.alfaro75@gmail.com
67
David Alfaro-Ortiz
12
Date RegisteredMay 14, 2026
Registered ByMarcela Alfaro
Cell(313) 629-6162
Emailmatiz.alfaro75@gmail.com
68
Akari Caudill
11
Date RegisteredMay 13, 2026
Registered ByKyra Whitsell
Cell(313) 953-3426
Emailkyrawhitsell@yahoo.com
69
Bryce Greene
11
Date RegisteredMay 12, 2026
Registered ByMonet Trammell
Cell(313) 740-3032
Emailmonet.trammell@gmail.com
70
Cole Hobson
12
Date RegisteredMay 12, 2026
Registered ByShavon Andrews
Cell(313) 926-9131
Emailandrews.shavon@gmail.com
71
Bailey Greene
11
Date RegisteredMay 12, 2026
Registered ByMonet Trammell
Cell(313) 740-3032
Emailmonet.trammell@gmail.com
72
Cayden Theus
13
Date RegisteredMay 11, 2026
Registered ByCrystal Oldham
Cell(586) 823-2786
Emailoldham.crystal@yahoo.com
73
Mason Siler
13
Date RegisteredMay 8, 2026
Registered ByAshley Robinson
Cell(313) 986-3596
Emailrobinson_n_ashley@yahoo.com
74
Jeremiah Williams
10
Date RegisteredMay 8, 2026
Registered ByTarasha jenkins
Cell(313) 338-4013
Emailtarasha2014@gmail.com
75
Joaiah Williams
10
Date RegisteredMay 8, 2026
Registered ByTarasha jenkins
Cell(313) 338-4013
Emailtarasha2014@gmail.com
76
Nasir DeBose
12
Date RegisteredMay 8, 2026
Registered ByTanisha DeBose
Cell(248) 607-2032
Emailtanishadebose@gmail.com
77
Kameron Moncreif
10
Date RegisteredMay 7, 2026
Registered ByHope Jordan
Cell(313) 663-9308
EmailHoperjordan102769@gmail.com
78
Jade Robinson
12
Date RegisteredMay 7, 2026
Registered ByHope Jordan
Cell(313) 663-9308
EmailHoperjordan102769@gmail.com
79
MaKenna Reed
13
Date RegisteredMay 7, 2026
Registered ByShanayl Bennett-Reed
Cell(313) 358-5701
Emailshanaylbr@gmail.com
80
Serena Buchanon
13
Date RegisteredMay 4, 2026
Registered ByWhitley Buchanon
Cell(248) 200-8811
Emailemail2whitley@gmail.com
81
Noah White
11
Date RegisteredMay 3, 2026
Registered ByAlise White
Cell(313) 452-2460
Emailaliseywhite@gmail.com
82
Lailah Duncan
12
Date RegisteredApr 30, 2026
Registered BySaphonia Shorts
Cell(313) 738-4225
Emailsaphonia.shorts@gmail.com
83
Messiah Jones
11
Date RegisteredApr 30, 2026
Registered ByRenita Williams
Cell(313) 989-2086
Emailrenitawilliams90@gmail.com
84
Rahziel Smith
13
Date RegisteredApr 29, 2026
Registered BySherrie Smith
Cell(313) 471-4005
Emailccsoupsherrie@gmail.com
85
Royal Warr
11
Date RegisteredApr 29, 2026
Registered ByAngela Clay
Cell(313) 900-2800
Emailangela_clay@yahoo.com
86
Landon Amos
12
Date RegisteredApr 29, 2026
Registered ByKameshea Amos
Cell(313) 766-8406
EmailMesha_Amos@yahoo.com
87
AYDEN EVANS-MARTIN
12
Date RegisteredApr 28, 2026
Registered ByMICHELLE EVANS
Cell(313) 445-9064
Emailmevans@detroitatwork.com
88
Jaedyn Pitts
10
Date RegisteredApr 28, 2026
Registered ByJazzmin Pitts
Cell(248) 832-7694
Emailjazzminvpitts@gmail.com
89
Aiden Turner
12
Date RegisteredApr 26, 2026
Registered ByApril Turner
Cell(313) 412-5305
Emailaprilturner21@yahoo.com
90
Riyah Coleman
11
Date RegisteredApr 25, 2026
Registered ByStacey Coleman
Cell(313) 970-3026
Emailscoleman230@gmail.com
91
Whitney Page
13
Date RegisteredApr 25, 2026
Registered ByWilmonie Page
Cell(313) 506-2008
Emailwilmonie@gmail.com
92
Corde Brize
12
Date RegisteredApr 23, 2026
Registered ByJasmine Brize
Cell(313) 918-7639
Emailjbrize30@gmail.com
93
Kylee Jenkins
13
Date RegisteredApr 23, 2026
Registered ByDana McDade
Cell(313) 673-7730
Emaildanapat88@gmail.com
94
Khaiden Donaldson
13
Date RegisteredApr 22, 2026
Registered ByJu'elle Donaldson
Cell(313) 703-6618
Emailjmdon89@gmail.com
95
Jamari Peterson
13
Date RegisteredApr 22, 2026
Registered ByKimbreya Hicks
Cell(313) 333-5468
Emailpetersonjamari@yahoo.com
96
Levi Andrews
11
Date RegisteredApr 20, 2026
Registered ByAllyson Andrews
Cell(313) 888-1444
Emailallysondandrews@gmail.com
97
Brandon Andrews
12
Date RegisteredApr 20, 2026
Registered ByAllyson Andrews
Cell(313) 888-1444
Emailallysondandrews@gmail.com
98
Marcel Reid
13
Date RegisteredApr 20, 2026
Registered ByVeronica Scott
Cell(734) 560-0637
Emailveronica.scott92@yahoo.com
99
Akeem Crowder
13
Date RegisteredApr 19, 2026
Registered ByAsia Crowder
Cell(313) 334-9159
Emailcrowder.asia@gmail.com
100
Maison Corley
11
Date RegisteredApr 18, 2026
Registered ByMartise Corley
Cell(313) 826-5689
Emailmocjr1@gmail.com
101
Amir Taylor
11
Date RegisteredApr 18, 2026
Registered ByAlisia Taylor
Cell(313) 613-3400
Emailalisia518@yahoo.com
102
Ariel Taylor
13
Date RegisteredApr 18, 2026
Registered ByAlisia Taylor
Cell(313) 613-3400
Emailalisia518@yahoo.com
103
Zariyah Jones
11
Date RegisteredApr 17, 2026
Registered ByChantele Willis
Cell(313) 671-0032
Emailchantele.willis@uprepschools.com
104
Jeremiah Howard
13
Date RegisteredApr 17, 2026
Registered ByKendra Wade
Cell(313) 283-0919
Emailk.wade91@yahoo.com
105
Harper Rice
11
Date RegisteredApr 17, 2026
Registered ByMargrit Allen
Cell(248) 205-9948
Emailmargritallen@gmail.com
106
Cristión Matthews
11
Date RegisteredApr 17, 2026
Registered ByKendra Matthews
Cell(248) 781-5874
Emailkendra1513@gmail.com
107
Ava Navarro
10
Date RegisteredApr 16, 2026
Registered ByTiara Rouse
Cell(313) 736-7534
Emailtiararouse@yahoo.com
108
Londyn McGee
13
Date RegisteredApr 16, 2026
Registered ByKristana Parker
Cell(313) 646-1995
Emailpnikki29@gmail.com
109
Raylan Royal
12
Date RegisteredApr 16, 2026
Registered ByStephanie Greenlaw
Cell(248) 752-4784
Emailms.sbonner@yahoo.com
110
Lacey Walker
13
Date RegisteredApr 15, 2026
Registered ByDonshay Williams
Cell(586) 945-4091
Emailshay.williams08@yahoo.com
111
Jace Holt
11
Date RegisteredApr 15, 2026
Registered ByCandise Holt
Cell(313) 930-0633
Emailcrookmichelle431@gmail.com
112
Seven Anthony
10
Date RegisteredApr 15, 2026
Registered ByChauncey Anthony
Cell(313) 633-3354
Emailchauncey.ann89@gmail.com
113
Azure Anthony
12
Date RegisteredApr 15, 2026
Registered ByChauncey Anthony
Cell(313) 633-3354
Emailchauncey.ann89@gmail.com
114
Xzavier Oliver
11
Date RegisteredApr 14, 2026
Registered ByWanda Dukes
Cell(313) 682-2533
EmailDukeswanda@gmail.com
115
Kaya Webb
11
Date RegisteredApr 14, 2026
Registered ByPatricia Quaglia
Cell(313) 422-5644
Emailpatty.quaglia@yahoo.com
116
Maurice Webb
13
Date RegisteredApr 14, 2026
Registered ByPatricia Quaglia
Cell(313) 422-5644
Emailpatty.quaglia@yahoo.com
117
Kennedie Garrett
13
Date RegisteredApr 13, 2026
Registered ByWhitley Buchanon
Cell(248) 200-8811
Emailemail2whitley@gmail.com
118
Aiden Lipsey
11
Date RegisteredApr 13, 2026
Registered ByLakeisha Lipsey
Cell(248) 812-6817
Emaillipsey425@hotmail.com
119
Ronald Richardson III
12
Date RegisteredApr 13, 2026
Registered ByMildred Richardson
Cell(313) 932-8685
Emailmillyrich88@yahoo.com
120
Aniya Porter
13
Date RegisteredApr 13, 2026
Registered ByJela Morris
Cell(313) 333-3727
Emailjelamorris@gmail.com
121
Tyrel Toney
13
Date RegisteredApr 13, 2026
Registered ByRenee Toney
Cell(313) 655-1500
Emailrenarich70@gmail.com
122
Christian Keeler
13
Date RegisteredApr 13, 2026
Registered ByRolanda Edwards
Cell(248) 455-9062
Emailrolanda.blanchard@gmail.com
123
Gabby Buford
13
Date RegisteredApr 13, 2026
Registered ByKeith Buford
Cell(248) 752-0698
Emailkeith.buford@gmail.com
124
Jaiden Townsend
12
Date RegisteredApr 13, 2026
Registered ByAlyssa Landcaster
Cell(734) 833-8228
Emailally.callmeav@gmail.com
125
Dayonna Banks
12
Date RegisteredApr 13, 2026
Registered ByBrittney DuBose
Cell(248) 993-6227
Emaildubanksfamily@gmail.com
126
London Loving
12
Date RegisteredApr 13, 2026
Registered ByTawanna Burns
Cell(586) 854-2704
Emailtawannaburns@ymail.com
127
Destini-Paul Lawson
13
Date RegisteredApr 12, 2026
Registered ByNaKisha Kimble
Cell(313) 408-8660
Emailnakisha326@gmail.com
128
Joi Brown
11
Date RegisteredApr 12, 2026
Registered ByTiffany Hudson
Cell(586) 571-4343
Emailtiffany_hudson@msn.com
129
Brielle Rambus
10
Date RegisteredApr 11, 2026
Registered BySumara Rambus
Cell(947) 282-3064
Emailsumararambus@gmail.com
130
Loghan Carthage
10
Date RegisteredApr 11, 2026
Registered ByLaTasha Carthage
Cell(313) 492-6663
Emaillatashalynn@gmail.com
131
Eli James
12
Date RegisteredApr 10, 2026
Registered ByTianna James
Cell(313) 303-1339
Emailtiannacrosby@yahoo.com
132
Layla Cheek
12
Date RegisteredApr 10, 2026
Registered ByJasmine Cunningham-Cheek
Cell(248) 514-4888
Emailjaskache24@gmail.com
133
Ayden Smith
10
Date RegisteredApr 10, 2026
Registered ByOchga Smith
Cell(313) 805-5487
Emailochgas@gmail.com
134
Rayonna Banks
12
Date RegisteredApr 9, 2026
Registered ByRichard Cantrell
Cell(313) 761-8103
Emailmrcantrell2@gmail.com
135
Sebastian Johnson
11
Date RegisteredApr 9, 2026
Registered ByNakia Middleton
Cell(313) 471-1887
Emailnakiamortgagepro@gmail.com
136
Paige Elliott
12
Date RegisteredApr 9, 2026
Registered ByMarie Durham
Cell(810) 830-8714
Emailmarie313llc@gmail.com
137
Skylur Addison
13
Date RegisteredApr 9, 2026
Registered ByNakia Middleton
Cell(313) 400-5445
Emailnakiamortgagepro@gmail.com
138
Ronald Lee III
13
Date RegisteredApr 9, 2026
Registered ByRonald Lee Jr.
Cell(313) 549-3531
Emailironicleejr@yahoo.com
139
Chandler Duckett
13
Date RegisteredApr 9, 2026
Registered ByErica Duckett
Cell(313) 742-1751
Emailericaduckett3@gmail.com
60 Registered
| # | Date Registered ↕ | Child Name ↕ | Age ↕ | Registered By | Cell | |
|---|---|---|---|---|---|---|
| 1 | May 29, 2026 | Leasia Johnson | 13 | Atiya Johnson | (313) 623-4264 | |
| 2 | May 29, 2026 | ALISSA WOODS | 14 | LAMEGO NELSON | (313) 221-4395 | |
| 3 | May 28, 2026 | Krista Sheffield | 14 | Constance Sheffield | (313) 673-1860 | |
| 4 | May 28, 2026 | Amir Dickerson | 13 | Alia Harvey-Quinn | (313) 600-8877 | |
| 5 | May 27, 2026 | Taryn Jackson | 13 | Davina Mosby | (586) 217-0692 | |
| 6 | May 27, 2026 | Chloe Ford | 15 | Calvilina Ward | (313) 469-3436 | |
| 7 | May 26, 2026 | Jamir Barbee | 14 | Jacqueline McMillian | (248) 508-5147 | |
| 8 | May 26, 2026 | Kymoni Cotton-Terry | 15 | Simone Cotton | (313) 398-3906 | |
| 9 | May 26, 2026 | Tristan Hall | 14 | Alicia Baker | (586) 209-8467 | |
| 10 | May 26, 2026 | Samara Tucker | 14 | Valerie Patchett | (318) 496-0714 | |
| 11 | May 26, 2026 | ZaMiyah Anderson | 14 | Darnequia Lloyd | (248) 278-3080 | |
| 12 | May 26, 2026 | Heaven Hatch | 14 | Elijah Hatch | (248) 818-4519 | |
| 13 | May 25, 2026 | SaRynity Johnson | 15 | Ashley Smith | (313) 307-2738 | |
| 14 | May 24, 2026 | Charles Sutton | 15 | Stephanie McAlkich | (678) 755-1046 | |
| 15 | May 22, 2026 | Keyon Hatch Brown | 14 | Tamatha Hatch-Mars | (313) 742-8641 | |
| 16 | May 22, 2026 | Tamatha Hatch Brown | 14 | Tamatha Hatch-Mars | (313) 742-8641 | |
| 17 | May 20, 2026 | Aaron Peppers | 15 | Ceara Hagwood | (313) 687-6886 | |
| 18 | May 20, 2026 | Isaiah Brissett | 13 | Neil Brissett | (734) 759-7405 | |
| 19 | May 15, 2026 | Taleah Mcfolley | 15 | Tajuana Mcfolley | (313) 293-8298 | |
| 20 | May 15, 2026 | Damonie Campbell | 14 | Talissa Campbell | (313) 439-8903 | |
| 21 | May 14, 2026 | Harmoni Coakley | 14 | Ashley Coakley | (734) 334-3507 | |
| 22 | May 14, 2026 | Aijia pronounced Asia Simpson | 15 | Joyceline Simpson | (313) 452-2902 | |
| 23 | May 14, 2026 | Jordan Simpson | 15 | Jacqueline Simpson | (313) 452-7212 | |
| 24 | May 13, 2026 | Shalom Eagan | 16 | John Eagan | (734) 674-9806 | |
| 25 | May 12, 2026 | Levi Eagan | 14 | John Eagan | (734) 674-9806 | |
| 26 | May 12, 2026 | Kingston Mix | 14 | Kristen Jones | (313) 525-0360 | |
| 27 | May 11, 2026 | Prince Khazyr | 14 | Michelle Ross | (313) 649-9701 | |
| 28 | May 11, 2026 | Kobe Moore | 15 | Toia Williams | (586) 744-0515 | |
| 29 | May 11, 2026 | Cayden Theus | 16 | Crystal Oldham | (586) 823-2786 | |
| 30 | May 11, 2026 | Aubrey Johnson | 15 | April Johnson | (586) 823-6893 | |
| 31 | May 8, 2026 | Prince Uche | 13 | Cherita Webb | (313) 452-4867 | |
| 32 | May 8, 2026 | Jacob Hearns | 16 | Natasha Barnes | (313) 978-9860 | |
| 33 | May 7, 2026 | Bradyn Webb | 14 | Cherita Webb | (313) 452-4867 | |
| 34 | May 7, 2026 | Michael Flowers | 15 | Lisa Flowers | (313) 434-2691 | |
| 35 | May 5, 2026 | Chase McDaniel | 14 | Fallen Turner | (313) 778-1393 | |
| 36 | May 5, 2026 | Asa Carithers | 14 | Lashella Carithers | (313) 828-7915 | |
| 37 | May 4, 2026 | Nylah Motley | 14 | Shalandria Cooper | (313) 939-1440 | |
| 38 | May 1, 2026 | Ethan Harrison | 13 | JaNae Harrison | (248) 636-7047 | |
| 39 | May 1, 2026 | Edina Respress | 14 | Havana Respress | (313) 218-4016 | |
| 40 | Apr 30, 2026 | Jordan Winfield | 14 | Christina Nabongo | (313) 515-4130 | |
| 41 | Apr 30, 2026 | Domingius Villarreal | 14 | Rosalinda Villarreal | (616) 366-1622 | |
| 42 | Apr 27, 2026 | Jalen Brown | 14 | Kawana Brown | (313) 304-3094 | |
| 43 | Apr 27, 2026 | Mack Hall | 13 | Jaimee Guider | (313) 455-1615 | |
| 44 | Apr 24, 2026 | Elliott Simpson | 15 | Cierra Simpson | (734) 657-9122 | |
| 45 | Apr 24, 2026 | Bruce Buckson III | 13 | Cierra Simpson | (734) 657-9122 | |
| 46 | Apr 22, 2026 | Ethan Gillery | 14 | Linsey Gillery | (313) 289-1546 | |
| 47 | Apr 21, 2026 | Elias Brissett | 15 | Neil Brissett | (734) 759-7405 | |
| 48 | Apr 18, 2026 | Jy'Aire Spivey | 16 | Suantane Shepard | (313) 766-3479 | |
| 49 | Apr 18, 2026 | Judah Hackney | 14 | Tanaya Hackney | (313) 671-6498 | |
| 50 | Apr 17, 2026 | Zharia Jones | 15 | Chantele Willis | (313) 671-0032 | |
| 51 | Apr 17, 2026 | Ronald Betts III | 13 | Ryan Dunbar | (248) 416-9047 | |
| 52 | Apr 17, 2026 | Rian Jones | 13 | Chantele Willis | (313) 671-0032 | |
| 53 | Apr 17, 2026 | Adrien Redd | 13 | April Redd | (586) 220-3887 | |
| 54 | Apr 16, 2026 | Sariyah Royal | 13 | Stephanie Greenlaw | (248) 752-4784 | |
| 55 | Apr 14, 2026 | Dominick Garrett | 13 | Whitley Buchanon | (248) 200-8811 | |
| 56 | Apr 13, 2026 | Kalnard Will | 13 | Keesha Pridgeon | (313) 338-9060 | |
| 57 | Apr 12, 2026 | Amaria Harris | 13 | Aimee Harris | (313) 285-7277 | |
| 58 | Apr 11, 2026 | Aaron Peppers | 13 | Ceara Hagwood | (313) 687-6886 | |
| 59 | Apr 10, 2026 | Cam’Marie Avery | 13 | Carmen Avery | (313) 974-9794 | |
| 60 | Apr 9, 2026 | Jaquaia Thomas | 13 | Laquaia Thomas | (313) 770-8065 |
1
Leasia Johnson
13
Date RegisteredMay 29, 2026
Registered ByAtiya Johnson
Cell(313) 623-4264
Emailleasiadivinity@gmail.com
2
ALISSA WOODS
14
Date RegisteredMay 29, 2026
Registered ByLAMEGO NELSON
Cell(313) 221-4395
Emaillamego_nelson@yahoo.com
3
Krista Sheffield
14
Date RegisteredMay 28, 2026
Registered ByConstance Sheffield
Cell(313) 673-1860
EmailConstancesheffield24@gmail.com
4
Amir Dickerson
13
Date RegisteredMay 28, 2026
Registered ByAlia Harvey-Quinn
Cell(313) 600-8877
Emailaharveyquinn@gmail.com
5
Taryn Jackson
13
Date RegisteredMay 27, 2026
Registered ByDavina Mosby
Cell(586) 217-0692
Emaildavinamosdef@gmail.com
6
Chloe Ford
15
Date RegisteredMay 27, 2026
Registered ByCalvilina Ward
Cell(313) 469-3436
EmailWARDCALVILINA@GMAIL.COM
7
Jamir Barbee
14
Date RegisteredMay 26, 2026
Registered ByJacqueline McMillian
Cell(248) 508-5147
Emailjmcmillian69@gmail.com
8
Kymoni Cotton-Terry
15
Date RegisteredMay 26, 2026
Registered BySimone Cotton
Cell(313) 398-3906
Emailmscotton506@gmail.com
9
Tristan Hall
14
Date RegisteredMay 26, 2026
Registered ByAlicia Baker
Cell(586) 209-8467
Emailaliciab198143@gmail.com
10
Samara Tucker
14
Date RegisteredMay 26, 2026
Registered ByValerie Patchett
Cell(318) 496-0714
Emailms.vee2673@gmail.com
11
ZaMiyah Anderson
14
Date RegisteredMay 26, 2026
Registered ByDarnequia Lloyd
Cell(248) 278-3080
Emaildarnequialloyd17@gmail.com
12
Heaven Hatch
14
Date RegisteredMay 26, 2026
Registered ByElijah Hatch
Cell(248) 818-4519
Emailelicole2.4@yahoo.com
13
SaRynity Johnson
15
Date RegisteredMay 25, 2026
Registered ByAshley Smith
Cell(313) 307-2738
Emailashley_j_smith@yahoo.com
14
Charles Sutton
15
Date RegisteredMay 24, 2026
Registered ByStephanie McAlkich
Cell(678) 755-1046
Emailstephaniemcalkich@icloud.com
15
Keyon Hatch Brown
14
Date RegisteredMay 22, 2026
Registered ByTamatha Hatch-Mars
Cell(313) 742-8641
EmailTamsenchantment@gmail.com
16
Tamatha Hatch Brown
14
Date RegisteredMay 22, 2026
Registered ByTamatha Hatch-Mars
Cell(313) 742-8641
EmailTamsenchantment@gmail.com
17
Aaron Peppers
15
Date RegisteredMay 20, 2026
Registered ByCeara Hagwood
Cell(313) 687-6886
EmailCeara.williams1@gmail.com
18
Isaiah Brissett
13
Date RegisteredMay 20, 2026
Registered ByNeil Brissett
Cell(734) 759-7405
EmailBrissettn80@gmail.com
19
Taleah Mcfolley
15
Date RegisteredMay 15, 2026
Registered ByTajuana Mcfolley
Cell(313) 293-8298
Emailtaleaahmc@gmail.com
20
Damonie Campbell
14
Date RegisteredMay 15, 2026
Registered ByTalissa Campbell
Cell(313) 439-8903
Emailtalissa.campbell@gmail.com
21
Harmoni Coakley
14
Date RegisteredMay 14, 2026
Registered ByAshley Coakley
Cell(734) 334-3507
Emailharmoni11511@gmail.com
22
Aijia pronounced Asia Simpson
15
Date RegisteredMay 14, 2026
Registered ByJoyceline Simpson
Cell(313) 452-2902
EmailJoynherkids@gmail.com
23
Jordan Simpson
15
Date RegisteredMay 14, 2026
Registered ByJacqueline Simpson
Cell(313) 452-7212
Emailmspurple800@gmail.com
24
Shalom Eagan
16
Date RegisteredMay 13, 2026
Registered ByJohn Eagan
Cell(734) 674-9806
Emailemail.jpe2@gmail.com
25
Levi Eagan
14
Date RegisteredMay 12, 2026
Registered ByJohn Eagan
Cell(734) 674-9806
Emailemail.jpe2@gmail.com
26
Kingston Mix
14
Date RegisteredMay 12, 2026
Registered ByKristen Jones
Cell(313) 525-0360
EmailNursekristen.kj@gmail.com
27
Prince Khazyr
14
Date RegisteredMay 11, 2026
Registered ByMichelle Ross
Cell(313) 649-9701
Emailmichellerossontask@gmail.com
28
Kobe Moore
15
Date RegisteredMay 11, 2026
Registered ByToia Williams
Cell(586) 744-0515
Emailtoia_williams@yahoo.com
29
Cayden Theus
16
Date RegisteredMay 11, 2026
Registered ByCrystal Oldham
Cell(586) 823-2786
Emailoldham.crystal@yahoo.com
30
Aubrey Johnson
15
Date RegisteredMay 11, 2026
Registered ByApril Johnson
Cell(586) 823-6893
Emailjohnsonaprilp91@gmail.com
31
Prince Uche
13
Date RegisteredMay 8, 2026
Registered ByCherita Webb
Cell(313) 452-4867
Emailmswebb842@gmail.com
32
Jacob Hearns
16
Date RegisteredMay 8, 2026
Registered ByNatasha Barnes
Cell(313) 978-9860
Emailnjae3301@yahoo.com
33
Bradyn Webb
14
Date RegisteredMay 7, 2026
Registered ByCherita Webb
Cell(313) 452-4867
Emailmswebb842@gmail.com
34
Michael Flowers
15
Date RegisteredMay 7, 2026
Registered ByLisa Flowers
Cell(313) 434-2691
Email81flowers@gmail.com
35
Chase McDaniel
14
Date RegisteredMay 5, 2026
Registered ByFallen Turner
Cell(313) 778-1393
Emailfallenturner@gmail.com
36
Asa Carithers
14
Date RegisteredMay 5, 2026
Registered ByLashella Carithers
Cell(313) 828-7915
Emailheyred20@gmail.com
37
Nylah Motley
14
Date RegisteredMay 4, 2026
Registered ByShalandria Cooper
Cell(313) 939-1440
Emailshalandriag.cooper@gmail.com
38
Ethan Harrison
13
Date RegisteredMay 1, 2026
Registered ByJaNae Harrison
Cell(248) 636-7047
Emailharrison.jj84@gmail.com
39
Edina Respress
14
Date RegisteredMay 1, 2026
Registered ByHavana Respress
Cell(313) 218-4016
Emailhjrobin336@yahoo.com
40
Jordan Winfield
14
Date RegisteredApr 30, 2026
Registered ByChristina Nabongo
Cell(313) 515-4130
Emailchristinanabongo@gmail.com
41
Domingius Villarreal
14
Date RegisteredApr 30, 2026
Registered ByRosalinda Villarreal
Cell(616) 366-1622
Emailrosse42@icloud.com
42
Jalen Brown
14
Date RegisteredApr 27, 2026
Registered ByKawana Brown
Cell(313) 304-3094
Emailwana0327@yahoo.com
43
Mack Hall
13
Date RegisteredApr 27, 2026
Registered ByJaimee Guider
Cell(313) 455-1615
Emailjricha3140@gmail.com
44
Elliott Simpson
15
Date RegisteredApr 24, 2026
Registered ByCierra Simpson
Cell(734) 657-9122
Emailsimpson.cierra@gmail.com
45
Bruce Buckson III
13
Date RegisteredApr 24, 2026
Registered ByCierra Simpson
Cell(734) 657-9122
Emailsimpson.cierra@gmail.com
46
Ethan Gillery
14
Date RegisteredApr 22, 2026
Registered ByLinsey Gillery
Cell(313) 289-1546
Emaillinseygillery2610@gmail.com
47
Elias Brissett
15
Date RegisteredApr 21, 2026
Registered ByNeil Brissett
Cell(734) 759-7405
EmailBrissettn80@gmail.com
48
Jy'Aire Spivey
16
Date RegisteredApr 18, 2026
Registered BySuantane Shepard
Cell(313) 766-3479
Emailssuantane@gmail.com
49
Judah Hackney
14
Date RegisteredApr 18, 2026
Registered ByTanaya Hackney
Cell(313) 671-6498
Emailtanayasharpe@gmail.com
50
Zharia Jones
15
Date RegisteredApr 17, 2026
Registered ByChantele Willis
Cell(313) 671-0032
Emailchantele.willis@uprepschools.com
51
Ronald Betts III
13
Date RegisteredApr 17, 2026
Registered ByRyan Dunbar
Cell(248) 416-9047
Emailrdunbar701@gmail.com
52
Rian Jones
13
Date RegisteredApr 17, 2026
Registered ByChantele Willis
Cell(313) 671-0032
Emailchantele.willis@uprepschools.com
53
Adrien Redd
13
Date RegisteredApr 17, 2026
Registered ByApril Redd
Cell(586) 220-3887
Emailaprilredd95@gmail.com
54
Sariyah Royal
13
Date RegisteredApr 16, 2026
Registered ByStephanie Greenlaw
Cell(248) 752-4784
Emailms.sbonner@yahoo.com
55
Dominick Garrett
13
Date RegisteredApr 14, 2026
Registered ByWhitley Buchanon
Cell(248) 200-8811
Emailemail2whitley@gmail.com
56
Kalnard Will
13
Date RegisteredApr 13, 2026
Registered ByKeesha Pridgeon
Cell(313) 338-9060
Email80public@gmail.com
57
Amaria Harris
13
Date RegisteredApr 12, 2026
Registered ByAimee Harris
Cell(313) 285-7277
Emailaimeeh98@gmail.com
58
Aaron Peppers
13
Date RegisteredApr 11, 2026
Registered ByCeara Hagwood
Cell(313) 687-6886
EmailCeara.williams1@gmail.com
59
Cam’Marie Avery
13
Date RegisteredApr 10, 2026
Registered ByCarmen Avery
Cell(313) 974-9794
Emailccoope05@gmail.com
60
Jaquaia Thomas
13
Date RegisteredApr 9, 2026
Registered ByLaquaia Thomas
Cell(313) 770-8065
Emaillaquaiathomas@gmail.com
50 Registered
| # | Date Registered ↕ | Child Name ↕ | Age ↕ | Registered By | Cell | |
|---|---|---|---|---|---|---|
| 1 | Jul 9, 2026 | Romeo Johnson | 13 | Grace Horton | (313) 500-5084 | |
| 2 | Jun 6, 2026 | Jayden Gaines | 12 | Lachelle Hoskins | (224) 655-8345 | |
| 3 | Jun 4, 2026 | Lyathun Bolden | 13 | LaTicia Kilpatrick | (947) 888-6075 | |
| 4 | Jun 4, 2026 | Randall Lewis | 11 | Kareemah Lewis | (313) 405-5873 | |
| 5 | Jun 4, 2026 | Julian Motley | 12 | iyana jackson-harris | (313) 685-6375 | |
| 6 | Jun 4, 2026 | Aero Wilson | 13 | Renard Wilson | (313) 919-1070 | |
| 7 | Jun 3, 2026 | Isaiah Lewis | 13 | Erika Lewis | (248) 469-3769 | |
| 8 | Jun 3, 2026 | Karl Taylor Jr | 11 | Torlisa Wright | (313) 728-0208 | |
| 9 | Jun 3, 2026 | Ruben Ford | 11 | Sahara Davis | (313) 785-4526 | |
| 10 | Jun 3, 2026 | Noah Davis | 12 | Sahara Davis | (313) 785-4526 | |
| 11 | Jun 2, 2026 | Hasani Miller | 11 | Javonne Hatcher | (248) 416-6002 | |
| 12 | Jun 2, 2026 | Caleb Winfield | 12 | Christina Nabongo | (313) 515-4130 | |
| 13 | Jun 2, 2026 | Chance Brandon | 12 | Melva Tiller | (313) 801-7550 | |
| 14 | Jun 2, 2026 | Ayden Thomas | 12 | Toya Thomas | (313) 910-6312 | |
| 15 | Jun 1, 2026 | Briana Polk | 13 | Briana Polk | (313) 699-0484 | |
| 16 | Jun 1, 2026 | Karson Watkins | 11 | Erica Watkins | (248) 445-2521 | |
| 17 | Jun 1, 2026 | Evan Jenkins Jr | 13 | Diamond Jenkins | (313) 695-0491 | |
| 18 | Jun 1, 2026 | Dorian Smothers | 13 | Richelle Smothers | (313) 469-4458 | |
| 19 | May 31, 2026 | Chad Chase Rhodes | 11 | Morgan Hurst | (517) 410-4247 | |
| 20 | May 29, 2026 | Antonio Brooks | 13 | Chonquonda Parrish | (313) 932-3184 | |
| 21 | May 29, 2026 | MARCEL MARKHAM | 12 | MARCEL MARKHAM | (313) 790-0091 | |
| 22 | May 29, 2026 | KEVIN ROBERTSON | 13 | Evony Beard-Robertson | (313) 784-1746 | |
| 23 | May 26, 2026 | Myles Gardner | 13 | Kanye Gardner | (313) 587-6936 | |
| 24 | May 21, 2026 | Jeremy Johnson | 13 | Melinda McCoy | (248) 707-4588 | |
| 25 | May 12, 2026 | Dylan Herron | 13 | Jessica Herron | (313) 477-1869 | |
| 26 | May 7, 2026 | Malachi Mengesha | 11 | Nicole Mengesha | (313) 671-1575 | |
| 27 | May 7, 2026 | Nigel Butts | 12 | Latoria Relford | (248) 660-8613 | |
| 28 | May 7, 2026 | Dylan Jones | 11 | Diamond Waller | (313) 622-4763 | |
| 29 | May 7, 2026 | Ryan Fields | 13 | Janelle Fields | (209) 513-4114 | |
| 30 | May 7, 2026 | Randy Fields | 13 | Janelle Fields | (209) 513-4114 | |
| 31 | May 7, 2026 | Rayshard Futrell | 12 | Kembria Tolbert | (586) 224-8091 | |
| 32 | May 7, 2026 | Mondale Jones | 12 | Diamond Waller | (313) 622-4763 | |
| 33 | May 7, 2026 | Dean Cole | 12 | Jesse Cole | (248) 917-2777 | |
| 34 | May 6, 2026 | Judah Mengesha | 13 | Nicole Mengesha | (313) 671-1575 | |
| 35 | May 6, 2026 | Messiah Pettway | 13 | Starr Allen-Pettway | (248) 331-5096 | |
| 36 | May 5, 2026 | Darryl Looney | 13 | Rosa Pratcher | (313) 739-9394 | |
| 37 | May 5, 2026 | Thomas Reed | 13 | Maxine Matthews | (248) 470-0311 | |
| 38 | May 5, 2026 | Dylan Lavant | 12 | Rachel Alexander | (678) 993-3276 | |
| 39 | May 5, 2026 | Matthew Risby | 13 | Rachel Alexander | (678) 993-3276 | |
| 40 | May 4, 2026 | Jeremiah Howell | 11 | Erika Howell | (313) 802-0061 | |
| 41 | Apr 30, 2026 | Chase White-Favers | 12 | Mia White | (313) 214-5054 | |
| 42 | Apr 30, 2026 | Josiah Simmons | 12 | Claudina Brown | (917) 535-4722 | |
| 43 | Apr 30, 2026 | Skyler Johnson | 12 | DeAnna Johnson | (734) 883-3235 | |
| 44 | Apr 30, 2026 | Jeremiah Howard | 13 | Kendra Wade | (313) 283-0919 | |
| 45 | Apr 29, 2026 | Talan Tidwell | 12 | Courtney Tidwell | (313) 826-8394 | |
| 46 | Apr 29, 2026 | Enoch Wood | 12 | Angela Smith | (734) 737-1570 | |
| 47 | Apr 29, 2026 | Roman Calevro | 13 | Jennifer Fields | (252) 481-3030 | |
| 48 | Apr 29, 2026 | Amari Hill | 12 | Aretina Hill | (313) 828-0310 | |
| 49 | Apr 29, 2026 | Thomas Walker Jr | 11 | Shannon Walker | (586) 457-5247 | |
| 50 | Apr 29, 2026 | Thomas Reed | 11 | Maxine Matthews | (248) 470-0311 |
1
Romeo Johnson
13
Date RegisteredJul 9, 2026
Registered ByGrace Horton
Cell(313) 500-5084
Emailgracehorton94@gmail.com
2
Jayden Gaines
12
Date RegisteredJun 6, 2026
Registered ByLachelle Hoskins
Cell(224) 655-8345
Emaillachellehoskins@yahoo.com
3
Lyathun Bolden
13
Date RegisteredJun 4, 2026
Registered ByLaTicia Kilpatrick
Cell(947) 888-6075
Emailthepathfinder4u@gmail.com
4
Randall Lewis
11
Date RegisteredJun 4, 2026
Registered ByKareemah Lewis
Cell(313) 405-5873
Emailkareemah.lewis@detroitk12.org
5
Julian Motley
12
Date RegisteredJun 4, 2026
Registered Byiyana jackson-harris
Cell(313) 685-6375
EmailIyana0729@gmail.com
6
Aero Wilson
13
Date RegisteredJun 4, 2026
Registered ByRenard Wilson
Cell(313) 919-1070
Emailrenardewilson@gmail.com
7
Isaiah Lewis
13
Date RegisteredJun 3, 2026
Registered ByErika Lewis
Cell(248) 469-3769
Emailerikawright2@gmail.com
8
Karl Taylor Jr
11
Date RegisteredJun 3, 2026
Registered ByTorlisa Wright
Cell(313) 728-0208
Emailtorlisa.wright@gmail.com
9
Ruben Ford
11
Date RegisteredJun 3, 2026
Registered BySahara Davis
Cell(313) 785-4526
Emailsaharaadavis422@gmail.com
10
Noah Davis
12
Date RegisteredJun 3, 2026
Registered BySahara Davis
Cell(313) 785-4526
Emailsaharaadavis422@gmail.com
11
Hasani Miller
11
Date RegisteredJun 2, 2026
Registered ByJavonne Hatcher
Cell(248) 416-6002
Emailjavonne_hatcher@yahoo.com
12
Caleb Winfield
12
Date RegisteredJun 2, 2026
Registered ByChristina Nabongo
Cell(313) 515-4130
Emailchristinanabongo@gmail.com
13
Chance Brandon
12
Date RegisteredJun 2, 2026
Registered ByMelva Tiller
Cell(313) 801-7550
Emailjournei338@gmail.com
14
Ayden Thomas
12
Date RegisteredJun 2, 2026
Registered ByToya Thomas
Cell(313) 910-6312
Emailtoya.thomas@detroitk12.org
15
Briana Polk
13
Date RegisteredJun 1, 2026
Registered ByBriana Polk
Cell(313) 699-0484
Emailbpolk1120@yahoo.com
16
Karson Watkins
11
Date RegisteredJun 1, 2026
Registered ByErica Watkins
Cell(248) 445-2521
Emailerica@sanctumhouse.org
17
Evan Jenkins Jr
13
Date RegisteredJun 1, 2026
Registered ByDiamond Jenkins
Cell(313) 695-0491
EmailDiamonda.Jenkins@gmail.com
18
Dorian Smothers
13
Date RegisteredJun 1, 2026
Registered ByRichelle Smothers
Cell(313) 469-4458
Emailrichelle.smothers@yahoo.com
19
Chad Chase Rhodes
11
Date RegisteredMay 31, 2026
Registered ByMorgan Hurst
Cell(517) 410-4247
Emailmlhurst16@gmail.com
20
Antonio Brooks
13
Date RegisteredMay 29, 2026
Registered ByChonquonda Parrish
Cell(313) 932-3184
Emailchonquonda734@gmail.com
21
MARCEL MARKHAM
12
Date RegisteredMay 29, 2026
Registered ByMARCEL MARKHAM
Cell(313) 790-0091
EmailMarcel1248@gmail.com
22
KEVIN ROBERTSON
13
Date RegisteredMay 29, 2026
Registered ByEvony Beard-Robertson
Cell(313) 784-1746
Emailbeard_evony@yahoo.com
23
Myles Gardner
13
Date RegisteredMay 26, 2026
Registered ByKanye Gardner
Cell(313) 587-6936
EmailKgar120@gmail.com
24
Jeremy Johnson
13
Date RegisteredMay 21, 2026
Registered ByMelinda McCoy
Cell(248) 707-4588
Emailmelindamccoy11@gmail.com
25
Dylan Herron
13
Date RegisteredMay 12, 2026
Registered ByJessica Herron
Cell(313) 477-1869
Emailjessicamherron1@gmail.com
26
Malachi Mengesha
11
Date RegisteredMay 7, 2026
Registered ByNicole Mengesha
Cell(313) 671-1575
Emailnmdandridge@gmail.com
27
Nigel Butts
12
Date RegisteredMay 7, 2026
Registered ByLatoria Relford
Cell(248) 660-8613
Emailtoyab322@gmail.com
28
Dylan Jones
11
Date RegisteredMay 7, 2026
Registered ByDiamond Waller
Cell(313) 622-4763
Emailkatemarcob@gmail.com
29
Ryan Fields
13
Date RegisteredMay 7, 2026
Registered ByJanelle Fields
Cell(209) 513-4114
Emaill8dijai@gmail.com
30
Randy Fields
13
Date RegisteredMay 7, 2026
Registered ByJanelle Fields
Cell(209) 513-4114
Emaill8dijai@gmail.com
31
Rayshard Futrell
12
Date RegisteredMay 7, 2026
Registered ByKembria Tolbert
Cell(586) 224-8091
Emailtkembria@gmail.com
32
Mondale Jones
12
Date RegisteredMay 7, 2026
Registered ByDiamond Waller
Cell(313) 622-4763
Emailkatemarcob@gmail.com
33
Dean Cole
12
Date RegisteredMay 7, 2026
Registered ByJesse Cole
Cell(248) 917-2777
Emailjessespeaks@gmail.com
34
Judah Mengesha
13
Date RegisteredMay 6, 2026
Registered ByNicole Mengesha
Cell(313) 671-1575
Emailnmdandridge@gmail.com
35
Messiah Pettway
13
Date RegisteredMay 6, 2026
Registered ByStarr Allen-Pettway
Cell(248) 331-5096
Emailspettway3119@gmail.com
36
Darryl Looney
13
Date RegisteredMay 5, 2026
Registered ByRosa Pratcher
Cell(313) 739-9394
Emailrpratcher92@gmail.com
37
Thomas Reed
13
Date RegisteredMay 5, 2026
Registered ByMaxine Matthews
Cell(248) 470-0311
Emailtdkrn1@gmail.com
38
Dylan Lavant
12
Date RegisteredMay 5, 2026
Registered ByRachel Alexander
Cell(678) 993-3276
Emailrisbyrachel1@gmail.com
39
Matthew Risby
13
Date RegisteredMay 5, 2026
Registered ByRachel Alexander
Cell(678) 993-3276
Emailrachelnrisby@yahoo.com
40
Jeremiah Howell
11
Date RegisteredMay 4, 2026
Registered ByErika Howell
Cell(313) 802-0061
EmailEstokes25@gmail.com
41
Chase White-Favers
12
Date RegisteredApr 30, 2026
Registered ByMia White
Cell(313) 214-5054
Emailmiawhi32@gmail.com
42
Josiah Simmons
12
Date RegisteredApr 30, 2026
Registered ByClaudina Brown
Cell(917) 535-4722
Emailclaudinabrown03@gmail.com
43
Skyler Johnson
12
Date RegisteredApr 30, 2026
Registered ByDeAnna Johnson
Cell(734) 883-3235
Emaillarvae58coot@icloud.com
44
Jeremiah Howard
13
Date RegisteredApr 30, 2026
Registered ByKendra Wade
Cell(313) 283-0919
Emailk.wade91@yahoo.com
45
Talan Tidwell
12
Date RegisteredApr 29, 2026
Registered ByCourtney Tidwell
Cell(313) 826-8394
Emailcourtney.tidwell@douglasj.edu
46
Enoch Wood
12
Date RegisteredApr 29, 2026
Registered ByAngela Smith
Cell(734) 737-1570
Emailangelays313@gmail.com
47
Roman Calevro
13
Date RegisteredApr 29, 2026
Registered ByJennifer Fields
Cell(252) 481-3030
Emailjennifer_fields@icloud.com
48
Amari Hill
12
Date RegisteredApr 29, 2026
Registered ByAretina Hill
Cell(313) 828-0310
Emailaretina1228@icloud.com
49
Thomas Walker Jr
11
Date RegisteredApr 29, 2026
Registered ByShannon Walker
Cell(586) 457-5247
Emailsbrittany.nesbitt@gmail.com
50
Thomas Reed
11
Date RegisteredApr 29, 2026
Registered ByMaxine Matthews
Cell(248) 470-0311
EmailTDKRN1@gmail.com
Injoy Crawford
Keys to Life Performing Arts Summer Camp · July 27, 2026
| Child Name | Injoy, Crawford |
| Age | 11 |
| Date of Birth | 2015-02-24 |
| T-Shirt Size (Adult Unisex) | Large |
| Grade Level this Fall? | 5th |
| School/District | Livonia |
| Name of School | Clarenceville |
| Education Type | IEP |
| Does your Child need any additional support? Please specify in comment box below. | NA |
| Height | 5’1 |
| Weight | 120 |
| Sex | Female |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 20456 Negaunee St, Redford, Michigan, 48240, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Guardian |
| Who Does the Student Live With? (Check All That Apply) | Other |
| Who Does the Student Live With? | Foster parent |
| Number of Siblings in the Home | 1 |
| Are siblings applying to a Yunion camp? | Yes, they are applying for the Keys Performing Arts Camp. |
| Is your child a returning Keys 2 Life or SWAG program participant? | No |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Please indicate student’s area of interest. We would like for you to check all applicable. | Music Production |
| Name of Parent/Guardian Completing This Form | Brooke, OBrien |
| Email Address of Parent/Guardian Completing This Form | brookelynnobrien12@gmail.com |
| Your Preferred Method Of Communication | Text |
| Cell Phone Number of Parent/Guardian Completing This Form | (248) 469-7362 |
| 1. Your Child’s Strengths | Compassion for others, Helpful at home |
| How would you describe your child most of the time? | Calm and easygoing, Sensitive / emotional, Quiet or reserved |
| What are you hoping your child gains from KEYS Performing Arts Camp (Check all that apply) | Increased confidence, Positive male mentorship, Academic motivation |
| What concerns you most about your child right now? | NA |
| What kind of future do you hope for your child? | I hope for her to become more confident. |
| Preferred Hospital for Emergency Treatment | Beaumont |
| Medical Conditions (check all that apply) | None |
| Additional medical or behavioral information staff should know: | She is a foster child and has experienced neglect. |
| Name | Brooke Obrien |
| Phone | (248) 469-7362 |
| Additional Phone Number | (248) 313-5489 |
| Relationship to student | Foster mother |
| Name | Shantell Bilbrey |
| Phone | (248) 675-5463 |
| Relationship to student | Foster mothers mom |
| Emergency Medical Treatment | By checking the box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking the box, I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking the box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking the box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking the box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Counseling referral |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 40 |
| How many dependents are in your family? | 4 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | Yes |
| How did you find out about The Yunion's Summer Camp? | Someone referred me |
| Name of Person/Recruiter who Referred You | Shon’yra Stoudemire |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Brooke Obrien |
| Add Your Signature Here | 6a67cd086e0e58.97170316.png |
| Child's Name (Printed) | Brooke Obrien |
| Have Your Child Sign His/Her Signature Here | 6a67cd087a89e1.95455754.png |
| 2026 Keys2Life Performing Arts Camp | 2026 Keys2Life Performing Arts Camp, $0.00, 1 |
| Date | 2026-07-27 |
Chloe Harris
Keys to Life Performing Arts Summer Camp · June 18, 2026
| Child Name | Chloe, Harris |
| Age | 12 |
| Date of Birth | 2012-09-08 |
| T-Shirt Size (Adult Unisex) | Large |
| Grade Level this Fall? | 8th |
| School/District | Redford |
| Name of School | Redford |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | Counselor |
| Height | 5’2 |
| Weight | 125 |
| Sex | Female |
| Eye Color | Brown |
| Ethnicity | Mix |
| Student Address | 20244 archer, Detroit, Michigan, 48219, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Guardian |
| Who Does the Student Live With? (Check All That Apply) | Other |
| Who Does the Student Live With? | Father |
| Number of Siblings in the Home | 9 |
| Are siblings applying to a Yunion camp? | Yes, they are applying for the Keys Performing Arts Camp. |
| Is your child a returning Keys 2 Life or SWAG program participant? | Yes |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Please indicate student’s area of interest. We would like for you to check all applicable. | Acting, Dance, Music Production |
| Name of Parent/Guardian Completing This Form | Jela, Morris |
| Email Address of Parent/Guardian Completing This Form | jelamorris@gmail.com |
| Your Preferred Method Of Communication | |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 333-3727 |
| 1. Your Child’s Strengths | Leadership potential, Creativity, Athletic ability, Compassion for others, Determination, Curiosity / enjoys learning, Strong personality / confidence, Good sense of humor, Helpful at home |
| 2. Areas Where Your Child May Need Support | Sometimes struggles to follow instructions at home, Becomes frustrated or upset when corrected |
| Conflict with Others (Check all that apply) | Has been involved in bullying (either as the aggressor or target) |
| How would you describe your child most of the time? | Energetic / high activity level, Independent |
| What are you hoping your child gains from KEYS Performing Arts Camp (Check all that apply) | Other |
| What kind of future do you hope for your child? | A peaceful environment knowing they can do anything they put their minds to |
| Preferred Hospital for Emergency Treatment | Providence |
| Medical Conditions (check all that apply) | None |
| If medication must be administered during program hours, a medication authorization form must be on file. Parent Initials: | 6a335383c3dd93.07942955.png |
| Name | Henry harris |
| Phone | (313) 550-8718 |
| Relationship to student | Grandfather |
| Name | Web Harris |
| Phone | (313) 482-1830 |
| Emergency Medical Treatment | By checking the box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking the box, I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking the box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking the box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking the box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Tutoring (school year only), Mentoring, Counseling referral, Family resources |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 50000 |
| How many dependents are in your family? | 3 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | No |
| How did you find out about The Yunion's Summer Camp? | YouTube |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Jela Morris |
| Add Your Signature Here | 6a3353ec6d73f4.47299325.png |
| Child's Name (Printed) | Chloe Harris |
| Have Your Child Sign His/Her Signature Here | 6a3353ec787f88.46747850.png |
| 2026 Keys2Life Performing Arts Camp | 2026 Keys2Life Performing Arts Camp, $0.00, 1 |
| Date | 2026-06-17 |
Baylee Jones
Keys to Life Performing Arts Summer Camp · June 17, 2026
| Child Name | Baylee, Jones |
| Age | 11 |
| Date of Birth | 2014-08-09 |
| T-Shirt Size (Adult Unisex) | Small |
| Grade Level this Fall? | 7 |
| School/District | Upsm |
| Name of School | Upsm middle school |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | No |
| Height | 5'4 |
| Weight | 130 |
| Sex | Female |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 2923 Doris st, Detroit, Michigan, 48238, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother, Father |
| Who Does the Student Live With? (Check All That Apply) | Mother, Father |
| Number of Siblings in the Home | 2 |
| Are siblings applying to a Yunion camp? | No, they are not applying for a Yunion Camp. |
| Is your child a returning Keys 2 Life or SWAG program participant? | Yes |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Please indicate student’s area of interest. We would like for you to check all applicable. | Acting, Dance, Theater, Music Production, Digital Media |
| Name of Parent/Guardian Completing This Form | Mercedies, Harris |
| Email Address of Parent/Guardian Completing This Form | Hmercedies@gmail.com |
| Your Preferred Method Of Communication | |
| Cell Phone Number of Parent/Guardian Completing This Form | (586) 298-2779 |
| Father/Legal Guardian | Sammie, Jones |
| Father's Address | 2923 Doris, Detroit, Michigan, 48238, United States |
| Father's DOB | 1984-03-11 |
| Father's Mobile Number | (313) 478-8731 |
| Father's Email | sammiejones84@gmail.com |
| Authorized for pick up? | Yes |
| Mother/Legal Guardian | Mercedies, Harris |
| Mother's Address | 750 Chene, Detroit, Michigan, 48207, United States |
| Mother's DOB | 1985-12-31 |
| Mothers Mobile Number | (586) 298-2779 |
| Mother's Email | Hmercedies@gmail.com |
| Authorized for pick up? | Yes |
| 1. Your Child’s Strengths | Leadership potential, Creativity, Good sense of humor, Helpful at home |
| Has your child ever (Check all that apply): | Been suspended from school |
| How would you describe your child most of the time? | Calm and easygoing, Energetic / high activity level, Sensitive / emotional, Independent, Strong-willed, Quiet or reserved |
| What are you hoping your child gains from KEYS Performing Arts Camp (Check all that apply) | Stronger faith or spiritual foundation, Better decision making, Academic motivation |
| What concerns you most about your child right now? | I have no concerns at the moment. |
| What kind of future do you hope for your child? | Whatever her heart desires. |
| Preferred Hospital for Emergency Treatment | Children's |
| Medical Conditions (check all that apply) | None |
| Name | Mercedies L Harris |
| Phone | (586) 298-2779 |
| Additional Phone Number | (313) 918-6767 |
| Relationship to student | Mother |
| Name | Alexus Cheatham |
| Phone | (313) 605-2997 |
| Relationship to student | Sister |
| Emergency Medical Treatment | By checking the box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking the box, I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking the box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking the box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking the box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Tutoring (school year only), Mentoring |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 35000 |
| How many dependents are in your family? | 4 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | No |
| How did you find out about The Yunion's Summer Camp? | My daughter's classmate |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Mercedies Harris |
| Add Your Signature Here | 6a3301e21cf795.47711647.png |
| Child's Name (Printed) | Baylee Jones |
| Have Your Child Sign His/Her Signature Here | 6a3301e228ac73.09567616.png |
| 2026 Keys2Life Performing Arts Camp | 2026 Keys2Life Performing Arts Camp, $0.00, 1 |
| Date | 2026-06-17 |
Layal Sheffield
Keys to Life Performing Arts Summer Camp · June 16, 2026
| Child Name | Layal, Sheffield |
| Age | 12 |
| Date of Birth | 2013-11-05 |
| T-Shirt Size (Adult Unisex) | Medium |
| Grade Level this Fall? | 7 |
| School/District | Wayne |
| Name of School | Dps virtual |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | No |
| Height | 5 ft 6 |
| Weight | 120 |
| Sex | Female |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 15834 sussex, Detroit, Michigan, 48227, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother |
| Who Does the Student Live With? (Check All That Apply) | Mother |
| Number of Siblings in the Home | 4 |
| Are siblings applying to a Yunion camp? | No, they are not applying for a Yunion Camp. |
| Is your child a returning Keys 2 Life or SWAG program participant? | No |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Please indicate student’s area of interest. We would like for you to check all applicable. | Acting, Dance, Theater, Music Production, Digital Media |
| Name of Parent/Guardian Completing This Form | Constance, Sheffield |
| Email Address of Parent/Guardian Completing This Form | Constancesheffield24@gmail.com |
| Your Preferred Method Of Communication | |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 673-1860 |
| Mother/Legal Guardian | Constance, Sheffield |
| Mother's Address | 15834 sussex, Detroit, Michigan, 48227, United States |
| Mother's DOB | 1982-09-07 |
| Mothers Home Number | (313) 673-1860 |
| Mother's Email | Constancesheffield24@gmail.com |
| Authorized for pick up? | Yes |
| 1. Your Child’s Strengths | Leadership potential, Creativity, Athletic ability, Determination, Curiosity / enjoys learning, Strong personality / confidence |
| 2. Areas Where Your Child May Need Support | Becomes frustrated or upset when corrected |
| Emotional Regulation / Anger (Check all that apply) | Has difficulty controlling anger or frustration |
| Conflict with Others (Check all that apply) | Other |
| Other | Na |
| School Engagement (Check all that apply) | Other |
| Other | Na |
| Leaving Home Without Permission (Check all that apply) | Other |
| Other | Na |
| Exposure to Risk Behaviors (Check all that apply) | Other |
| Other | Na |
| How would you describe your child most of the time? | Energetic / high activity level, Sensitive / emotional, Independent, Strong-willed |
| What are you hoping your child gains from KEYS Performing Arts Camp (Check all that apply) | More discipline, Greater respect for authority, Better anger management, Increased confidence, Positive male mentorship, Leadership skills, Stronger faith or spiritual foundation, Better decision making, Academic motivation |
| What concerns you most about your child right now? | Na |
| What kind of future do you hope for your child? | Superstar |
| Preferred Hospital for Emergency Treatment | Sinai |
| Medical Conditions (check all that apply) | None |
| If medication must be administered during program hours, a medication authorization form must be on file. Parent Initials: | 6a31a54bba7dd9.97540219.png |
| Additional medical or behavioral information staff should know: | Na |
| Name | Constance |
| Phone | (313) 673-1860 |
| Relationship to student | Mom |
| Emergency Medical Treatment | By checking the box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking the box, I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking the box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking the box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking the box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Tutoring (school year only), Mentoring, Counseling referral, Behavioral support, Family resources |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 50000 |
| How many dependents are in your family? | 6 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | No |
| Please explain any extenuating circumstances related to your financial need? (100 words or less) | Single mother trying to get children in great programs |
| How did you find out about The Yunion's Summer Camp? | Summer Discovery |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Constance sheffield |
| Add Your Signature Here | 6a31a7eebeb048.45273172.png |
| Child's Name (Printed) | Constance sheffield |
| Have Your Child Sign His/Her Signature Here | 6a31a7eec95e19.32329853.png |
| 2026 Keys2Life Performing Arts Camp | 2026 Keys2Life Performing Arts Camp, $0.00, 1 |
| Date | 2026-06-16 |
Antoine Crowder
Keys to Life Performing Arts Summer Camp · June 16, 2026
| Child Name | Antoine, Crowder |
| Age | 12 |
| Date of Birth | 2014-03-06 |
| T-Shirt Size (Adult Unisex) | Large |
| Grade Level this Fall? | 7 |
| School/District | 90/90 |
| Name of School | Upad |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | Counseling |
| Height | 5 |
| Weight | 145 |
| Sex | Female |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 17655 Huntington, Detroit, Michigan, 48219, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Father |
| Who Does the Student Live With? (Check All That Apply) | Father |
| Number of Siblings in the Home | 5 |
| Are siblings applying to a Yunion camp? | Yes, they are applying for the Level Up Workforce & Leadership Development Camp. |
| Is your child a returning Keys 2 Life or SWAG program participant? | Yes |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Please indicate student’s area of interest. We would like for you to check all applicable. | Acting |
| Name of Parent/Guardian Completing This Form | Antoine, Crowder |
| Email Address of Parent/Guardian Completing This Form | antoinemcrowder@gmail.com |
| Your Preferred Method Of Communication | |
| Cell Phone Number of Parent/Guardian Completing This Form | (248) 818-3546 |
| Father/Legal Guardian | Antoine, Crowder |
| Father's Address | 17655 Huntington, Detroit, Michigan, 48219, United States |
| Father's DOB | 1987-02-09 |
| Father's Work Number | (248) 818-3546 |
| Authorized for pick up? | Yes |
| 1. Your Child’s Strengths | Leadership potential, Creativity, Compassion for others, Determination, Curiosity / enjoys learning, Strong personality / confidence, Good sense of humor |
| 2. Areas Where Your Child May Need Support | Sometimes struggles to follow instructions at home, Becomes frustrated or upset when corrected |
| Emotional Regulation / Anger (Check all that apply) | Has difficulty controlling anger or frustration, Reacts strongly to conflict or correction |
| Conflict with Others (Check all that apply) | Has frequent arguments with siblings, peers, or adults |
| How would you describe your child most of the time? | Energetic / high activity level, Sensitive / emotional, Strong-willed |
| What are you hoping your child gains from KEYS Performing Arts Camp (Check all that apply) | Better anger management, Leadership skills, Better decision making |
| What concerns you most about your child right now? | Aaliyah being able to regulate her emotions when things are not going her way. |
| What kind of future do you hope for your child? | Entrepreneurship building business and being creative |
| Medical Conditions (check all that apply) | None |
| Name | Antoine Crowder |
| Phone | (248) 818-3546 |
| Relationship to student | Father |
| Emergency Medical Treatment | By checking the box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking the box, I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking the box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking the box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking the box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Counseling referral |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 56000 |
| How many dependents are in your family? | 6 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | No |
| How did you find out about The Yunion's Summer Camp? | Someone referred me |
| Name of Person/Recruiter who Referred You | Ron |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Antoine Crowder |
| Add Your Signature Here | 6a316e7d00b293.97327204.png |
| Child's Name (Printed) | Aaliyah crowder |
| Have Your Child Sign His/Her Signature Here | 6a316e7d0e23d3.31784776.png |
| 2026 Keys2Life Performing Arts Camp | 2026 Keys2Life Performing Arts Camp, $0.00, 1 |
| Date | 2026-06-16 |
Andrew Sanders
Keys to Life Performing Arts Summer Camp · June 15, 2026
| Child Name | Andrew, Sanders |
| Age | 11 |
| Date of Birth | 2014-08-28 |
| T-Shirt Size (Adult Unisex) | Medium |
| Grade Level this Fall? | 7 |
| School/District | Southfield Christian |
| Name of School | Southfield Christian |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | No |
| Height | 5’5 |
| Weight | 130 |
| Sex | Male |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 16734 Stricker Ave., Eastpointe, Michigan, 16734 Stricker Ave, United States |
| County in Which Child Resides | Macomb County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother, Father |
| Who Does the Student Live With? (Check All That Apply) | Mother, Father |
| Number of Siblings in the Home | 1 |
| Are siblings applying to a Yunion camp? | Yes, they are applying for the Keys Performing Arts Camp. |
| Is your child a returning Keys 2 Life or SWAG program participant? | No |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Please indicate student’s area of interest. We would like for you to check all applicable. | Music Production, Digital Media |
| Name of Parent/Guardian Completing This Form | Erica, Sanders |
| Email Address of Parent/Guardian Completing This Form | ericasanders1024@gmail.com |
| Your Preferred Method Of Communication | Text |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 316-9639 |
| Father/Legal Guardian | Vern, Sanders |
| Father's Address | 16734 Stricker, Eastpointe, Michigan, 48021, United States |
| Father's DOB | 1978-08-29 |
| Father's Home Number | (313) 319-2768 |
| Father's Email | vern878sanders@gmail.com |
| Authorized for pick up? | Yes |
| Mother/Legal Guardian | Erica, Sanders |
| Mother's Address | 16734 Stricker, Eastpointe, Michigan, 48021, United States |
| Mother's DOB | 1978-10-24 |
| Mothers Home Number | (313) 316-9639 |
| Mother's Email | ericasanders1024@gmail.com |
| Authorized for pick up? | Yes |
| Emergency Medical Treatment | By checking the box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking the box, I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking the box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking the box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking the box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Counseling referral, Family resources |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | No, we don't qualify |
| What is the annual income of your family? | 120000 |
| How many dependents are in your family? | 2 |
| Are you a single-income family?* | No |
| Does the child for whom you are applying receive child support?* | No |
| How did you find out about The Yunion's Summer Camp? | |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Erica sanders |
| Add Your Signature Here | 6a3077590a9ed9.03446969.png |
| Child's Name (Printed) | Andrew Sanders |
| Have Your Child Sign His/Her Signature Here | 6a30775916bcd1.15537806.png |
| 2026 Keys2Life Performing Arts Camp | 2026 Keys2Life Performing Arts Camp, $0.00, 1 |
| Date | 2026-06-15 |
Phoenix Gore Hurt
Keys to Life Performing Arts Summer Camp · June 15, 2026
| Child Name | Phoenix, Gore Hurt |
| Age | 11 |
| Date of Birth | 2014-12-07 |
| T-Shirt Size (Adult Unisex) | Large |
| Grade Level this Fall? | 6 |
| School/District | Dps |
| Name of School | John r king |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | No |
| Height | 5'1 |
| Weight | 9,80 |
| Sex | Female |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 8310 Strathmore, Detroit, Michigan, 48228, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother |
| Who Does the Student Live With? (Check All That Apply) | Mother |
| Number of Siblings in the Home | 1 |
| Are siblings applying to a Yunion camp? | Yes, they are applying for the Keys Performing Arts Camp. |
| Primary Language Other Than English | No |
| Is your child a returning Keys 2 Life or SWAG program participant? | Yes |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Please indicate student’s area of interest. We would like for you to check all applicable. | Dance |
| Name of Parent/Guardian Completing This Form | Lekita, Gore |
| Email Address of Parent/Guardian Completing This Form | lekitagore27@gmail.com |
| Your Preferred Method Of Communication | Phone Call |
| Cell Phone Number of Parent/Guardian Completing This Form | (419) 503-6993 |
| Mother/Legal Guardian | Lekita, Gore |
| Mother's Address | 8310 Strathmore, Detroit, Michigan, 48228, United States |
| Mother's DOB | 1996-11-12 |
| Mothers Work Number | (419) 503-6993 |
| Mothers Mobile Number | (419) 503-6993 |
| Mother's Email | lekitagore27@gmail.com |
| Authorized for pick up? | Yes |
| 1. Your Child’s Strengths | Leadership potential, Creativity, Athletic ability, Compassion for others, Strong personality / confidence |
| 2. Areas Where Your Child May Need Support | Becomes frustrated or upset when corrected |
| Emotional Regulation / Anger (Check all that apply) | Sometimes shuts down or withdraws when upset |
| Conflict with Others (Check all that apply) | Has frequent arguments with siblings, peers, or adults |
| School Engagement (Check all that apply) | Struggles to stay focused in class, Has received school suspension(s) |
| Curfew / Home Expectations | Sometimes struggles to follow curfew or home rules |
| Leaving Home Without Permission (Check all that apply) | Has stayed away from home longer than expected without permission |
| Exposure to Risk Behaviors (Check all that apply) | Other |
| Other | No |
| Has your child ever (Check all that apply): | Been suspended from school |
| How would you describe your child most of the time? | Calm and easygoing, Energetic / high activity level, Sensitive / emotional |
| What are you hoping your child gains from KEYS Performing Arts Camp (Check all that apply) | Greater respect for authority, Better anger management, Leadership skills, Academic motivation |
| What concerns you most about your child right now? | Nothing |
| What kind of future do you hope for your child? | A great |
| Preferred Hospital for Emergency Treatment | No |
| Medical Conditions (check all that apply) | None |
| If medication must be administered during program hours, a medication authorization form must be on file. Parent Initials: | 6a303a4aedc154.37411238.png |
| Additional medical or behavioral information staff should know: | No |
| Name | Judy Jones |
| Phone | (313) 632-2724 |
| Additional Phone Number | (313) 632-2724 |
| Relationship to student | No |
| Emergency Medical Treatment | By checking the box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking the box, I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking the box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking the box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking the box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Not needed at this time |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | No, we don't qualify |
| What is the annual income of your family? | 100 |
| How many dependents are in your family? | 2 |
| Are you a single-income family?* | No |
| Does the child for whom you are applying receive child support?* | No |
| How did you find out about The Yunion's Summer Camp? | Summer Discovery |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Lekita |
| Add Your Signature Here | 6a303b421a2416.34043687.png |
| Child's Name (Printed) | Phoenix |
| Have Your Child Sign His/Her Signature Here | 6a303b4224dd53.42175027.png |
| 2026 Keys2Life Performing Arts Camp | 2026 Keys2Life Performing Arts Camp, $0.00, 1 |
| Date | 2026-06-15 |
Desherick Varner
Keys to Life Performing Arts Summer Camp · June 15, 2026
| Child Name | Desherick, Varner |
| Age | 11 |
| Date of Birth | 2015-02-10 |
| T-Shirt Size (Adult Unisex) | XS |
| Grade Level this Fall? | 5 |
| School/District | Detroit |
| Name of School | Joy Prep academy |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | No |
| Height | 4’8 |
| Weight | 100 |
| Sex | Male |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 12133 Santa Rosa, Detroit, Michigan, 48204, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother, Father |
| Who Does the Student Live With? (Check All That Apply) | Mother |
| Are siblings applying to a Yunion camp? | Yes, they are applying for the Keys Performing Arts Camp. |
| Is your child a returning Keys 2 Life or SWAG program participant? | No |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Please indicate student’s area of interest. We would like for you to check all applicable. | Acting, Theater, Digital Media |
| Name of Parent/Guardian Completing This Form | Diamond, Embree |
| Email Address of Parent/Guardian Completing This Form | diamondembree@yahoo.com |
| Your Preferred Method Of Communication | Text |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 377-7432 |
| Father/Legal Guardian | Desherick, Varner |
| Father's Address | 000000, Detroit, Michigan, 48204, United States |
| Father's DOB | 1993-06-08 |
| Authorized for pick up? | Yes |
| Mother/Legal Guardian | Diamond, Embree |
| Mother's Address | 12133 Santa Rosa, Detroit, Michigan, 48204, United States |
| Mother's DOB | 1993-06-02 |
| Mothers Home Number | (313) 377-7432 |
| Mothers Mobile Number | (313) 377-7432 |
| Mother's Email | diamondembree@yahoo.com |
| Authorized for pick up? | Yes |
| 1. Your Child’s Strengths | Leadership potential, Creativity, Athletic ability, Compassion for others, Determination, Curiosity / enjoys learning, Strong personality / confidence, Good sense of humor, Helpful at home |
| How would you describe your child most of the time? | Energetic / high activity level, Strong-willed |
| What are you hoping your child gains from KEYS Performing Arts Camp (Check all that apply) | More discipline, Increased confidence, Positive male mentorship |
| What concerns you most about your child right now? | Making right decisions |
| What kind of future do you hope for your child? | Success |
| Preferred Hospital for Emergency Treatment | Providence |
| Medical Conditions (check all that apply) | None |
| If medication must be administered during program hours, a medication authorization form must be on file. Parent Initials: | 6a3039db11c6d7.23864692.png |
| Name | Darlene Embree |
| Phone | (313) 377-7432 |
| Relationship to student | Grandmother |
| Name | Don Moore |
| Phone | (313) 422-3132 |
| Relationship to student | Uncle |
| Emergency Medical Treatment | By checking the box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking the box, I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking the box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking the box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking the box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Tutoring (school year only), Mentoring |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 30000 |
| How many dependents are in your family? | 1 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | No |
| How did you find out about The Yunion's Summer Camp? | |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Diamond Embree |
| Add Your Signature Here | 6a303a4d920ab1.16131597.png |
| Child's Name (Printed) | Desherick Varner |
| Have Your Child Sign His/Her Signature Here | 6a303a4d9e20f6.08231665.png |
| 2026 Keys2Life Performing Arts Camp | 2026 Keys2Life Performing Arts Camp, $0.00, 1 |
| Date | 2026-06-15 |
Londyn Little
Keys to Life Performing Arts Summer Camp · June 15, 2026
| Child Name | Londyn, Little |
| Age | 11 |
| Date of Birth | 2015-06-19 |
| T-Shirt Size (Adult Unisex) | Small |
| Grade Level this Fall? | 6 |
| School/District | Detroit |
| Name of School | F.L.I.C.S |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | No |
| Height | 4ft7inch |
| Weight | 90lbs |
| Sex | Female |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 16830 Plainview Ave, Detroit, Michigan, 48219, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother, Father |
| Who Does the Student Live With? (Check All That Apply) | Mother, Father |
| Number of Siblings in the Home | 1 |
| Are siblings applying to a Yunion camp? | Yes, they are applying for the Level Up Workforce & Leadership Development Camp. |
| Primary Language Other Than English | None |
| Is your child a returning Keys 2 Life or SWAG program participant? | No |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Please indicate student’s area of interest. We would like for you to check all applicable. | Acting, Dance, Theater |
| Name of Parent/Guardian Completing This Form | LaDawn, Little |
| Email Address of Parent/Guardian Completing This Form | ladawnvesey@gmail.com |
| Your Preferred Method Of Communication | |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 333-4438 |
| Father/Legal Guardian | Martize, Little |
| Father's Address | 16830 Plainview Ave, Detroit, Michigan, 48219, United States |
| Father's DOB | 1985-04-07 |
| Father's Home Number | (313) 974-5345 |
| Father's Mobile Number | (313) 974-5345 |
| Father's Email | tize85@yahoo.com |
| Authorized for pick up? | Yes |
| Mother/Legal Guardian | LaDawn, Little |
| Mother's Address | 16830 Plainview Ave, Detroit, Michigan, 48219, United States |
| Mother's DOB | 1985-08-22 |
| Mothers Home Number | (313) 333-4438 |
| Mothers Mobile Number | (313) 333-4438 |
| Mother's Email | ladawnvesey@gmail.com |
| Authorized for pick up? | Yes |
| 1. Your Child’s Strengths | Leadership potential, Creativity, Athletic ability, Compassion for others, Determination, Curiosity / enjoys learning, Good sense of humor |
| 2. Areas Where Your Child May Need Support | Becomes frustrated or upset when corrected |
| Emotional Regulation / Anger (Check all that apply) | Sometimes shuts down or withdraws when upset |
| Conflict with Others (Check all that apply) | Has been involved in bullying (either as the aggressor or target), Sometimes responds physically when upset |
| How would you describe your child most of the time? | Calm and easygoing, Sensitive / emotional, Strong-willed, Quiet or reserved |
| What are you hoping your child gains from KEYS Performing Arts Camp (Check all that apply) | More discipline, Better anger management, Increased confidence, Leadership skills, Better decision making |
| What concerns you most about your child right now? | None |
| What kind of future do you hope for your child? | A fruitful future. |
| Preferred Hospital for Emergency Treatment | Childrens Hospital Detroit |
| Medical Conditions (check all that apply) | None |
| If medication must be administered during program hours, a medication authorization form must be on file. Parent Initials: | 6a300103d8e203.31357246.png |
| Name | LaDawn Little |
| Phone | (313) 333-4438 |
| Additional Phone Number | (313) 974-5345 |
| Relationship to student | Mother |
| Name | Martize Little |
| Phone | (313) 974-5345 |
| Relationship to student | Father |
| Name | Marc Little |
| Phone | (313) 320-3845 |
| Relationship to student | Grandfather |
| Emergency Medical Treatment | By checking the box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking the box, I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking the box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking the box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking the box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Tutoring (school year only) |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 26000 |
| How many dependents are in your family? | 2 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | No |
| How did you find out about The Yunion's Summer Camp? | Someone referred me |
| Name of Person/Recruiter who Referred You | Arabia Little |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | LaDawn Little |
| Add Your Signature Here | 6a30023513aa45.59136872.png |
| Child's Name (Printed) | Londyn Little |
| Have Your Child Sign His/Her Signature Here | 6a3002351f0882.41060180.png |
| 2026 Keys2Life Performing Arts Camp | 2026 Keys2Life Performing Arts Camp, $0.00, 1 |
| Date | 2026-06-15 |
Karson Harbert
Keys to Life Performing Arts Summer Camp · June 15, 2026
| Child Name | Karson, Harbert |
| Age | 11 |
| Date of Birth | 2015-03-15 |
| T-Shirt Size (Adult Unisex) | XS |
| Grade Level this Fall? | 6 |
| School/District | Farmington |
| Name of School | Farmington STEAM Academy |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | No |
| Height | 4'10 |
| Weight | 125 |
| Sex | Male |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 28399 Kirkside Ln, Farmington Hills, Michigan, 48334, United States |
| County in Which Child Resides | Oakland County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother, Father |
| Who Does the Student Live With? (Check All That Apply) | Mother |
| Number of Siblings in the Home | 2 |
| Are siblings applying to a Yunion camp? | No, they are not applying for a Yunion Camp. |
| Is your child a returning Keys 2 Life or SWAG program participant? | No |
| Are you applying for a scholarship? | No, I will pay the full price |
| Please indicate student’s area of interest. We would like for you to check all applicable. | Music Production, Digital Media |
| Name of Parent/Guardian Completing This Form | Patrice, Harbert |
| Email Address of Parent/Guardian Completing This Form | mrsharbert@outlook.com |
| Your Preferred Method Of Communication | Text |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 598-0066 |
| Father/Legal Guardian | Patrice, Harbert |
| Father's Address | 636 Sheffield rd, AUBURN HILLS, Michigan, 48236, United States |
| Father's DOB | 1977-09-01 |
| Father's Home Number | (248) 338-3582 |
| Father's Mobile Number | (313) 900-7136 |
| Father's Email | Kevinharbert77@gmail.com |
| Authorized for pick up? | Yes |
| Mother/Legal Guardian | Patrice, Harbert |
| Mother's Address | 28399 Kirkside Ln, Farmington Hills, Michigan, 48334, United States |
| Mother's DOB | 1977-08-02 |
| Mothers Mobile Number | (313) 598-0066 |
| Mother's Email | mrsharbert@outlook.com |
| Authorized for pick up? | Yes |
| Emergency Medical Treatment | By checking the box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking the box, I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking the box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking the box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking the box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Mentoring |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| How did you find out about The Yunion's Summer Camp? | |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Patrice Harbert |
| Add Your Signature Here | 6a2f58c6263c85.28271347.png |
| Child's Name (Printed) | Karson Harbert |
| Have Your Child Sign His/Her Signature Here | 6a2f58c632b775.97128579.png |
| 2026 Keys2Life Performing Arts Camp | 2026 Keys2Life Performing Arts Camp, $0.00, 1 |
| Date | 2026-06-14 |
Shon’yra Stoudmire
Keys to Life Performing Arts Summer Camp · June 13, 2026
| Child Name | Shon’yra, Stoudmire |
| Age | 13 |
| Date of Birth | 2012-07-19 |
| T-Shirt Size (Adult Unisex) | Large |
| Grade Level this Fall? | 8 |
| School/District | DPS |
| Name of School | Brewer Elementary |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | NA |
| Height | 5’3 |
| Weight | 120 |
| Sex | Female |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 20456 Negaunee St, Redford, Michigan, 48240, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Guardian |
| Who Does the Student Live With? (Check All That Apply) | Other |
| Who Does the Student Live With? | Foster parent |
| Are siblings applying to a Yunion camp? | Yes, they are applying for the Keys Performing Arts Camp. |
| Is your child a returning Keys 2 Life or SWAG program participant? | Yes |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Please indicate student’s area of interest. We would like for you to check all applicable. | Acting, Dance, Music Production |
| Name of Parent/Guardian Completing This Form | Brooke, Obrien |
| Email Address of Parent/Guardian Completing This Form | brookelynnobrien12@gmail.com |
| Your Preferred Method Of Communication | Text |
| Cell Phone Number of Parent/Guardian Completing This Form | (248) 469-7362 |
| 1. Your Child’s Strengths | Creativity, Compassion for others, Curiosity / enjoys learning, Strong personality / confidence, Good sense of humor, Helpful at home |
| 2. Areas Where Your Child May Need Support | Becomes frustrated or upset when corrected |
| Emotional Regulation / Anger (Check all that apply) | Sometimes shuts down or withdraws when upset |
| School Engagement (Check all that apply) | Struggles to stay focused in class |
| How would you describe your child most of the time? | Calm and easygoing, Strong-willed |
| What are you hoping your child gains from KEYS Performing Arts Camp (Check all that apply) | More discipline, Greater respect for authority, Better anger management, Increased confidence, Positive male mentorship, Leadership skills, Stronger faith or spiritual foundation, Better decision making, Academic motivation |
| What concerns you most about your child right now? | Shon’yra has experienced multiple transitions and changes in placement, and my biggest concern is helping her feel safe, stable, and supported while adjusting to a new home. I also want to help her develop healthy decision-making skills, positive peer relationships, and appropriate boundaries with technology and social media. My goal is to build trust and provide consistency as she navigates this transition. |
| What kind of future do you hope for your child? | I hope Shon’yra grows into a confident, healthy, and independent young woman who knows she is valued and capable. I hope she is successful in school, develops positive relationships, makes safe choices, and has the support and opportunities needed to reach her goals. Most importantly, I hope she experiences stability, security, and a strong sense of belonging. |
| Preferred Hospital for Emergency Treatment | Beaumont Farmington |
| Medical Conditions (check all that apply) | None |
| If medication must be administered during program hours, a medication authorization form must be on file. Parent Initials: | 6a2ce083d45d78.61549894.png |
| Name | Brooke OBrien |
| Phone | (248) 469-7362 |
| Additional Phone Number | (248) 313-5489 |
| Relationship to student | Guardian |
| Name | Nia Dorsey |
| Phone | (313) 444-9259 |
| Relationship to student | FC Worker |
| Name | Lashon Mundy |
| Phone | (734) 210-2200 |
| Emergency Medical Treatment | By checking the box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking the box, I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking the box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking the box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking the box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Mentoring, Counseling referral, Behavioral support |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 40000 |
| How many dependents are in your family? | 2 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | Yes |
| Please explain any extenuating circumstances related to your financial need? (100 words or less) | The child for whom I am applying is currently in foster care. Her placement and care are supported through the Michigan Department of Health and Human Services (MDHHS), and she does not receive child support through a parent. |
| How did you find out about The Yunion's Summer Camp? | Someone referred me |
| Name of Person/Recruiter who Referred You | Nia Dorsey |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Brooke OBrien |
| Add Your Signature Here | 6a2ce1503713a5.15976310.png |
| Child's Name (Printed) | Shon’yra Stoudmire |
| Have Your Child Sign His/Her Signature Here | 6a2ce15041bc90.74096577.png |
| 2026 Keys2Life Performing Arts Camp | 2026 Keys2Life Performing Arts Camp, $0.00, 1 |
| Date | 2026-06-13 |
La’Vonn Jones
Keys to Life Performing Arts Summer Camp · June 13, 2026
| Child Name | La’Vonn, Jones |
| Age | 12 |
| Date of Birth | 2013-10-05 |
| T-Shirt Size (Adult Unisex) | Small |
| Grade Level this Fall? | 7 |
| School/District | UPREP |
| Name of School | UPREPSM |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | N/A |
| Height | 4”11 |
| Weight | 110 |
| Sex | Male |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 9360 Hartwell, Detroit, Michigan, 48228, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother, Father |
| Who Does the Student Live With? (Check All That Apply) | Mother, Father |
| Are siblings applying to a Yunion camp? | No, they are not applying for a Yunion Camp. |
| Primary Language Other Than English | Only English |
| Is your child a returning Keys 2 Life or SWAG program participant? | No |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Please indicate student’s area of interest. We would like for you to check all applicable. | Acting, Dance, Theater, Music Production, Digital Media |
| Name of Parent/Guardian Completing This Form | La’Nelle, Jones Johnson |
| Email Address of Parent/Guardian Completing This Form | lanelle.jones0104@gmail.com |
| Your Preferred Method Of Communication | Phone Call |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 544-0659 |
| Father/Legal Guardian | Shann, Johnson |
| Father's Address | 9360 Hartwell, Detroit, Michigan, 48228, United States |
| Father's DOB | 1974-06-23 |
| Father's Home Number | (313) 676-7143 |
| Father's Email | shannjmic@gmail.com |
| Authorized for pick up? | Yes |
| Mother/Legal Guardian | La’Nelle, Jones Johnson |
| Mother's Address | 9360 Hartwell, Detroit, Michigan, 48228, United States |
| Mother's DOB | 1982-01-04 |
| Mothers Mobile Number | (313) 544-0659 |
| Mother's Email | lanelle.jones0104@gmail.com |
| Authorized for pick up? | Yes |
| 1. Your Child’s Strengths | Leadership potential, Creativity, Athletic ability, Compassion for others, Determination, Curiosity / enjoys learning, Strong personality / confidence, Good sense of humor, Helpful at home |
| 2. Areas Where Your Child May Need Support | Becomes frustrated or upset when corrected |
| How would you describe your child most of the time? | Calm and easygoing |
| What are you hoping your child gains from KEYS Performing Arts Camp (Check all that apply) | Increased confidence, Positive male mentorship, Stronger faith or spiritual foundation |
| What concerns you most about your child right now? | Sometimes I feel like he tries to hide how he feels and sometimes I have to pull it out of him. |
| What kind of future do you hope for your child? | He knows that we want the best for him and we stand with him beside him through anything with our faith. |
| Preferred Hospital for Emergency Treatment | Henryford Main on blvd |
| Medical Conditions (check all that apply) | Allergies, Asthma |
| Food Allergies | N/A |
| Allergic to Bees? | No |
| If medication must be administered during program hours, a medication authorization form must be on file. Parent Initials: | 6a2cbf3b67efe6.08550060.png |
| Name | Denea Jones |
| Phone | (313) 658-0305 |
| Relationship to student | Auntie |
| Name | Rachel Jones |
| Phone | (313) 457-7642 |
| Relationship to student | Grandma |
| Emergency Medical Treatment | By checking the box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking the box, I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking the box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking the box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking the box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Tutoring (school year only), Mentoring, Family resources |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | Family Insight Form |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 95000 |
| How many dependents are in your family? | 3 |
| Are you a single-income family?* | No |
| Does the child for whom you are applying receive child support?* | No |
| Please explain any extenuating circumstances related to your financial need? (100 words or less) | Just recently we had to bury his grandmother in Alabama and here in Michigan took a lot of our savings. Which we use to to put our son in activities. |
| How did you find out about The Yunion's Summer Camp? | Someone referred me |
| Name of Person/Recruiter who Referred You | Rayonna Banks |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | La’Nelle Jones Johnson |
| Add Your Signature Here | 6a2cc074a5d0a1.46743804.png |
| Child's Name (Printed) | La’Vonn L. Jones |
| Have Your Child Sign His/Her Signature Here | 6a2cc074b1d714.05427632.png |
| 2026 Keys2Life Performing Arts Camp | 2026 Keys2Life Performing Arts Camp, $0.00, 1 |
| Date | 2026-06-12 |
Nylah Hill
Keys to Life Performing Arts Summer Camp · June 13, 2026
| Child Name | Nylah, Hill |
| Age | 12 |
| Date of Birth | 2014-04-07 |
| T-Shirt Size (Adult Unisex) | Large |
| Grade Level this Fall? | 7th |
| School/District | Summit Academy |
| Name of School | Summit Academy Middle School |
| Education Type | IEP |
| Does your Child need any additional support? Please specify in comment box below. | Nylah has dyslexia. Needs extra time to complete assignment. She is a hard worker. |
| Height | 5 ft |
| Weight | 130 |
| Sex | Female |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 9618 Camden Circle #102, Taylor, Michigan, 48180, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother, Father |
| Who Does the Student Live With? (Check All That Apply) | Mother, Father |
| Number of Siblings in the Home | 1 |
| Are siblings applying to a Yunion camp? | Yes, they are applying for the Level Up Workforce & Leadership Development Camp. |
| Is your child a returning Keys 2 Life or SWAG program participant? | No |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Please indicate student’s area of interest. We would like for you to check all applicable. | Acting, Theater, Music Production |
| Name of Parent/Guardian Completing This Form | Shiba, Hill |
| Email Address of Parent/Guardian Completing This Form | shibaq.hill@gmail.com |
| Your Preferred Method Of Communication | Phone Call |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 459-4651 |
| Father/Legal Guardian | Randall, Hill |
| Father's Address | 26437 CARLYSLE ST, Inkster, Michigan, 48141, United States |
| Father's DOB | 1977-02-14 |
| Father's Home Number | (734) 904-0586 |
| Father's Mobile Number | (734) 904-0586 |
| Father's Email | randallhill14@gmail.com |
| Authorized for pick up? | Yes |
| Mother/Legal Guardian | Shiba, Hill |
| Mother's Address | 9618 Camden Circle #102, Taylor, Michigan, 48180, United States |
| Mother's DOB | 1977-02-19 |
| Mothers Home Number | (313) 459-4651 |
| Mothers Mobile Number | (313) 459-4651 |
| Mother's Email | shibaq.hill@gmail.com |
| Authorized for pick up? | Yes |
| 1. Your Child’s Strengths | Leadership potential, Creativity, Compassion for others, Determination, Curiosity / enjoys learning, Good sense of humor, Helpful at home, Other strengths |
| Other strengths: | Nylah is a go getting. She is very artistic and loves music. She plays serveral instruments. |
| 2. Areas Where Your Child May Need Support | Other |
| Other | Nylah struggles with having self confidence. She is also a people pleaser. |
| Emotional Regulation / Anger (Check all that apply) | Sometimes shuts down or withdraws when upset |
| School Engagement (Check all that apply) | Other |
| Other | Nylah is not a behavior problem in school. She doesnt have major behavior at home. Just typical preteen attitudes on occassion. |
| How would you describe your child most of the time? | Calm and easygoing, Independent, Quiet or reserved |
| What are you hoping your child gains from KEYS Performing Arts Camp (Check all that apply) | More discipline, Increased confidence, Better decision making, Academic motivation |
| What concerns you most about your child right now? | I want Nylah to be more confident in herself. She talk negatively about herself and her body. She is shy and reserved around family and people she donlesnt know. |
| What kind of future do you hope for your child? | I want her to have confidence and be self aware. I want her to know that she is special and loved. |
| Medical Conditions (check all that apply) | Vision Impairment |
| If medication must be administered during program hours, a medication authorization form must be on file. Parent Initials: | 6a2ca0378d6a16.76502039.png |
| Additional medical or behavioral information staff should know: | None |
| Name | Shiba Hill |
| Phone | (313) 459-4651 |
| Additional Phone Number | (734) 904-0506 |
| Relationship to student | Mother |
| Name | Randall Hill |
| Phone | (734) 904-0586 |
| Relationship to student | Father |
| Emergency Medical Treatment | By checking the box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking the box, I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking the box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking the box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking the box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Tutoring (school year only), Counseling referral |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 60000 |
| How many dependents are in your family? | 2 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | No |
| Please explain any extenuating circumstances related to your financial need? (100 words or less) | As a newly divorced single mother, I am responsible for providing for my household and covering expenses for my 2 children. While I work full-time, balancing housing, educational costs has created financial challenges. I want my daughters to have opportunities to learn, grow, and participate in enriching experiences like this summer program, but the cost is difficult for me to manage on my own at this time. Financial assistance would help ensure they can participate fully and benefit from this valuable opportunity. Thank you for your consideration. |
| How did you find out about The Yunion's Summer Camp? | Someone referred me |
| Name of Person/Recruiter who Referred You | Johnathan Howell |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Shiba Hill |
| Add Your Signature Here | 6a2ca31dd5b849.83573541.png |
| Child's Name (Printed) | Nylah Hill |
| Have Your Child Sign His/Her Signature Here | 6a2ca31de07358.61411078.png |
| 2026 Keys2Life Performing Arts Camp | 2026 Keys2Life Performing Arts Camp, $0.00, 1 |
| Date | 2026-06-12 |
Eva Burks
Keys to Life Performing Arts Summer Camp · June 12, 2026
| Child Name | Eva, Burks |
| Age | 12 |
| Date of Birth | 2013-09-29 |
| T-Shirt Size (Adult Unisex) | XL |
| Grade Level this Fall? | 8th |
| School/District | Kent |
| Name of School | Vista Charter Academy |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | No |
| Height | 6'1 |
| Weight | 190lbs |
| Sex | Female |
| Eye Color | Green |
| Ethnicity | African American |
| Student Address | 22855 Nottingham Lane Apt 1533, Southfield, Michigan, 48033, United States |
| County in Which Child Resides | Oakland County |
| Parents/Guardian the Student Has (Check All That Apply) | Father, Step-Mother |
| Who Does the Student Live With? (Check All That Apply) | Father, Step-Mother |
| Number of Siblings in the Home | 3 |
| Are siblings applying to a Yunion camp? | Yes, they are applying for the Level Up Workforce & Leadership Development Camp. |
| Is your child a returning Keys 2 Life or SWAG program participant? | No |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Please indicate student’s area of interest. We would like for you to check all applicable. | Acting, Dance, Theater |
| Name of Parent/Guardian Completing This Form | Ariane, Burks |
| Email Address of Parent/Guardian Completing This Form | arianeburks@gmail.com |
| Your Preferred Method Of Communication | |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 424-9960 |
| Father/Legal Guardian | Antoine, Burks |
| Father's Address | 22855 Nottingham Lane Apt 1533, Southfield, Michigan, 48033, United States |
| Father's DOB | 1984-06-25 |
| Father's Mobile Number | (313) 316-0300 |
| Father's Email | antoinerburks@gmail.com |
| Authorized for pick up? | Yes |
| Step-Mother | Ariane, Burks |
| Step-Mother's Address | 22855 Nottingham Lane, Apt 1533, Southfield, Michigan, 48033, United States |
| Step-Mother's Phone Number | (313) 424-9960 |
| Step-Mother's email address | arianeburks@gmail.com |
| Authorized for pick up? | Yes |
| Emergency Medical Treatment | By checking the box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking the box, I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking the box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking the box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking the box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Not needed at this time |
| May one of our team members contact you with more information about our support services? | No |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 40000 |
| How many dependents are in your family? | 4 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | Yes |
| Please explain any extenuating circumstances related to your financial need? (100 words or less) | Their mother recently had a house fire and Eva and her brother had to quickly move in with us and things have been tight. We just wanted to afford them the opportunity to do something fun over the summer |
| How did you find out about The Yunion's Summer Camp? | |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Ariane Burks |
| Add Your Signature Here | 6a2c4d8cd57251.92172309.png |
| Child's Name (Printed) | Eva Burks |
| Have Your Child Sign His/Her Signature Here | 6a2c4d8cdf21d8.25263510.png |
| 2026 Keys2Life Performing Arts Camp | 2026 Keys2Life Performing Arts Camp, $0.00, 1 |
| Date | 2026-06-12 |
Koda Mark
Keys to Life Performing Arts Summer Camp · June 12, 2026
| Child Name | Koda, Mark |
| Age | 12 |
| Date of Birth | 2013-09-08 |
| T-Shirt Size (Adult Unisex) | Small |
| Grade Level this Fall? | 8 |
| School/District | Detroit |
| Name of School | U of D Jesuit |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | no |
| Height | 5'11 |
| Weight | 150 |
| Sex | Male |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 858 Blaine St, Detroit, Michigan, 48202, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother, Father |
| Who Does the Student Live With? (Check All That Apply) | Mother, Father |
| Number of Siblings in the Home | 1 |
| Are siblings applying to a Yunion camp? | No, they are not applying for a Yunion Camp. |
| Is your child a returning Keys 2 Life or SWAG program participant? | No |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Please indicate student’s area of interest. We would like for you to check all applicable. | Music Production, Digital Media |
| Name of Parent/Guardian Completing This Form | Sarah, Mark |
| Email Address of Parent/Guardian Completing This Form | thesarahmark@gmail.com |
| Your Preferred Method Of Communication | |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 461-0752 |
| Father/Legal Guardian | William, Mark |
| Father's Address | 858 Blaine St, Detroit, Michigan, 48202, United States |
| Father's DOB | 1979-07-12 |
| Father's Home Number | (313) 282-1673 |
| Father's Email | thebillymark@gmail.com |
| Authorized for pick up? | Yes |
| Mother/Legal Guardian | Sarah, Mark |
| Mother's Address | 858 Blaine St, Detroit, Michigan, 48202, United States |
| Mother's DOB | 1977-11-02 |
| Mothers Home Number | (313) 461-0752 |
| Mother's Email | thesarahmark@gmail.com |
| Authorized for pick up? | Yes |
| 1. Your Child’s Strengths | Leadership potential, Creativity, Athletic ability, Compassion for others, Curiosity / enjoys learning, Strong personality / confidence, Helpful at home |
| How would you describe your child most of the time? | Calm and easygoing |
| What are you hoping your child gains from KEYS Performing Arts Camp (Check all that apply) | Leadership skills |
| What concerns you most about your child right now? | none. he just needs to get out of house and off screens and do something creative. |
| What kind of future do you hope for your child? | that he can tap into his deeper self- love himself and love others well. |
| Preferred Hospital for Emergency Treatment | Children's |
| Medical Conditions (check all that apply) | None |
| If medication must be administered during program hours, a medication authorization form must be on file. Parent Initials: | 6a2b610a6d1c91.62494801.png |
| Name | Sarah Mark |
| Phone | (313) 461-0752 |
| Relationship to student | mom |
| Name | Sarah Mark |
| Phone | (313) 461-0752 |
| Relationship to student | mom |
| Emergency Medical Treatment | By checking the box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking the box, I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking the box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking the box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking the box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Not needed at this time |
| May one of our team members contact you with more information about our support services? | No |
| Do you participate in the free lunch program at your school? | No, my school doesn't have that program |
| What is the annual income of your family? | 50 |
| How many dependents are in your family? | 4 |
| Are you a single-income family?* | No |
| Does the child for whom you are applying receive child support?* | No |
| How did you find out about The Yunion's Summer Camp? | |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Sarah Mark |
| Add Your Signature Here | 6a2b61788db017.07872986.png |
| Child's Name (Printed) | Koda Mark |
| Have Your Child Sign His/Her Signature Here | 6a2b617898ab92.29128745.png |
| 2026 Keys2Life Performing Arts Camp | 2026 Keys2Life Performing Arts Camp, $0.00, 1 |
| Date | 2026-06-11 |
Caleb Branch
Keys to Life Performing Arts Summer Camp · June 11, 2026
| Child Name | Caleb, Branch |
| Age | 12 |
| Date of Birth | 2013-07-09 |
| T-Shirt Size (Adult Unisex) | Medium |
| Grade Level this Fall? | 8 |
| School/District | Detroit |
| Name of School | pembroke academy |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | n/a |
| Height | 5 |
| Weight | 3 |
| Sex | Male |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 18265 Warwick Street, Detroit, Michigan, 48219, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother, Father |
| Who Does the Student Live With? (Check All That Apply) | Mother |
| Are siblings applying to a Yunion camp? | No, they are not applying for a Yunion Camp. |
| Is your child a returning Keys 2 Life or SWAG program participant? | No |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Please indicate student’s area of interest. We would like for you to check all applicable. | Acting, Theater, Music Production |
| Name of Parent/Guardian Completing This Form | DANETTA, BRANCH |
| Email Address of Parent/Guardian Completing This Form | DANETTABRANCH@YAHOO.COM |
| Your Preferred Method Of Communication | Text |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 587-6616 |
| Father/Legal Guardian | SAM, BRANCH |
| Father's Address | 16810 LINWOOD, DETROIT, Michigan, 48221, United States |
| Father's DOB | 1976-12-02 |
| Father's Home Number | (313) 231-4418 |
| Authorized for pick up? | Yes |
| Mother/Legal Guardian | DANETTA, BRANCH |
| Mother's Address | 18265 Warwick, Detroit, Michigan, 48219, United States |
| Mother's DOB | 1971-03-01 |
| Mothers Home Number | (313) 587-6616 |
| Mothers Work Number | (313) 268-1910 |
| Mothers Mobile Number | (313) 268-1910 |
| Mother's Email | DANETTABRANCH@YAHOO.COM |
| Authorized for pick up? | Yes |
| 1. Your Child’s Strengths | Creativity, Compassion for others, Curiosity / enjoys learning, Good sense of humor, Helpful at home, Other strengths |
| Other strengths: | WRITING STORIES/ CREATIVE AND LOGICAL THINKER |
| School Engagement (Check all that apply) | Struggles to stay focused in class |
| How would you describe your child most of the time? | Calm and easygoing, Independent |
| What are you hoping your child gains from KEYS Performing Arts Camp (Check all that apply) | More discipline, Leadership skills, Academic motivation |
| What concerns you most about your child right now? | I would like him to understand that grades are the foundation to a great collegiate experience. Also I would like him to focus on the task at hand and complete the task before moving onto the next thing. |
| What kind of future do you hope for your child? | I hope that he graduates from a university in a career field that he is passionate about. That way work wont feel like a burden. I expect the best from him morally and academically. I expect him to have a high moral fiber and a strong faith to help him navigate through anything. |
| Preferred Hospital for Emergency Treatment | Providence |
| Medical Conditions (check all that apply) | None |
| Name | Danetta Branch |
| Phone | (313) 587-6616 |
| Relationship to student | mother |
| Name | Derryl Carr |
| Phone | (248) 820-8836 |
| Relationship to student | uncle |
| Emergency Medical Treatment | By checking the box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking the box, I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking the box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking the box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking the box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Tutoring (school year only), Counseling referral |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 50 |
| How many dependents are in your family? | 1 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | Yes |
| Please explain any extenuating circumstances related to your financial need? (100 words or less) | Seeking financial support for the summer camp. Im paying out of pocket for tutoring and have no funds for anything outside of household expenses. I care for an ailing parent as well and have expenses related to that. |
| How did you find out about The Yunion's Summer Camp? | Summer Discovery |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | DANETTA BRANCH |
| Add Your Signature Here | 6a2af63d3f8ea9.35492248.png |
| Child's Name (Printed) | CALEB BRANCH |
| Have Your Child Sign His/Her Signature Here | 6a2af63d4b7c52.39012860.png |
| 2026 Keys2Life Performing Arts Camp | 2026 Keys2Life Performing Arts Camp, $0.00, 1 |
| Date | 2026-06-11 |
Gabrielle Swift
Keys to Life Performing Arts Summer Camp · June 11, 2026
| Child Name | Gabrielle, Swift |
| Age | 11 |
| Date of Birth | 2014-11-29 |
| T-Shirt Size (Adult Unisex) | Medium |
| Grade Level this Fall? | 7 |
| School/District | Detroit |
| Name of School | Flics |
| Education Type | IEP |
| Does your Child need any additional support? Please specify in comment box below. | No |
| Height | 5'5" |
| Weight | 150 |
| Sex | Female |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 13960 Wisconsin St, Detroit, Michigan, 48238-2330, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother, Father |
| Who Does the Student Live With? (Check All That Apply) | Mother, Father |
| Number of Siblings in the Home | 2 |
| Are siblings applying to a Yunion camp? | No, they are not applying for a Yunion Camp. |
| Is your child a returning Keys 2 Life or SWAG program participant? | No |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Please indicate student’s area of interest. We would like for you to check all applicable. | Acting, Dance, Theater |
| Name of Parent/Guardian Completing This Form | Johnny, Swift |
| Email Address of Parent/Guardian Completing This Form | jswift2@yahoo.com |
| Your Preferred Method Of Communication | Phone Call |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 828-9361 |
| Father/Legal Guardian | Johnny, Swift |
| Father's Address | 13960 Wisconsin St, Detroit, Michigan, 48238-2330, United States |
| Father's DOB | 1982-04-03 |
| Father's Home Number | (313) 828-9361 |
| Father's Mobile Number | (313) 828-9361 |
| Father's Email | jswift2@yahoo.com |
| Authorized for pick up? | Yes |
| Mother/Legal Guardian | Tamika, Davis |
| Mother's Address | 13960 Wisconsin St, Detroit, Michigan, 48238-2330, United States |
| Mother's DOB | 1980-08-22 |
| Mothers Mobile Number | (313) 204-8321 |
| Mother's Email | jswift2@yahoo.com |
| Authorized for pick up? | Yes |
| 1. Your Child’s Strengths | Creativity, Athletic ability, Compassion for others, Determination, Strong personality / confidence, Good sense of humor |
| 2. Areas Where Your Child May Need Support | Sometimes struggles to follow instructions at home, Sometimes struggles to follow instructions at school |
| Emotional Regulation / Anger (Check all that apply) | Sometimes shuts down or withdraws when upset |
| School Engagement (Check all that apply) | Struggles to stay focused in class |
| How would you describe your child most of the time? | Energetic / high activity level, Sensitive / emotional, Independent |
| What are you hoping your child gains from KEYS Performing Arts Camp (Check all that apply) | More discipline, Increased confidence, Leadership skills, Stronger faith or spiritual foundation, Academic motivation |
| What concerns you most about your child right now? | Staying focused and taking an interest in learning. The last 2 years have been a struggle finding her interests and keeping her engaged. |
| What kind of future do you hope for your child? | She would like to become a cosmetologist but loves dancing and doing hair. I would like her to follow her dream as a hair entrepreneur and help her open her own shop. |
| Preferred Hospital for Emergency Treatment | Henry ford |
| Medical Conditions (check all that apply) | Allergies |
| Food Allergies | Pineapple, EpiPen |
| Allergic to Bees? | No |
| If medication must be administered during program hours, a medication authorization form must be on file. Parent Initials: | 6a2aead7da3971.98234139.png |
| Additional medical or behavioral information staff should know: | None |
| Name | Johnny Swift II |
| Phone | (313) 828-9361 |
| Additional Phone Number | (313) 820-2482 |
| Relationship to student | Father |
| Emergency Medical Treatment | By checking the box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking the box, I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking the box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking the box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking the box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Tutoring (school year only), Mentoring, Counseling referral, Behavioral support, Family resources |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 30000 |
| How many dependents are in your family? | 4 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | No |
| Please explain any extenuating circumstances related to your financial need? (100 words or less) | None |
| How did you find out about The Yunion's Summer Camp? | Summer Discovery |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Johnny Swift II |
| Add Your Signature Here | 6a2aeb7b37aff4.00003461.png |
| Child's Name (Printed) | Gabrielle Swift |
| Have Your Child Sign His/Her Signature Here | 6a2aeb7b43b775.52463824.png |
| 2026 Keys2Life Performing Arts Camp | 2026 Keys2Life Performing Arts Camp, $0.00, 1 |
| Date | 2026-06-11 |
Kyle Styles
Keys to Life Performing Arts Summer Camp · June 11, 2026
| Child Name | Kyle, Styles |
| Age | 12 |
| Date of Birth | 2013-07-16 |
| T-Shirt Size (Adult Unisex) | Large |
| Grade Level this Fall? | 7th |
| School/District | University Prep |
| Name of School | UPSM Middle School |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | No |
| Height | 5 feet 7 inches |
| Weight | 165 |
| Sex | Male |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 12323 Riad, Detroit, Michigan, 48224, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother, Father |
| Who Does the Student Live With? (Check All That Apply) | Mother, Father |
| Number of Siblings in the Home | 2 |
| Are siblings applying to a Yunion camp? | No, they are not applying for a Yunion Camp. |
| Is your child a returning Keys 2 Life or SWAG program participant? | No |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Please indicate student’s area of interest. We would like for you to check all applicable. | Music Production |
| Name of Parent/Guardian Completing This Form | Marika, Styles |
| Email Address of Parent/Guardian Completing This Form | mlrstyles@yahoo.com |
| Your Preferred Method Of Communication | Text |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 409-4078 |
| Father/Legal Guardian | Lester, Styles |
| Father's Address | 15844 Deerfield, Eastpointe, Michigan, 48021, United States |
| Father's DOB | 1979-05-31 |
| Authorized for pick up? | Yes |
| Mother/Legal Guardian | Marika, Styles |
| Mother's Address | 15844 Deerfield, Eastpointe, Michigan, 48021, United States |
| Mother's DOB | 1981-07-09 |
| Mothers Home Number | (313) 409-4078 |
| Mother's Email | mlrstyles@yahoo.com |
| Authorized for pick up? | Yes |
| 1. Your Child’s Strengths | Creativity, Athletic ability, Determination, Curiosity / enjoys learning |
| 2. Areas Where Your Child May Need Support | Sometimes struggles to follow instructions at school |
| Emotional Regulation / Anger (Check all that apply) | Sometimes shuts down or withdraws when upset |
| School Engagement (Check all that apply) | Has received school suspension(s) |
| Has your child ever (Check all that apply): | Been suspended from school |
| How would you describe your child most of the time? | Independent, Strong-willed |
| What are you hoping your child gains from KEYS Performing Arts Camp (Check all that apply) | Greater respect for authority, Positive male mentorship, Better decision making, Academic motivation |
| Medical Conditions (check all that apply) | None |
| If medication must be administered during program hours, a medication authorization form must be on file. Parent Initials: | 6a2a0214dae879.60593908.png |
| Additional medical or behavioral information staff should know: | None |
| Name | Kyra Henderson |
| Phone | (313) 405-2447 |
| Relationship to student | Sister |
| Name | Gwendolyn Williams Pryor |
| Phone | (313) 409-9994 |
| Relationship to student | Grandmother |
| Emergency Medical Treatment | By checking the box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking the box, I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking the box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking the box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking the box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Not needed at this time |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 60000 |
| How many dependents are in your family? | 3 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | No |
| Please explain any extenuating circumstances related to your financial need? (100 words or less) | Trying to pay for 2 different summer camps and college tuitions. |
| How did you find out about The Yunion's Summer Camp? | Someone referred me |
| Name of Person/Recruiter who Referred You | The Cave |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Marika styles |
| Add Your Signature Here | 6a2a0336365142.18754238.png |
| Child's Name (Printed) | Kyle styles |
| Have Your Child Sign His/Her Signature Here | 6a2a033643c214.00477442.png |
| 2026 Keys2Life Performing Arts Camp | 2026 Keys2Life Performing Arts Camp, $0.00, 1 |
| Date | 2026-06-10 |
JaNice Hollins
Keys to Life Performing Arts Summer Camp · June 8, 2026
| Child Name | JaNice, Hollins |
| Age | 13 |
| Date of Birth | 2012-07-04 |
| T-Shirt Size (Adult Unisex) | Small |
| Grade Level this Fall? | 9th |
| School/District | Online |
| Name of School | Online |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | No |
| Height | 5”2 |
| Weight | 140 |
| Sex | Female |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 14242 Dale St, Detroit, Michigan, 48223, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother |
| Who Does the Student Live With? (Check All That Apply) | Mother |
| Number of Siblings in the Home | 2 |
| Are siblings applying to a Yunion camp? | Yes, they are applying for the Keys Performing Arts Camp. |
| Primary Language Other Than English | No |
| Is your child a returning Keys 2 Life or SWAG program participant? | No |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Please indicate student’s area of interest. We would like for you to check all applicable. | Acting, Dance, Theater, Music Production, Digital Media |
| Name of Parent/Guardian Completing This Form | Thilicia, Keyes |
| Email Address of Parent/Guardian Completing This Form | thiliciakeyes@yahoo.com |
| Your Preferred Method Of Communication | Text |
| Cell Phone Number of Parent/Guardian Completing This Form | (734) 486-9373 |
| Mother/Legal Guardian | Thilicia, Keyes |
| Mother's Address | 14242 Dale st, Detroit, Michigan, 48223, United States |
| Mother's DOB | 1981-10-11 |
| Mothers Mobile Number | (734) 486-9373 |
| Mother's Email | thiliciakeyes@yahoo.com |
| Authorized for pick up? | Yes |
| 1. Your Child’s Strengths | Leadership potential, Creativity, Athletic ability, Compassion for others, Determination, Curiosity / enjoys learning, Strong personality / confidence, Good sense of humor, Helpful at home |
| 2. Areas Where Your Child May Need Support | Sometimes struggles to follow instructions at home |
| Emotional Regulation / Anger (Check all that apply) | Has difficulty controlling anger or frustration, Sometimes shuts down or withdraws when upset |
| How would you describe your child most of the time? | Calm and easygoing, Energetic / high activity level, Sensitive / emotional, Independent, Strong-willed |
| What are you hoping your child gains from KEYS Performing Arts Camp (Check all that apply) | More discipline, Greater respect for authority, Better anger management, Stronger faith or spiritual foundation, Better decision making |
| What kind of future do you hope for your child? | Right future |
| Preferred Hospital for Emergency Treatment | Children |
| Medical Conditions (check all that apply) | None |
| Name | Thilicia Keyes |
| Phone | (734) 486-9373 |
| Relationship to student | Mother |
| Emergency Medical Treatment | By checking the box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking the box, I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking the box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking the box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking the box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Tutoring (school year only), Mentoring, Counseling referral, Family resources |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 25000 |
| How many dependents are in your family? | 5 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | No |
| How did you find out about The Yunion's Summer Camp? | Janet (church) |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Thilicia Keyez |
| Add Your Signature Here | 6a272dea9e1e36.75140208.png |
| Child's Name (Printed) | Janice Hollins |
| Have Your Child Sign His/Her Signature Here | 6a272deaa93287.86764462.png |
| 2026 Keys2Life Performing Arts Camp | 2026 Keys2Life Performing Arts Camp, $0.00, 1 |
| Date | 2026-06-08 |
Ja'Niala Gore
Keys to Life Performing Arts Summer Camp · June 8, 2026
| Child Name | Ja'Niala, Gore |
| Age | 11 |
| Date of Birth | 2014-07-28 |
| T-Shirt Size (Adult Unisex) | Medium |
| Grade Level this Fall? | 7 |
| School/District | Wayne |
| Name of School | John R King |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | Attitude, respect |
| Height | 4'11 |
| Weight | 105 |
| Sex | Female |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 14418 Robson st, Detroit, Michigan, 48227, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother, Father |
| Who Does the Student Live With? (Check All That Apply) | Mother, Father |
| Number of Siblings in the Home | 4 |
| Are siblings applying to a Yunion camp? | Yes, they are applying for the Keys Performing Arts Camp. |
| Is your child a returning Keys 2 Life or SWAG program participant? | Yes |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Please indicate student’s area of interest. We would like for you to check all applicable. | Acting, Dance, Theater, Music Production, Digital Media |
| Name of Parent/Guardian Completing This Form | Cheryl, Melson |
| Email Address of Parent/Guardian Completing This Form | cherylmelson3@gmail.com |
| Your Preferred Method Of Communication | |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 978-8799 |
| Father/Legal Guardian | Terrance, Gore |
| Father's Address | 14418 Robson st, Detroit, Michigan, 48227, United States |
| Father's DOB | 1988-04-02 |
| Father's Home Number | (313) 367-8167 |
| Authorized for pick up? | Yes |
| Mother/Legal Guardian | Cheryl, Melson |
| Mother's Address | 14418 Robson st, Detroit, Michigan, 48227, United States |
| Mother's DOB | 1989-12-13 |
| Mothers Home Number | (313) 978-8799 |
| Mother's Email | cherylmelson3@gmail.com |
| Authorized for pick up? | Yes |
| 1. Your Child’s Strengths | Leadership potential, Creativity, Athletic ability, Determination, Strong personality / confidence, Good sense of humor, Helpful at home |
| 2. Areas Where Your Child May Need Support | Sometimes struggles to follow instructions at home, Sometimes struggles to follow instructions at school, Becomes frustrated or upset when corrected |
| Emotional Regulation / Anger (Check all that apply) | Has difficulty controlling anger or frustration, Reacts strongly to conflict or correction, Sometimes shuts down or withdraws when upset |
| Conflict with Others (Check all that apply) | Has frequent arguments with siblings, peers, or adults |
| School Engagement (Check all that apply) | Has experienced disciplinary action at school |
| How would you describe your child most of the time? | Energetic / high activity level, Sensitive / emotional, Independent, Strong-willed |
| What are you hoping your child gains from KEYS Performing Arts Camp (Check all that apply) | More discipline, Greater respect for authority, Better anger management, Leadership skills, Better decision making, Academic motivation |
| What concerns you most about your child right now? | Attitude and disrespect when it comes to telling her what is right and wrong |
| What kind of future do you hope for your child? | The have a better out look on different situations |
| Medical Conditions (check all that apply) | None |
| If medication must be administered during program hours, a medication authorization form must be on file. Parent Initials: | 6a26f04d0831f9.55868844.png |
| Additional medical or behavioral information staff should know: | None |
| Name | Cheryl Melson |
| Phone | (313) 978-8799 |
| Additional Phone Number | (313) 367-8167 |
| Relationship to student | Parents |
| Name | Terrance Gore |
| Phone | (313) 367-8167 |
| Relationship to student | Parents |
| Emergency Medical Treatment | By checking the box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking the box, I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking the box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking the box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking the box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Tutoring (school year only), Mentoring, Counseling referral, Behavioral support, Family resources |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| How many dependents are in your family? | 4 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | No |
| Please explain any extenuating circumstances related to your financial need? (100 words or less) | Unable to work due to my spinal cord condition |
| How did you find out about The Yunion's Summer Camp? | Yunio |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Cheryl Melson |
| Add Your Signature Here | 6a26f118c04228.93111293.png |
| Child's Name (Printed) | Ja'Niala Gore |
| Have Your Child Sign His/Her Signature Here | 6a26f118cb4ad9.02599535.png |
| 2026 Keys2Life Performing Arts Camp | 2026 Keys2Life Performing Arts Camp, $0.00, 1 |
| Date | 2026-06-08 |
Aaliyah Brown
Keys to Life Performing Arts Summer Camp · June 8, 2026
| Child Name | Aaliyah, Brown |
| Age | 12 |
| Date of Birth | 2014-05-08 |
| T-Shirt Size (Adult Unisex) | Small |
| Grade Level this Fall? | 7 |
| School/District | Detroit Public Schools |
| Name of School | Bates Academy |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | no |
| Height | 5'1" |
| Weight | 100lbs |
| Sex | Female |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 16500 Biltmore Street, Detroit, Michigan, 48235, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother |
| Who Does the Student Live With? (Check All That Apply) | Mother |
| Number of Siblings in the Home | 1 |
| Are siblings applying to a Yunion camp? | Yes, they are applying for the Keys Performing Arts Camp. |
| Is your child a returning Keys 2 Life or SWAG program participant? | No |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Please indicate student’s area of interest. We would like for you to check all applicable. | Acting, Dance, Theater, Music Production, Digital Media |
| Name of Parent/Guardian Completing This Form | Nailah, Ellis |
| Email Address of Parent/Guardian Completing This Form | nailahellis@yahoo.com |
| Your Preferred Method Of Communication | Text |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 570-0840 |
| Mother/Legal Guardian | Nailah, Ellis |
| Mother's Address | 16500 Biltmore Street, Detroit, Michigan, 48235, United States |
| Mother's DOB | 1987-10-04 |
| Mothers Mobile Number | (313) 570-0840 |
| Mother's Email | nailahellis@yahoo.com |
| Authorized for pick up? | Yes |
| 1. Your Child’s Strengths | Leadership potential, Creativity, Athletic ability, Compassion for others, Determination, Curiosity / enjoys learning, Good sense of humor, Helpful at home, Other strengths |
| Other strengths: | emotionally intelligent |
| 2. Areas Where Your Child May Need Support | Other |
| Other | confidence |
| Emotional Regulation / Anger (Check all that apply) | Sometimes shuts down or withdraws when upset |
| Curfew / Home Expectations | Sometimes struggles to follow curfew or home rules |
| How would you describe your child most of the time? | Calm and easygoing, Energetic / high activity level, Sensitive / emotional, Independent |
| What are you hoping your child gains from KEYS Performing Arts Camp (Check all that apply) | More discipline, Increased confidence, Leadership skills, Better decision making, Academic motivation |
| What concerns you most about your child right now? | Aaliyah has an old soul and is ahead of her time. She can sing very well and always gets the solo at every school she's been to. My concern is her confidence. Her confidence has evolved, but we still have some work to do. |
| What kind of future do you hope for your child? | My hope is that this program plays a role in Aaliyah's journey to becoming the greatest version of herself. Im intentional about placing her in environments that nurture her authentic self. The future version of Aaliyah is independant, disciplined, confident, and free (however she defines freedom for herself). Aaliyah's future looks like she will choose love over fear in every decision she makes. |
| Medical Conditions (check all that apply) | None |
| If medication must be administered during program hours, a medication authorization form must be on file. Parent Initials: | 6a26dd83106be7.97356887.png |
| Name | Nailah Ellis |
| Phone | (313) 570-0840 |
| Relationship to student | mother |
| Emergency Medical Treatment | By checking the box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking the box, I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking the box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking the box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking the box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Tutoring (school year only), Mentoring |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | No, we don't qualify |
| What is the annual income of your family? | 80000 |
| How many dependents are in your family? | 2 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | No |
| How did you find out about The Yunion's Summer Camp? | Google Search |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Nailah Ellis |
| Add Your Signature Here | 6a26df95755d13.46706507.png |
| Child's Name (Printed) | Aaliyah Brown |
| Have Your Child Sign His/Her Signature Here | 6a26df9580d661.14101727.png |
| 2026 Keys2Life Performing Arts Camp | 2026 Keys2Life Performing Arts Camp, $0.00, 1 |
| Date | 2026-06-08 |
Tamari Hollins
Keys to Life Performing Arts Summer Camp · June 6, 2026
| Child Name | Tamari, Hollins |
| Age | 12 |
| Date of Birth | 2013-07-22 |
| T-Shirt Size (Adult Unisex) | XL |
| Grade Level this Fall? | 8th |
| School/District | Online |
| Name of School | Online |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | No |
| Height | 5”4 |
| Weight | 225 |
| Sex | Female |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 14242 Dale st, Detroit, Michigan, 48223, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother |
| Who Does the Student Live With? (Check All That Apply) | Mother |
| Number of Siblings in the Home | 2 |
| Are siblings applying to a Yunion camp? | Yes, they are applying for the Keys Performing Arts Camp. |
| Is your child a returning Keys 2 Life or SWAG program participant? | No |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Please indicate student’s area of interest. We would like for you to check all applicable. | Acting, Dance, Theater, Music Production, Digital Media |
| Name of Parent/Guardian Completing This Form | Thilicia, Keyes |
| Email Address of Parent/Guardian Completing This Form | thiliciakeyes@yahoo.com |
| Your Preferred Method Of Communication | Text |
| Cell Phone Number of Parent/Guardian Completing This Form | (734) 486-9373 |
| Mother/Legal Guardian | Thilicia, Keyes |
| Mother's Address | 14242 Dale st, Detroit, Michigan, 48223, United States |
| Mother's DOB | 1981-10-11 |
| Mothers Mobile Number | (734) 486-9373 |
| Mother's Email | thiliciakeyes@yahoo.com |
| Authorized for pick up? | Yes |
| 1. Your Child’s Strengths | Creativity, Athletic ability, Compassion for others, Determination, Curiosity / enjoys learning, Strong personality / confidence, Good sense of humor, Helpful at home |
| 2. Areas Where Your Child May Need Support | Sometimes struggles to follow instructions at home, Sometimes struggles to follow instructions at school |
| Emotional Regulation / Anger (Check all that apply) | Sometimes shuts down or withdraws when upset |
| Conflict with Others (Check all that apply) | Has been involved in bullying (either as the aggressor or target) |
| How would you describe your child most of the time? | Calm and easygoing, Energetic / high activity level, Independent |
| What are you hoping your child gains from KEYS Performing Arts Camp (Check all that apply) | More discipline, Greater respect for authority, Better anger management, Increased confidence, Leadership skills, Better decision making, Academic motivation |
| What concerns you most about your child right now? | Bullying sometimes she is bullied and self esteem because of her weight |
| What kind of future do you hope for your child? | A very bright educated and wealthy one |
| Preferred Hospital for Emergency Treatment | Children |
| Medical Conditions (check all that apply) | Allergies |
| Allergic to Bees? | No |
| Name | Thilicia Keyes |
| Phone | (734) 486-9373 |
| Relationship to student | Mother |
| Name | Reginald Williams |
| Phone | (313) 439-1827 |
| Name | Bernice Taylor |
| Phone | (313) 348-3862 |
| Relationship to student | Sister |
| Emergency Medical Treatment | By checking the box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking the box, I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking the box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking the box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking the box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Tutoring (school year only), Mentoring, Counseling referral, Behavioral support, Family resources |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 28000 |
| How many dependents are in your family? | 5 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | No |
| Please explain any extenuating circumstances related to your financial need? (100 words or less) | I am a single mother and certainly behind in bills but do not want it to effect my children with being able to participate in other things |
| How did you find out about The Yunion's Summer Camp? | Janet |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Thilicia Keyes |
| Add Your Signature Here | 6a24966d024dc2.28614112.png |
| Child's Name (Printed) | Tamari Hollins |
| Have Your Child Sign His/Her Signature Here | 6a24966d0f3972.02471707.png |
| 2026 Keys2Life Performing Arts Camp | 2026 Keys2Life Performing Arts Camp, $0.00, 1 |
| Date | 2026-06-06 |
Winston Brooks
Keys to Life Performing Arts Summer Camp · June 6, 2026
| Child Name | Winston, Brooks |
| Age | 10 |
| Date of Birth | 2015-10-20 |
| T-Shirt Size (Adult Unisex) | Medium |
| Grade Level this Fall? | 6 |
| School/District | UPrep |
| Name of School | Ellen Thompson |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | Yes, how to manage his anger and frustration |
| Height | 4’5 |
| Weight | 120 |
| Sex | Male |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 3818 Clairmount, Detroit, Michigan, 48206, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother, Step-Father |
| Who Does the Student Live With? (Check All That Apply) | Mother, Step-Father |
| Number of Siblings in the Home | 3 |
| Are siblings applying to a Yunion camp? | Yes, they are applying for the Level Up Workforce & Leadership Development Camp. |
| Primary Language Other Than English | English |
| Is your child a returning Keys 2 Life or SWAG program participant? | No |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Please indicate student’s area of interest. We would like for you to check all applicable. | Acting, Theater, Music Production, Digital Media |
| Name of Parent/Guardian Completing This Form | Chonquonda, Parrish |
| Email Address of Parent/Guardian Completing This Form | chonquonda734@gmail.com |
| Your Preferred Method Of Communication | |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 932-3184 |
| Mother/Legal Guardian | Chonquonda, Parrish |
| Mother's Address | 3818 Clairmount, Detroit, Michigan, 48206, United States |
| Mother's DOB | 1989-11-21 |
| Mothers Home Number | (313) 932-3184 |
| Mothers Work Number | (313) 748-6000 |
| Mother's Email | chonquonda734@gmail.com |
| Authorized for pick up? | Yes |
| Step-Father | Samuel, Williams |
| Step-Father's Address | 3818 Clairmount, Detroit, Michigan, 48206, United States |
| Step-Father's Phone Number | (313) 646-3784 |
| Step-Father's email address | chonquonda734@gmail.com |
| Authorized for pick up? | Yes |
| 1. Your Child’s Strengths | Leadership potential, Curiosity / enjoys learning, Strong personality / confidence, Good sense of humor |
| 2. Areas Where Your Child May Need Support | Sometimes struggles to follow instructions at home, Sometimes struggles to follow instructions at school, Becomes frustrated or upset when corrected |
| Emotional Regulation / Anger (Check all that apply) | Has difficulty controlling anger or frustration, Reacts strongly to conflict or correction, Sometimes shuts down or withdraws when upset |
| Conflict with Others (Check all that apply) | Has frequent arguments with siblings, peers, or adults, Has been involved in bullying (either as the aggressor or target), Sometimes responds physically when upset |
| School Engagement (Check all that apply) | Struggles to stay focused in class |
| How would you describe your child most of the time? | Calm and easygoing, Sensitive / emotional, Quiet or reserved |
| What are you hoping your child gains from KEYS Performing Arts Camp (Check all that apply) | More discipline, Greater respect for authority, Better anger management, Increased confidence, Positive male mentorship, Leadership skills, Stronger faith or spiritual foundation, Better decision making, Academic motivation |
| What concerns you most about your child right now? | Engaging in activities Angered easily Not motivated to do anything |
| What kind of future do you hope for your child? | Handle his emotions Sympathy and empathy for others Telling the truth being honest |
| Preferred Hospital for Emergency Treatment | Children’s Hospital |
| Medical Conditions (check all that apply) | None |
| If medication must be administered during program hours, a medication authorization form must be on file. Parent Initials: | 6a248b22c53b47.79615161.png |
| Name | Chonquonda Parrish |
| Phone | (313) 932-3184 |
| Relationship to student | Mother |
| Name | Chonquonda P |
| Phone | (313) 932-3184 |
| Relationship to student | Mother |
| Emergency Medical Treatment | By checking the box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking the box, I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking the box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking the box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking the box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Tutoring (school year only), Mentoring, Counseling referral, Behavioral support, Family resources |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 32000 |
| How many dependents are in your family? | 4 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | No |
| Please explain any extenuating circumstances related to your financial need? (100 words or less) | I am a single mother of 4 and I receive help from my daughters father to support them |
| How did you find out about The Yunion's Summer Camp? | |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Chonquonda Parrish |
| Add Your Signature Here | 6a248baf7cc004.51688777.png |
| Child's Name (Printed) | Winston Brooks |
| Have Your Child Sign His/Her Signature Here | 6a248baf85ec46.19914370.png |
| 2026 Keys2Life Performing Arts Camp | 2026 Keys2Life Performing Arts Camp, $0.00, 1 |
| Date | 2026-06-06 |
Wren Peck
Keys to Life Performing Arts Summer Camp · June 6, 2026
| Child Name | Wren, Peck |
| Age | 12 |
| Date of Birth | 2014-03-01 |
| T-Shirt Size (Adult Unisex) | Medium |
| Grade Level this Fall? | 7 |
| School/District | Royal Oak |
| Name of School | Royal Oak Middle School |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | No |
| Height | 5’ 1” |
| Weight | 125 |
| Sex | Female |
| Eye Color | Brown |
| Ethnicity | White |
| Student Address | 3009 McClellan, Detroit, Michigan, 4214, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother, Father |
| Who Does the Student Live With? (Check All That Apply) | Mother, Father |
| Number of Siblings in the Home | 1 |
| Are siblings applying to a Yunion camp? | No, they are not applying for a Yunion Camp. |
| Is your child a returning Keys 2 Life or SWAG program participant? | No |
| Are you applying for a scholarship? | No, I will pay the full price |
| Please indicate student’s area of interest. We would like for you to check all applicable. | Acting, Dance, Theater, Music Production |
| Name of Parent/Guardian Completing This Form | Kristen, Calverley |
| Email Address of Parent/Guardian Completing This Form | kristencalverley@gmail.com |
| Your Preferred Method Of Communication | Text |
| Cell Phone Number of Parent/Guardian Completing This Form | (248) 376-7410 |
| Father/Legal Guardian | Nathan, Peck |
| Father's Address | 3009 McClellan, Detroit, Michigan, 48214, United States |
| Father's DOB | 1985-02-11 |
| Father's Mobile Number | (313) 515-4916 |
| Father's Email | natefars@gmail.com |
| Authorized for pick up? | Yes |
| Mother/Legal Guardian | Kristen, Calverley |
| Mother's Address | 3009 McClellan, Detroit, Michigan, 48214, United States |
| Mother's DOB | 1982-01-08 |
| Mothers Mobile Number | (248) 376-7410 |
| Mother's Email | kristencalverley@gmail.com |
| Authorized for pick up? | Yes |
| 1. Your Child’s Strengths | Leadership potential, Creativity, Athletic ability, Compassion for others, Determination, Curiosity / enjoys learning, Good sense of humor, Helpful at home |
| 2. Areas Where Your Child May Need Support | Becomes frustrated or upset when corrected |
| Emotional Regulation / Anger (Check all that apply) | Reacts strongly to conflict or correction, Other |
| Other | Wren is very sensitive and an empathetic child |
| Conflict with Others (Check all that apply) | Has been involved in bullying (either as the aggressor or target) |
| How would you describe your child most of the time? | Energetic / high activity level, Sensitive / emotional, Independent |
| What are you hoping your child gains from KEYS Performing Arts Camp (Check all that apply) | Increased confidence, Leadership skills |
| What concerns you most about your child right now? | She is starting to lose her confidence and compare herself to others. She is so talented and artistic and I want her to be more confident |
| What kind of future do you hope for your child? | A fulfilling life following her dreams without fear and with a strong community of people who love and uplift her. |
| Preferred Hospital for Emergency Treatment | Henry Ford |
| Additional medical or behavioral information staff should know: | Wren has passed out twice due to vasovagal syncope. Usually because she’s severely dehydrated or injured herself. |
| Name | Kristen Calverley |
| Phone | (248) 376-7410 |
| Relationship to student | Mother |
| Name | Lois Calverley |
| Phone | (248) 508-0647 |
| Relationship to student | Grandma |
| Name | Nathan Peck |
| Phone | (313) 515-4916 |
| Relationship to student | Father |
| Emergency Medical Treatment | By checking the box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking the box, I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking the box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking the box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking the box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Not needed at this time |
| May one of our team members contact you with more information about our support services? | No |
| How did you find out about The Yunion's Summer Camp? | Google Search |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Kristen Calverley |
| Add Your Signature Here | 6a2479711d5276.20116796.png |
| Child's Name (Printed) | Wren Peck |
| Have Your Child Sign His/Her Signature Here | 6a247971299075.99382292.png |
| 2026 Keys2Life Performing Arts Camp | 2026 Keys2Life Performing Arts Camp, $0.00, 1 |
| Date | 2026-06-06 |
Jacqueline Rocha-Ortiz
Keys to Life Performing Arts Summer Camp · June 5, 2026
| Child Name | Jacqueline, Rocha-Ortiz |
| Age | 12 |
| Date of Birth | 2013-06-24 |
| T-Shirt Size (Adult Unisex) | Medium |
| Grade Level this Fall? | 7 |
| School/District | Detroit public schools |
| Name of School | Academy of Americas |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | NA |
| Height | 4.8 |
| Weight | 147 |
| Sex | Female |
| Eye Color | Brown |
| Ethnicity | Hispanic |
| Student Address | 5100 Saint Lawrence st, Detroit, Michigan, 48210, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother, Father |
| Who Does the Student Live With? (Check All That Apply) | Mother, Father |
| Number of Siblings in the Home | 2 |
| Are siblings applying to a Yunion camp? | No, they are not applying for a Yunion Camp. |
| Primary Language Other Than English | Español |
| Is your child a returning Keys 2 Life or SWAG program participant? | Yes |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Please indicate student’s area of interest. We would like for you to check all applicable. | Theater, Music Production |
| Name of Parent/Guardian Completing This Form | Irma, Ortiz |
| Email Address of Parent/Guardian Completing This Form | irmaortiz.var07@gmail.com |
| Your Preferred Method Of Communication | Text |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 392-3995 |
| Father/Legal Guardian | Amador, Rocha |
| Father's Address | 5100 Saint Lawrence st, Detroit, Michigan, 48210, United States |
| Father's DOB | 1976-07-04 |
| Father's Home Number | (313) 401-6444 |
| Father's Work Number | (313) 401-6444 |
| Father's Mobile Number | (313) 401-6444 |
| Father's Email | rochaamador@icloud.com |
| Authorized for pick up? | Yes |
| Mother/Legal Guardian | Irma, Ortiz |
| Mother's Address | 5100 Saint Lawrence st, Detroit, Michigan, 48210, United States |
| Mother's DOB | 1983-11-08 |
| Mothers Home Number | (313) 392-3995 |
| Mothers Mobile Number | (313) 392-3995 |
| Mother's Email | irmaortiz.var07@gmail.com |
| Authorized for pick up? | Yes |
| 1. Your Child’s Strengths | Leadership potential, Compassion for others, Determination, Curiosity / enjoys learning, Good sense of humor |
| 2. Areas Where Your Child May Need Support | Sometimes struggles to follow instructions at home, Becomes frustrated or upset when corrected |
| Emotional Regulation / Anger (Check all that apply) | Sometimes shuts down or withdraws when upset |
| How would you describe your child most of the time? | Calm and easygoing, Quiet or reserved |
| What are you hoping your child gains from KEYS Performing Arts Camp (Check all that apply) | Increased confidence, Better decision making, Academic motivation |
| What concerns you most about your child right now? | No tengo preocupaciones en este momento mi hija es muy tranquila |
| Preferred Hospital for Emergency Treatment | Children hospital |
| Medical Conditions (check all that apply) | None |
| Name | Yulisa |
| Phone | (313) 394-9878 |
| Relationship to student | Sister |
| Name | Crystal |
| Phone | (313) 394-9908 |
| Relationship to student | Sister |
| Name | Marcela |
| Phone | (313) 629-6162 |
| Relationship to student | Auntie |
| Emergency Medical Treatment | By checking the box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking the box, I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking the box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking the box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking the box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Not needed at this time |
| May one of our team members contact you with more information about our support services? | No |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 36000 |
| How many dependents are in your family? | 4 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | No |
| How did you find out about The Yunion's Summer Camp? | Someone referred me |
| Name of Person/Recruiter who Referred You | Yulisa Rocha Ortiz |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Irma Ortiz |
| Add Your Signature Here | 6a232f85cb5501.31570449.png |
| Child's Name (Printed) | Jacqueline Rocha-Ortiz |
| Have Your Child Sign His/Her Signature Here | 6a232f85d69272.17401937.png |
| 2026 Keys2Life Performing Arts Camp | 2026 Keys2Life Performing Arts Camp, $0.00, 1 |
| Date | 2026-06-05 |
Chloe Fears
Keys to Life Performing Arts Summer Camp · June 5, 2026
| Child Name | Chloe, Fears |
| Age | 13 |
| Date of Birth | 2012-03-03 |
| T-Shirt Size (Adult Unisex) | XS |
| Grade Level this Fall? | 9th |
| School/District | Detroit |
| Name of School | Cass Tech |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | No |
| Height | 5'0 |
| Weight | 112 |
| Sex | Female |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 20314 Murray Hill St, Detroit, Michigan, 48235, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother |
| Who Does the Student Live With? (Check All That Apply) | Mother |
| Are siblings applying to a Yunion camp? | No, they are not applying for a Yunion Camp. |
| Primary Language Other Than English | n/a |
| Is your child a returning Keys 2 Life or SWAG program participant? | Yes |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Please indicate student’s area of interest. We would like for you to check all applicable. | Acting, Dance, Theater |
| Name of Parent/Guardian Completing This Form | Tammy, Fears |
| Email Address of Parent/Guardian Completing This Form | tcfears1@comcast.net |
| Your Preferred Method Of Communication | |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 729-9980 |
| Mother/Legal Guardian | Tammy, Fears |
| Mother's Address | 20314 Murray Hill St, Detroit, Michigan, 48235, United States |
| Mother's DOB | 1980-09-17 |
| Mothers Home Number | (313) 729-9980 |
| Mothers Mobile Number | (313) 729-9980 |
| Mother's Email | tcfears1@comcast.net |
| Authorized for pick up? | Yes |
| 1. Your Child’s Strengths | Leadership potential, Athletic ability, Compassion for others, Determination, Curiosity / enjoys learning, Strong personality / confidence |
| 2. Areas Where Your Child May Need Support | Sometimes struggles to follow instructions at home |
| Emotional Regulation / Anger (Check all that apply) | Sometimes shuts down or withdraws when upset |
| School Engagement (Check all that apply) | Has received school suspension(s) |
| Has your child ever (Check all that apply): | Been suspended from school |
| How would you describe your child most of the time? | Calm and easygoing, Independent |
| What are you hoping your child gains from KEYS Performing Arts Camp (Check all that apply) | More discipline, Increased confidence, Stronger faith or spiritual foundation, Better decision making |
| What concerns you most about your child right now? | Chloe is a good kid. However, I would like her to overcome her shyness and ask questions when needed. Example sometimes she shuts down when she don't understand what's being taught in class especially when some of her teachers have a problem with them asking questions. |
| What kind of future do you hope for your child? | Chloe has a bright future. She's an honor student and wants to be an actress. |
| Preferred Hospital for Emergency Treatment | Corwell Health Hospital in Royal Oak, MI |
| Medical Conditions (check all that apply) | Allergies |
| Food Allergies | NA |
| Allergic to Bees? | Yes |
| If medication must be administered during program hours, a medication authorization form must be on file. Parent Initials: | 6a22e48c0ee8c3.64515700.png |
| Additional medical or behavioral information staff should know: | N/A |
| Name | Tammy Fears |
| Phone | (313) 729-9980 |
| Relationship to student | Mother |
| Emergency Medical Treatment | By checking the box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking the box, I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking the box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking the box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking the box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Tutoring (school year only) |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 20000 |
| How many dependents are in your family? | 1 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | Yes |
| Please explain any extenuating circumstances related to your financial need? (100 words or less) | Currently seeking employment |
| How did you find out about The Yunion's Summer Camp? | Someone referred me |
| Name of Person/Recruiter who Referred You | Mitzi Ruddock |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Tammy Fears |
| Add Your Signature Here | 6a22e5bab6c960.93589686.png |
| Child's Name (Printed) | Chloe Fears |
| Have Your Child Sign His/Her Signature Here | 6a22e5bac34681.21393720.png |
| 2026 Keys2Life Performing Arts Camp | 2026 Keys2Life Performing Arts Camp, $0.00, 1 |
| Date | 2026-06-05 |
KHLOE FRAZIER
Keys to Life Performing Arts Summer Camp · June 5, 2026
| Child Name | KHLOE, FRAZIER |
| Age | 12 |
| Date of Birth | 2013-11-05 |
| T-Shirt Size (Adult Unisex) | Large |
| Grade Level this Fall? | 8 |
| School/District | DPS |
| Name of School | BAGLEY |
| Education Type | DYSLEXIA |
| Does your Child need any additional support? Please specify in comment box below. | DYSLEXIA |
| Height | 5'2 |
| Weight | 180 |
| Sex | Female |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 18719 STOEPEL, DETROIT, Michigan, 48221, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother, Father |
| Who Does the Student Live With? (Check All That Apply) | Mother |
| Number of Siblings in the Home | 2 |
| Are siblings applying to a Yunion camp? | No, they are not applying for a Yunion Camp. |
| Primary Language Other Than English | ENGLISH |
| Is your child a returning Keys 2 Life or SWAG program participant? | No |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Please indicate student’s area of interest. We would like for you to check all applicable. | Acting, Dance, Theater |
| Name of Parent/Guardian Completing This Form | KYLIE, FRAZIER |
| Email Address of Parent/Guardian Completing This Form | KYLIEFRAZIER@YAHOO.COM |
| Your Preferred Method Of Communication | Text |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 544-3491 |
| Father/Legal Guardian | REMAILE, FRAZIER |
| Father's Address | 18719 STOEPEL, DETROIT, Michigan, 48221, United States |
| Father's DOB | 1975-05-01 |
| Father's Home Number | (313) 646-0915 |
| Authorized for pick up? | Yes |
| Mother/Legal Guardian | KYLIE, FRAZIER |
| Mother's Address | 18719 STOEPEL, DETROIT, Michigan, 48221, United States |
| Mother's DOB | 1980-12-14 |
| Mother's Email | KYLIEFRAZIER@YAHOO.COM |
| Authorized for pick up? | Yes |
| 1. Your Child’s Strengths | Leadership potential, Curiosity / enjoys learning, Strong personality / confidence |
| 2. Areas Where Your Child May Need Support | Becomes frustrated or upset when corrected |
| Emotional Regulation / Anger (Check all that apply) | Sometimes shuts down or withdraws when upset |
| Conflict with Others (Check all that apply) | Has been involved in bullying (either as the aggressor or target) |
| How would you describe your child most of the time? | Calm and easygoing, Sensitive / emotional, Quiet or reserved |
| What are you hoping your child gains from KEYS Performing Arts Camp (Check all that apply) | Increased confidence, Leadership skills, Stronger faith or spiritual foundation, Academic motivation |
| Preferred Hospital for Emergency Treatment | NEAREST |
| Medical Conditions (check all that apply) | Vision Impairment |
| Name | PAMELA MOULTRIE |
| Phone | (313) 808-9140 |
| Additional Phone Number | (313) 410-7209 |
| Relationship to student | GRANDMORTHER |
| Name | DIYANA ANDERSON |
| Relationship to student | AUNT |
| Emergency Medical Treatment | By checking the box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking the box, I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking the box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking the box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking the box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Tutoring (school year only), Mentoring |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 55000 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | No |
| Please explain any extenuating circumstances related to your financial need? (100 words or less) | Seven months ago, my husband was laid off from the job he had held for the past 10 years and has not yet been able to find new employment. As a result, I have become the primary source of income for our family, which has created significant financial challenges. In addition, we are helping support our daughter, who is currently attending college out of state. These circumstances have placed a considerable strain on our finances and have made it more difficult to cover educational and household expenses. Receiving financial assistance would help ease this burden and allow Khloe to continue pursuing and developing her performing arts talents without the added stress of financial hardship. |
| How did you find out about The Yunion's Summer Camp? | billboard |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | KYLIE FRAZIER |
| Add Your Signature Here | 6a22cbec0eb524.25104913.png |
| Child's Name (Printed) | KHLIE FRAZIER |
| Have Your Child Sign His/Her Signature Here | 6a22cbec19b667.33113799.png |
| 2026 Keys2Life Performing Arts Camp | 2026 Keys2Life Performing Arts Camp, $0.00, 1 |
| Date | 2026-06-05 |
Caleb Smith
Keys to Life Performing Arts Summer Camp · June 4, 2026
| Child Name | Caleb, Smith |
| Age | 11 |
| Date of Birth | 2015-05-27 |
| T-Shirt Size (Adult Unisex) | Small |
| Grade Level this Fall? | 6 |
| School/District | Livonia |
| Name of School | Niji Iro Japanese Immersion Academy |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | no |
| Height | 4'8 |
| Weight | 85 |
| Sex | Male |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 14170 Garfield, Redford, Michigan, 48239, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother, Father |
| Who Does the Student Live With? (Check All That Apply) | Mother |
| Is your child a returning Keys 2 Life or SWAG program participant? | No |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Please indicate student’s area of interest. We would like for you to check all applicable. | Acting, Music Production, Digital Media |
| Name of Parent/Guardian Completing This Form | Courtney, Alexander Smith |
| Email Address of Parent/Guardian Completing This Form | Calexanderlove127@gmail.com |
| Your Preferred Method Of Communication | |
| Cell Phone Number of Parent/Guardian Completing This Form | (248) 670-8864 |
| Father/Legal Guardian | Sean, Smith |
| Father's Address | 18064 St. Louis St., Detroit, Michigan, 48234, United States |
| Father's DOB | 1969-11-15 |
| Father's Mobile Number | (313) 333-0691 |
| Father's Email | Sls5us@yahoo.com |
| Authorized for pick up? | Yes |
| Mother/Legal Guardian | Courtney, Alexander Smith |
| Mother's Address | 14170 Garfield, Redford, Michigan, 48239, United States |
| Mother's DOB | 1975-12-07 |
| Mothers Mobile Number | (248) 670-8864 |
| Mother's Email | Calexanderlove127@gmail.com |
| Authorized for pick up? | Yes |
| 1. Your Child’s Strengths | Leadership potential, Creativity, Athletic ability, Compassion for others, Determination, Curiosity / enjoys learning, Strong personality / confidence, Good sense of humor, Helpful at home |
| 2. Areas Where Your Child May Need Support | Sometimes struggles to follow instructions at home, Sometimes struggles to follow instructions at school, Becomes frustrated or upset when corrected |
| Emotional Regulation / Anger (Check all that apply) | Reacts strongly to conflict or correction |
| Conflict with Others (Check all that apply) | Has frequent arguments with siblings, peers, or adults, Has been involved in bullying (either as the aggressor or target) |
| School Engagement (Check all that apply) | Struggles to stay focused in class |
| Curfew / Home Expectations | Sometimes struggles to follow curfew or home rules |
| Has your child ever (Check all that apply): | Been suspended from school |
| How would you describe your child most of the time? | Energetic / high activity level, Sensitive / emotional, Independent, Strong-willed |
| What are you hoping your child gains from KEYS Performing Arts Camp (Check all that apply) | More discipline, Greater respect for authority, Better anger management, Increased confidence, Positive male mentorship, Leadership skills, Stronger faith or spiritual foundation, Better decision making, Academic motivation |
| What concerns you most about your child right now? | Concerned that my child is becoming overly focused on and dependent on video games. He appears to spend a significant amount of time gaming, and I worry that it may be affecting his emotional well-being, social interactions, and ability to cope in healthy ways. I also believe he is struggling emotionally with his parents’ recent divorce and the ongoing back-and-forth custody arrangement. He has expressed that he does not like transitioning between homes, and this may be contributing to stress, frustration, and increased withdrawal into video games as a coping mechanism. |
| What kind of future do you hope for your child? | I want my child to have a healthy, stable, and balanced future where he feels emotionally secure, supported, and confident. I hope he develops healthy coping skills, positive relationships, and interests beyond video games while adjusting well to the changes from the divorce and custody arrangement. |
| Preferred Hospital for Emergency Treatment | Trinity Health Hospital Livonia |
| Medical Conditions (check all that apply) | None |
| Additional medical or behavioral information staff should know: | None |
| Name | Sandra Alexander |
| Phone | (248) 396-2255 |
| Additional Phone Number | (248) 557-2499 |
| Relationship to student | Grandmother |
| Name | Chanavia Smith |
| Phone | (313) 717-1139 |
| Relationship to student | Sister |
| Name | Gregory Alexander |
| Phone | (248) 396-0947 |
| Additional Phone Number | (248) 557-2499 |
| Relationship to student | Grandfather |
| Emergency Medical Treatment | By checking the box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking the box, I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking the box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking the box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking the box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Not needed at this time |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | Family Insight Form |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 47000 |
| How many dependents are in your family? | 1 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | No |
| How did you find out about The Yunion's Summer Camp? | Someone referred me |
| Name of Person/Recruiter who Referred You | Kourtney Neloms |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Courtney Alexander Smith |
| Add Your Signature Here | 6a219d2c96fb73.11868028.png |
| Child's Name (Printed) | Caleb Smith |
| Have Your Child Sign His/Her Signature Here | 6a219d2ca041d4.63612517.png |
| 2026 Keys2Life Performing Arts Camp | 2026 Keys2Life Performing Arts Camp, $0.00, 1 |
| Date | 2026-06-04 |
Leila Branham
Keys to Life Performing Arts Summer Camp · June 4, 2026
| Child Name | Leila, Branham |
| Age | 13 |
| Date of Birth | 2012-06-12 |
| T-Shirt Size (Adult Unisex) | Medium |
| Grade Level this Fall? | 9th |
| School/District | Detroit public school |
| Name of School | UPSM middle school |
| Education Type | N/A |
| Does your Child need any additional support? Please specify in comment box below. | No |
| Height | 5’1 |
| Weight | 104 |
| Sex | Female |
| Eye Color | Hazel |
| Ethnicity | African American |
| Student Address | 15600 Mount Vernon, Southfield, Michigan, 48075, United States |
| County in Which Child Resides | Oakland County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother, Father, Step-Father |
| Who Does the Student Live With? (Check All That Apply) | Mother, Step-Father |
| Primary Language Other Than English | English |
| Is your child a returning Keys 2 Life or SWAG program participant? | Yes |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Please indicate student’s area of interest. We would like for you to check all applicable. | Dance, Music Production, Digital Media |
| Name of Parent/Guardian Completing This Form | Andria, Cunningham |
| Email Address of Parent/Guardian Completing This Form | ajwashing34@gmail.com |
| Your Preferred Method Of Communication | Text |
| Cell Phone Number of Parent/Guardian Completing This Form | (248) 412-3600 |
| Father/Legal Guardian | Landis, Branham |
| Father's Address | N/A, Southfield, Michigan, 48075, United States |
| Father's DOB | 1979-03-27 |
| Father's Home Number | (248) 636-8494 |
| Authorized for pick up? | Yes |
| Mother/Legal Guardian | Andria, Cunningham |
| Mother's Address | 15600 Mount Vernon St, Southfield, Michigan, 48075, United States |
| Mother's DOB | 1990-11-30 |
| Mothers Mobile Number | (248) 412-3600 |
| Mother's Email | ajwashing34@gmail.com |
| Authorized for pick up? | Yes |
| Step-Father | Terrance, Cunningham |
| Step-Father's Address | 15600 Mount Vernon St, Southfield, Michigan, 48075, United States |
| Step-Father's Phone Number | (313) 402-4346 |
| Authorized for pick up? | Yes |
| Emergency Medical Treatment | By checking the box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking the box, I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking the box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking the box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking the box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Not needed at this time |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 40000 |
| How many dependents are in your family? | 2 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | No |
| How did you find out about The Yunion's Summer Camp? | Someone referred me |
| Name of Person/Recruiter who Referred You | Tammy fears |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Andria Cunningham |
| Add Your Signature Here | 6a218674a83b70.06945904.png |
| Child's Name (Printed) | Leila Branham |
| Have Your Child Sign His/Her Signature Here | 6a218674b45c14.70658859.png |
| 2026 Keys2Life Performing Arts Camp | 2026 Keys2Life Performing Arts Camp, $0.00, 1 |
| Date | 2026-06-04 |
Amanda Lee
Keys to Life Performing Arts Summer Camp · June 4, 2026
| Child Name | Amanda, Lee |
| Age | 12 |
| Date of Birth | 2014-05-28 |
| T-Shirt Size (Adult Unisex) | Large |
| Grade Level this Fall? | 7 |
| School/District | Birmingham |
| Name of School | Berkshire |
| Education Type | IEP |
| Does your Child need any additional support? Please specify in comment box below. | no |
| Height | 5 |
| Weight | 140 |
| Sex | Female |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 621 N Eton, Birmingham, Michigan, 48009, United States |
| County in Which Child Resides | Oakland County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother, Father |
| Who Does the Student Live With? (Check All That Apply) | Mother |
| Number of Siblings in the Home | -2 |
| Are siblings applying to a Yunion camp? | No, they are not applying for a Yunion Camp. |
| Is your child a returning Keys 2 Life or SWAG program participant? | Yes |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Please indicate student’s area of interest. We would like for you to check all applicable. | Acting, Dance, Theater |
| Name of Parent/Guardian Completing This Form | Erin, Bundy |
| Email Address of Parent/Guardian Completing This Form | vanityenterprisesllc@yahoo.com |
| Your Preferred Method Of Communication | Text |
| Cell Phone Number of Parent/Guardian Completing This Form | (248) 379-9961 |
| Father/Legal Guardian | Alonzo, Lee |
| Father's Address | N/A, Detroit, Michigan, N/A, United States |
| Father's DOB | 1978-02-28 |
| Father's Home Number | (248) 379-9961 |
| Father's Work Number | (248) 379-9961 |
| Father's Mobile Number | (248) 379-9961 |
| Father's Email | vanityenterprisesllc@yahoo.com |
| Authorized for pick up? | Yes |
| Mother/Legal Guardian | Erin, Bundy |
| Mother's Address | 621 N Eton, Birmingham, Michigan, 48009, United States |
| Mother's DOB | 1981-05-18 |
| Mothers Home Number | (248) 379-9961 |
| Mothers Work Number | (248) 379-9961 |
| Mothers Mobile Number | (248) 379-9961 |
| Mother's Email | vanityenterprisesllc@yahoo.com |
| Authorized for pick up? | Yes |
| Emergency Medical Treatment | By checking the box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking the box, I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking the box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking the box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking the box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Not needed at this time |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 35 |
| How many dependents are in your family? | 2 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | No |
| Please explain any extenuating circumstances related to your financial need? (100 words or less) | Single mother |
| How did you find out about The Yunion's Summer Camp? | Someone referred me |
| Name of Person/Recruiter who Referred You | n/a |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Erin Bundy |
| Add Your Signature Here | 6a2163f1cae7e8.36279439.png |
| Child's Name (Printed) | Amanda Lee |
| Have Your Child Sign His/Her Signature Here | 6a2163f1d722f2.33380166.png |
| 2026 Keys2Life Performing Arts Camp | 2026 Keys2Life Performing Arts Camp, $0.00, 1 |
| Date | 2026-06-04 |
Marielle Jordan
Keys to Life Performing Arts Summer Camp · June 3, 2026
| Child Name | Marielle, Jordan |
| Age | 13 |
| Date of Birth | 2012-10-10 |
| T-Shirt Size (Adult Unisex) | XS |
| Grade Level this Fall? | 8th |
| School/District | Charter |
| Name of School | Voyageur Academy |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | Confidence, Social and math building |
| Height | 5'4 |
| Weight | 148 |
| Sex | Female |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 4076 W. Outer Drive, Detroit, Michigan, 48221, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother, Step-Father |
| Who Does the Student Live With? (Check All That Apply) | Mother, Step-Father |
| Number of Siblings in the Home | 1 |
| Are siblings applying to a Yunion camp? | No, they are not applying for a Yunion Camp. |
| Primary Language Other Than English | Only English |
| Is your child a returning Keys 2 Life or SWAG program participant? | No |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Please indicate student’s area of interest. We would like for you to check all applicable. | Acting, Dance, Theater, Music Production, Digital Media |
| Name of Parent/Guardian Completing This Form | Ellen, Mills |
| Email Address of Parent/Guardian Completing This Form | emariemills@yahoo.com |
| Your Preferred Method Of Communication | |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 518-1228 |
| Mother/Legal Guardian | Ellen, Mills |
| Mother's Address | 4076 W Outer Dr, Detroit, Michigan, 48221, United States |
| Mother's DOB | 1981-04-08 |
| Mothers Home Number | (313) 518-1228 |
| Mothers Work Number | (313) 745-7110 |
| Mothers Mobile Number | (313) 518-1228 |
| Mother's Email | emariemills@yahoo.com |
| Authorized for pick up? | Yes |
| Step-Father | Wallace, Mills |
| Step-Father's Address | 4076 W Outer Dr, Detroit, Michigan, 48221, United States |
| Step-Father's Phone Number | (313) 290-3817 |
| Step-Father's email address | millsw200103@yahoo.com |
| Authorized for pick up? | Yes |
| 1. Your Child’s Strengths | Creativity, Compassion for others |
| 2. Areas Where Your Child May Need Support | Other |
| Other | Confidence |
| School Engagement (Check all that apply) | Struggles to stay focused in class |
| How would you describe your child most of the time? | Calm and easygoing, Quiet or reserved |
| What are you hoping your child gains from KEYS Performing Arts Camp (Check all that apply) | Increased confidence, Leadership skills, Academic motivation |
| What concerns you most about your child right now? | Marielle is very talented, creative, and thoughtful however he lack of confidence limits her in efforts. Marielle has lost 2 siblings and is the youngest child. She often feels alone. |
| What kind of future do you hope for your child? | I want marielle to be the best version of herself she can be. I want her to be happy and grounded. Having a relationship with God and confident in that relationship. |
| Preferred Hospital for Emergency Treatment | Henry Ford Health System |
| Medical Conditions (check all that apply) | None |
| If medication must be administered during program hours, a medication authorization form must be on file. Parent Initials: | 6a208301baaef0.72897230.png |
| Additional medical or behavioral information staff should know: | Seasonal allergies |
| Name | Ellen Mills |
| Phone | (313) 518-1228 |
| Additional Phone Number | (313) 949-6825 |
| Relationship to student | Mother |
| Name | Wallace mills |
| Phone | (313) 290-3817 |
| Additional Phone Number | (313) 293-6443 |
| Relationship to student | Step- Father |
| Name | Debra Mills |
| Phone | (313) 293-9446 |
| Relationship to student | Grandmother |
| Emergency Medical Treatment | By checking the box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking the box, I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking the box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking the box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking the box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Tutoring (school year only) |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 46960 |
| How many dependents are in your family? | 2 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | Yes |
| Please explain any extenuating circumstances related to your financial need? (100 words or less) | I, marielle's mother is currently in nursing full time and work for detroit medical center full time. My husband is a veteran who was recently injured in a car accident making it difficult for him to return to work therefore we are currently down to one income which is challenging. I would be forever greatly if my this time in our lives put marielle at a disadvantage for participating in wholesome activities this summer. |
| How did you find out about The Yunion's Summer Camp? | |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Ellen Mills |
| Add Your Signature Here | 6a2084e39fa923.86312178.png |
| Child's Name (Printed) | Marielle Jordan |
| Have Your Child Sign His/Her Signature Here | 6a2084e3a9cc42.23895681.png |
| 2026 Keys2Life Performing Arts Camp | 2026 Keys2Life Performing Arts Camp, $0.00, 1 |
| Date | 2026-06-03 |
Leia Yawson-Dickerson
Keys to Life Performing Arts Summer Camp · June 2, 2026
| Child Name | Leia, Yawson-Dickerson |
| Age | 13 |
| Date of Birth | 2012-11-18 |
| T-Shirt Size (Adult Unisex) | Medium |
| Grade Level this Fall? | 9 |
| School/District | Southfield |
| Name of School | Levey middle |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | No |
| Height | 5’2 |
| Weight | 112 |
| Sex | Female |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 22030 lahser, Southfield, Michigan, 48033, United States |
| County in Which Child Resides | Oakland County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother, Father |
| Who Does the Student Live With? (Check All That Apply) | Mother |
| Number of Siblings in the Home | 1 |
| Are siblings applying to a Yunion camp? | No, they are not applying for a Yunion Camp. |
| Is your child a returning Keys 2 Life or SWAG program participant? | No |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Please indicate student’s area of interest. We would like for you to check all applicable. | Acting, Music Production, Digital Media |
| Name of Parent/Guardian Completing This Form | Laurie, Yawson |
| Email Address of Parent/Guardian Completing This Form | lyawson523@gmail.com |
| Your Preferred Method Of Communication | Phone Call |
| Cell Phone Number of Parent/Guardian Completing This Form | (248) 469-6793 |
| Father/Legal Guardian | Amir, Dickerson |
| Father's Address | 23839 Dehner St, Detroit, Michigan, 48219, United States |
| Father's DOB | 1991-09-21 |
| Father's Work Number | (313) 787-7737 |
| Father's Email | amir.dickerson9141@gmail.com |
| Authorized for pick up? | Yes |
| Mother/Legal Guardian | Laurie, Yawson |
| Mother's Address | 22030 lahser rd, Southfield, Michigan, 48033, United States |
| Mother's DOB | 1992-05-23 |
| Mothers Mobile Number | (240) 469-6793 |
| Mother's Email | lyawson523@gmail.com |
| Authorized for pick up? | Yes |
| Emergency Medical Treatment | By checking the box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking the box, I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking the box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking the box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking the box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Tutoring (school year only), Mentoring, Family resources |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 48000 |
| How many dependents are in your family? | 2 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | No |
| Please explain any extenuating circumstances related to your financial need? (100 words or less) | I am a single mom who has been on fmla due to medical issues. Income has been significantly reduced. This scholarship would aid in creating a structured, fun, learning environment for my daughter. She has always been interested in the arts and I would be grateful to make this happen for her. |
| How did you find out about The Yunion's Summer Camp? | United way website |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Laurie Yawson |
| Add Your Signature Here | 6a1efd58641f44.22725548.png |
| Child's Name (Printed) | Leia Yawson-Dickerson |
| Have Your Child Sign His/Her Signature Here | 6a1efd586ff793.63417405.png |
| 2026 Keys2Life Performing Arts Camp | 2026 Keys2Life Performing Arts Camp, $0.00, 1 |
| Date | 2026-06-02 |
Jeremy Davis
Keys to Life Performing Arts Summer Camp · May 31, 2026
| Child Name | Jeremy, Davis |
| Age | 11 |
| Date of Birth | 2014-05-11 |
| T-Shirt Size (Adult Unisex) | Small |
| Grade Level this Fall? | 7th |
| School/District | Taylor |
| Name of School | West Middle |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | No |
| Height | 5’4 |
| Weight | 125 |
| Sex | Male |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 14612 Northlawn, Detroit, Michigan, 48238, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother |
| Who Does the Student Live With? (Check All That Apply) | Mother |
| Number of Siblings in the Home | 2 |
| Are siblings applying to a Yunion camp? | No, they are not applying for a Yunion Camp. |
| Is your child a returning Keys 2 Life or SWAG program participant? | No |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Please indicate student’s area of interest. We would like for you to check all applicable. | Music Production, Digital Media |
| Name of Parent/Guardian Completing This Form | Kelly, Stanton |
| Email Address of Parent/Guardian Completing This Form | kstanton476@gmail.com |
| Your Preferred Method Of Communication | |
| Cell Phone Number of Parent/Guardian Completing This Form | (734) 318-5990 |
| Mother/Legal Guardian | Kelly, Stanton |
| Mother's Address | 14612 Northlawn, Detroit, Michigan, 48238, United States |
| Mother's DOB | 1989-03-18 |
| Mothers Mobile Number | (734) 318-5990 |
| Mother's Email | kstanton476@gmail.com |
| Authorized for pick up? | Yes |
| 1. Your Child’s Strengths | Creativity, Athletic ability, Compassion for others, Determination, Curiosity / enjoys learning, Good sense of humor |
| 2. Areas Where Your Child May Need Support | Becomes frustrated or upset when corrected |
| Emotional Regulation / Anger (Check all that apply) | Reacts strongly to conflict or correction, Sometimes shuts down or withdraws when upset |
| School Engagement (Check all that apply) | Struggles to stay focused in class |
| How would you describe your child most of the time? | Calm and easygoing, Sensitive / emotional |
| What are you hoping your child gains from KEYS Performing Arts Camp (Check all that apply) | More discipline, Greater respect for authority, Better anger management, Increased confidence, Positive male mentorship, Leadership skills, Stronger faith or spiritual foundation, Better decision making, Academic motivation |
| What concerns you most about your child right now? | Being a leader, not following the crowd. Emotional regulation. Ben g confident |
| What kind of future do you hope for your child? | A future where he is happy, strong willed, self sufficient, healthy mentally/physically. I want him to understand he can do anything he puts his mind to. Emotional intelligence God fearing |
| Medical Conditions (check all that apply) | None |
| If medication must be administered during program hours, a medication authorization form must be on file. Parent Initials: | 6a1cb7fcd32109.49919272.png |
| Name | Kelly Stanton |
| Phone | (734) 318-5990 |
| Relationship to student | Mom |
| Name | Kimberly clemons |
| Phone | (734) 286-5979 |
| Emergency Medical Treatment | By checking the box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking the box, I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking the box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking the box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking the box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Tutoring (school year only), Mentoring, Counseling referral, Behavioral support, Family resources |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 26000 |
| How many dependents are in your family? | 1 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | Yes |
| Please explain any extenuating circumstances related to your financial need? (100 words or less) | I’m a working single mom & in school part time. I so have to take care of my household on a part time salary. |
| How did you find out about The Yunion's Summer Camp? | Someone referred me |
| Name of Person/Recruiter who Referred You | Jordan Clemons |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Kelly Stanton |
| Add Your Signature Here | 6a1cba34cb4d05.13228596.png |
| Child's Name (Printed) | Jeremy Davis Jr |
| Have Your Child Sign His/Her Signature Here | 6a1cba34d60646.44039592.png |
| 2026 Keys2Life Performing Arts Camp | 2026 Keys2Life Performing Arts Camp, $0.00, 1 |
| Date | 2026-05-31 |
Serenity Brownne’e
Keys to Life Performing Arts Summer Camp · May 31, 2026
| Child Name | Serenity, Brownne’e |
| Age | 13 |
| Date of Birth | 2013-03-12 |
| T-Shirt Size (Adult Unisex) | Small |
| Grade Level this Fall? | 7th |
| School/District | independent charter district |
| Name of School | reach charter academy |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | no |
| Height | 5’3 |
| Weight | 110 |
| Sex | Female |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 13355 wilshire dr, Detroit, Michigan, 48213, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother |
| Who Does the Student Live With? (Check All That Apply) | Mother |
| Number of Siblings in the Home | 1 |
| Are siblings applying to a Yunion camp? | No, they are not applying for a Yunion Camp. |
| Primary Language Other Than English | none |
| Is your child a returning Keys 2 Life or SWAG program participant? | No |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Please indicate student’s area of interest. We would like for you to check all applicable. | Acting, Dance, Theater, Music Production, Digital Media |
| Name of Parent/Guardian Completing This Form | Starkiesha, Leonard |
| Email Address of Parent/Guardian Completing This Form | starscreations79@gmail.con |
| Your Preferred Method Of Communication | Phone Call |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 559-0069 |
| Mother/Legal Guardian | Starkiesha, leonard |
| Mother's Address | 13355 Wilshire dr, Detroit, Michigan, 48213, United States |
| Mother's DOB | 1979-03-30 |
| Mothers Work Number | (602) 319-1977 |
| Mothers Mobile Number | (313) 559-0069 |
| Mother's Email | starscreations79@gmail.com |
| Authorized for pick up? | Yes |
| 1. Your Child’s Strengths | Leadership potential, Creativity, Athletic ability, Compassion for others, Curiosity / enjoys learning, Strong personality / confidence, Good sense of humor, Helpful at home |
| 2. Areas Where Your Child May Need Support | Becomes frustrated or upset when corrected |
| Emotional Regulation / Anger (Check all that apply) | Reacts strongly to conflict or correction, Sometimes shuts down or withdraws when upset |
| How would you describe your child most of the time? | Energetic / high activity level, Sensitive / emotional, Independent |
| What are you hoping your child gains from KEYS Performing Arts Camp (Check all that apply) | Greater respect for authority, Increased confidence, Positive male mentorship, Leadership skills, Better decision making, Academic motivation |
| What concerns you most about your child right now? | Her lack in confidence along with her ability to know her full potential concerns me. |
| What kind of future do you hope for your child? | I hope she has a wealthy and educated future |
| Preferred Hospital for Emergency Treatment | children’s hospital |
| Medical Conditions (check all that apply) | None |
| If medication must be administered during program hours, a medication authorization form must be on file. Parent Initials: | 6a1c3555788240.03648367.png |
| Additional medical or behavioral information staff should know: | she has sickle cell trait |
| Name | starkiesha leonard |
| Phone | (313) 559-0069 |
| Additional Phone Number | (602) 319-1977 |
| Relationship to student | mother |
| Emergency Medical Treatment | By checking the box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking the box, I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking the box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking the box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking the box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Mentoring, Counseling referral, Family resources |
| May one of our team members contact you with more information about our support services? | No |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 4000 |
| How many dependents are in your family? | 1 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | No |
| Please explain any extenuating circumstances related to your financial need? (100 words or less) | I receive social security |
| How did you find out about The Yunion's Summer Camp? | Someone referred me |
| Name of Person/Recruiter who Referred You | raven |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | starkiesha leonard |
| Add Your Signature Here | 6a1c3772bb7856.12050395.png |
| Child's Name (Printed) | serenity Brownne’e |
| Have Your Child Sign His/Her Signature Here | 6a1c3772c712c0.50785110.png |
| 2026 Keys2Life Performing Arts Camp | 2026 Keys2Life Performing Arts Camp, $0.00, 1 |
| Date | 2026-05-31 |
Vern Sanders
Keys to Life Performing Arts Summer Camp · May 31, 2026
| Child Name | Vern, Sanders |
| Age | 13 |
| Date of Birth | 2013-03-30 |
| T-Shirt Size (Adult Unisex) | Medium |
| Grade Level this Fall? | 8th |
| School/District | Southfield Christian |
| Name of School | Southfield Christian |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | No |
| Height | 5 |
| Weight | 4 |
| Sex | Male |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 16734 Stricker Ave, Eastpointe, Michigan, 48021, United States |
| County in Which Child Resides | Macomb County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother, Father |
| Who Does the Student Live With? (Check All That Apply) | Mother, Father |
| Number of Siblings in the Home | 1 |
| Are siblings applying to a Yunion camp? | Yes, they are applying for the Keys Performing Arts Camp. |
| Is your child a returning Keys 2 Life or SWAG program participant? | No |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Please indicate student’s area of interest. We would like for you to check all applicable. | Acting, Theater, Digital Media |
| Name of Parent/Guardian Completing This Form | Erica, Sanders |
| Email Address of Parent/Guardian Completing This Form | ericasanders1024@gmail.com |
| Your Preferred Method Of Communication | Text |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 316-9639 |
| Father/Legal Guardian | Vern, Sanders Jr. |
| Father's Address | 16734 Stricker Ave, Eastpointe, Michigan, 48021, United States |
| Father's DOB | 1978-08-29 |
| Father's Home Number | (313) 319-2768 |
| Father's Email | ericasanders1024@gmail.com |
| Authorized for pick up? | Yes |
| Mother/Legal Guardian | Erica, Sanders |
| Mother's Address | 16734 Stricker Ave, Eastpointe, Michigan, 48021, United States |
| Mother's DOB | 1978-10-24 |
| Mothers Mobile Number | (313) 316-9639 |
| Mother's Email | ericasanders1024@gmail.com |
| Authorized for pick up? | Yes |
| Emergency Medical Treatment | By checking the box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking the box, I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking the box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking the box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking the box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Mentoring |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | No, my school doesn't have that program |
| What is the annual income of your family? | 125000 |
| How many dependents are in your family? | 2 |
| Are you a single-income family?* | No |
| Does the child for whom you are applying receive child support?* | No |
| How did you find out about The Yunion's Summer Camp? | |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Erica Sanders |
| Add Your Signature Here | 6a1c1c06f06219.22551823.png |
| Child's Name (Printed) | Vern Sanders 3 |
| Have Your Child Sign His/Her Signature Here | 6a1c1c070ca434.12938101.png |
| 2026 Keys2Life Performing Arts Camp | 2026 Keys2Life Performing Arts Camp, $0.00, 1 |
| Date | 2026-05-31 |
Melrose Stafford
Keys to Life Performing Arts Summer Camp · May 30, 2026
| Child Name | Melrose, Stafford |
| Age | 11 |
| Date of Birth | 2014-07-11 |
| T-Shirt Size (Adult Unisex) | Small |
| Grade Level this Fall? | 7 |
| School/District | Heritage |
| Name of School | Detroit Merit Academy |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | No |
| Height | 5 |
| Weight | 100 lbs |
| Sex | Female |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 243 Lakewood Street, Detroit, Michigan, 48215, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother, Father |
| Who Does the Student Live With? (Check All That Apply) | Mother |
| Are siblings applying to a Yunion camp? | No, they are not applying for a Yunion Camp. |
| Primary Language Other Than English | English |
| Is your child a returning Keys 2 Life or SWAG program participant? | No |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Please indicate student’s area of interest. We would like for you to check all applicable. | Acting, Theater, Music Production, Digital Media |
| Name of Parent/Guardian Completing This Form | Kimberly, Stafford |
| Email Address of Parent/Guardian Completing This Form | contactkimstafford@gmail.com |
| Your Preferred Method Of Communication | Phone Call |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 420-9537 |
| Father/Legal Guardian | Melvin, Stafford |
| Father's Address | NA, Southfield, Michigan, 48, United States |
| Father's DOB | 1969-03-25 |
| Father's Work Number | (313) 808-4739 |
| Father's Mobile Number | (313) 420-9537 |
| Father's Email | contactkimstafford@gmail.com |
| Authorized for pick up? | Yes |
| Mother/Legal Guardian | Kimberly, Stafford |
| Mother's Address | 243 Lakewood Street, Detroit, Michigan, 48215, United States |
| Mother's DOB | 1977-03-29 |
| Mothers Home Number | (313) 420-9537 |
| Mothers Mobile Number | (313) 420-9537 |
| Mother's Email | contactkimstafford@gmail.com |
| Authorized for pick up? | Yes |
| 1. Your Child’s Strengths | Leadership potential, Creativity, Compassion for others, Determination, Strong personality / confidence, Good sense of humor, Helpful at home |
| 2. Areas Where Your Child May Need Support | Sometimes struggles to follow instructions at school |
| How would you describe your child most of the time? | Energetic / high activity level, Independent, Strong-willed |
| What are you hoping your child gains from KEYS Performing Arts Camp (Check all that apply) | More discipline, Increased confidence, Stronger faith or spiritual foundation, Better decision making, Academic motivation |
| What concerns you most about your child right now? | She needs develop positive peer groups and friendships. |
| What kind of future do you hope for your child? | I want her to live out her God give purpose. |
| Preferred Hospital for Emergency Treatment | Henry Ford |
| Medical Conditions (check all that apply) | None |
| If medication must be administered during program hours, a medication authorization form must be on file. Parent Initials: | 6a1ab258e402c2.24972985.png |
| Additional medical or behavioral information staff should know: | NA |
| Name | Joan Ridgell |
| Phone | (313) 910-5788 |
| Relationship to student | Grandmother |
| Name | Kimberly |
| Phone | (313) 420-9537 |
| Relationship to student | Mother |
| Name | Melvin |
| Phone | (313) 808-4739 |
| Relationship to student | Father |
| Emergency Medical Treatment | By checking the box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking the box, I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking the box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking the box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking the box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Tutoring (school year only), Mentoring |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 550000 |
| How many dependents are in your family? | 2 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | Yes |
| Please explain any extenuating circumstances related to your financial need? (100 words or less) | Providing opportunities for my daughter to pursue her passion for acting and performing arts can be financially challenging. She is highly motivated, creative, and eager to develop her talents through this summer program, but the cost creates a significant barrier for our family. I strive to give her every opportunity to learn, grow, and build confidence through the arts, and financial assistance would make participation possible. A scholarship would allow her to benefit from this valuable experience while easing the financial strain on our |
| How did you find out about The Yunion's Summer Camp? | |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Kimberly Stafford |
| Add Your Signature Here | 6a1ab4f70e7bd3.81345840.png |
| Child's Name (Printed) | Melrose Stafford |
| Have Your Child Sign His/Her Signature Here | 6a1ab4f7198029.71956332.png |
| 2026 Keys2Life Performing Arts Camp | 2026 Keys2Life Performing Arts Camp, $0.00, 1 |
| Date | 2026-05-30 |
Kardell Jr Euseary
Keys to Life Performing Arts Summer Camp · May 28, 2026
| Child Name | Kardell Jr, Euseary |
| Age | 12 |
| Date of Birth | 2013-06-13 |
| T-Shirt Size (Adult Unisex) | Medium |
| Grade Level this Fall? | 7 |
| School/District | Detroit |
| Name of School | Homeschool |
| Education Type | Homeschool |
| Does your Child need any additional support? Please specify in comment box below. | No |
| Height | 5’3 |
| Weight | 120 |
| Sex | Male |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 19031 glenhurst st, Detroit, Michigan, 48219, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother, Father |
| Who Does the Student Live With? (Check All That Apply) | Mother |
| Number of Siblings in the Home | 6 |
| Are siblings applying to a Yunion camp? | Yes, they are applying for the Keys Performing Arts Camp. |
| Is your child a returning Keys 2 Life or SWAG program participant? | No |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Please indicate student’s area of interest. We would like for you to check all applicable. | Acting, Digital Media |
| Name of Parent/Guardian Completing This Form | Kahteela, Euseary |
| Email Address of Parent/Guardian Completing This Form | kdeuseary@gmail.com |
| Your Preferred Method Of Communication | Text |
| Cell Phone Number of Parent/Guardian Completing This Form | (918) 695-7519 |
| Father/Legal Guardian | Kardell, Euseary |
| Father's Address | 5709 Fordham Cir, Canton, Michigan, 48187, United States |
| Father's DOB | 1984-09-28 |
| Father's Mobile Number | (313) 685-7104 |
| Authorized for pick up? | Yes |
| Mother/Legal Guardian | Kahteela, Euseary |
| Mother's Address | 19031 glenhurst st, Detroit, Michigan, 48129, United States |
| Mother's DOB | 1987-06-03 |
| Mothers Mobile Number | (918) 695-7519 |
| Mother's Email | kdeuseary@gmail.com |
| Authorized for pick up? | Yes |
| 1. Your Child’s Strengths | Leadership potential, Creativity, Athletic ability, Compassion for others, Curiosity / enjoys learning, Strong personality / confidence, Good sense of humor |
| 2. Areas Where Your Child May Need Support | Sometimes struggles to follow instructions at home, Sometimes struggles to follow instructions at school, Becomes frustrated or upset when corrected |
| Emotional Regulation / Anger (Check all that apply) | Sometimes shuts down or withdraws when upset |
| Conflict with Others (Check all that apply) | Has frequent arguments with siblings, peers, or adults, Sometimes responds physically when upset |
| School Engagement (Check all that apply) | Struggles to stay focused in class |
| How would you describe your child most of the time? | Calm and easygoing, Strong-willed |
| What are you hoping your child gains from KEYS Performing Arts Camp (Check all that apply) | More discipline, Increased confidence, Positive male mentorship, Leadership skills, Stronger faith or spiritual foundation, Better decision making, Academic motivation |
| Medical Conditions (check all that apply) | None |
| If medication must be administered during program hours, a medication authorization form must be on file. Parent Initials: | 6a1884dfef1196.11164708.png |
| Name | Zahria Euseary |
| Phone | (918) 940-0944 |
| Relationship to student | Sister |
| Emergency Medical Treatment | By checking the box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking the box, I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking the box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking the box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking the box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Not needed at this time |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | No, my school doesn't have that program |
| What is the annual income of your family? | 40 |
| How many dependents are in your family? | 7 |
| Are you a single-income family?* | No |
| Does the child for whom you are applying receive child support?* | No |
| Please explain any extenuating circumstances related to your financial need? (100 words or less) | We are newly returned to Michigan after a difficult out of state displacement. Our financial priority is securing shelter. |
| How did you find out about The Yunion's Summer Camp? | Someone referred me |
| Name of Person/Recruiter who Referred You | Chyrstal Johnson |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Kahteela Euseary |
| Add Your Signature Here | 6a18865143f7c2.05196862.png |
| Child's Name (Printed) | Kardell Euseary JR |
| Have Your Child Sign His/Her Signature Here | 6a1886514fbfc3.25821598.png |
| 2026 Keys2Life Performing Arts Camp | 2026 Keys2Life Performing Arts Camp, $0.00, 1 |
| Date | 2026-05-28 |
Zahna Euseary
Keys to Life Performing Arts Summer Camp · May 28, 2026
| Child Name | Zahna, Euseary |
| Age | 11 |
| Date of Birth | 2015-04-21 |
| T-Shirt Size (Adult Unisex) | XS |
| Grade Level this Fall? | 6 |
| School/District | Detroit |
| Name of School | Homeschool |
| Education Type | Homeschool |
| Does your Child need any additional support? Please specify in comment box below. | No |
| Height | 4’o |
| Weight | 75 |
| Sex | Female |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 19031 glenhurst st, Detroit, Michigan, 48219, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother, Father |
| Who Does the Student Live With? (Check All That Apply) | Mother |
| Number of Siblings in the Home | 6 |
| Are siblings applying to a Yunion camp? | Yes, they are applying for the Keys Performing Arts Camp. |
| Is your child a returning Keys 2 Life or SWAG program participant? | No |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Please indicate student’s area of interest. We would like for you to check all applicable. | Acting, Dance |
| Name of Parent/Guardian Completing This Form | Kahteela, Euseary |
| Email Address of Parent/Guardian Completing This Form | kdeuseary@gmail.com |
| Your Preferred Method Of Communication | Text |
| Cell Phone Number of Parent/Guardian Completing This Form | (918) 695-7519 |
| Father/Legal Guardian | Kardell, Euseary |
| Father's Address | 5709 Fordham Cir, Canton, Michigan, 48187, United States |
| Father's DOB | 1984-09-28 |
| Father's Mobile Number | (313) 685-7104 |
| Father's Email | keuseary@gmail.com |
| Authorized for pick up? | Yes |
| Mother/Legal Guardian | Kahteela, Euseary |
| Mother's Address | 19031 glenhurst st, Detroit, Michigan, 48219, United States |
| Mother's DOB | 1987-06-03 |
| Mothers Mobile Number | (918) 695-7519 |
| Mother's Email | kdeuseary@gmail.com |
| Authorized for pick up? | Yes |
| 1. Your Child’s Strengths | Creativity, Athletic ability, Determination, Curiosity / enjoys learning, Good sense of humor, Helpful at home |
| Emotional Regulation / Anger (Check all that apply) | Reacts strongly to conflict or correction |
| Conflict with Others (Check all that apply) | Has frequent arguments with siblings, peers, or adults, Has been involved in bullying (either as the aggressor or target) |
| How would you describe your child most of the time? | Calm and easygoing, Sensitive / emotional, Independent, Quiet or reserved |
| What are you hoping your child gains from KEYS Performing Arts Camp (Check all that apply) | Greater respect for authority, Increased confidence, Leadership skills, Stronger faith or spiritual foundation, Academic motivation |
| Medical Conditions (check all that apply) | None |
| If medication must be administered during program hours, a medication authorization form must be on file. Parent Initials: | 6a1879d9d73ea8.28068716.png |
| Name | Zahria Euseary |
| Phone | (918) 940-0944 |
| Relationship to student | Sister |
| Emergency Medical Treatment | By checking the box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking the box, I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking the box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking the box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking the box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Not needed at this time |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | No, my school doesn't have that program |
| What is the annual income of your family? | 40 |
| How many dependents are in your family? | 7 |
| Are you a single-income family?* | No |
| Does the child for whom you are applying receive child support?* | No |
| Please explain any extenuating circumstances related to your financial need? (100 words or less) | We are newly returned to Michigan after a difficult displacement. All money is going towards securing shelter. |
| How did you find out about The Yunion's Summer Camp? | Someone referred me |
| Name of Person/Recruiter who Referred You | Chyrstal Johnson |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Kahteela Euseary |
| Add Your Signature Here | 6a18800c7c6de9.82638873.png |
| Child's Name (Printed) | Zahna Euseary |
| Have Your Child Sign His/Her Signature Here | 6a18800c898140.60156031.png |
| 2026 Keys2Life Performing Arts Camp | 2026 Keys2Life Performing Arts Camp, $0.00, 1 |
| Date | 2026-05-28 |
Evan Jenkins Jr.
Keys to Life Performing Arts Summer Camp · May 28, 2026
| Child Name | Evan, Jenkins Jr. |
| Age | 13 |
| Date of Birth | 2012-12-29 |
| T-Shirt Size (Adult Unisex) | Large |
| Grade Level this Fall? | 8th |
| School/District | Farmington Hills |
| Name of School | Warner Middle School |
| Education Type | 504 |
| Does your Child need any additional support? Please specify in comment box below. | n/a |
| Height | 5'7" |
| Weight | 166 |
| Sex | Male |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 21309 Colgate St, Farmington Hills, Michigan, 48336, United States |
| County in Which Child Resides | Oakland County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother |
| Who Does the Student Live With? (Check All That Apply) | Mother |
| Number of Siblings in the Home | 1 |
| Are siblings applying to a Yunion camp? | No, they are not applying for a Yunion Camp. |
| Is your child a returning Keys 2 Life or SWAG program participant? | No |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Please indicate student’s area of interest. We would like for you to check all applicable. | Acting, Theater, Music Production, Digital Media |
| Name of Parent/Guardian Completing This Form | Diamond, Jenkins |
| Email Address of Parent/Guardian Completing This Form | diamonda.jenkins@gmail.com |
| Your Preferred Method Of Communication | |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 695-0491 |
| Mother/Legal Guardian | Diamond, Jenkins |
| Mother's Address | 21309 Colgate St, Farmington Hills, Michigan, 48336, United States |
| Mother's DOB | 1986-04-10 |
| Mothers Mobile Number | (313) 695-0491 |
| Mother's Email | diamonda.jenkins@gmail.com |
| Authorized for pick up? | Yes |
| Emergency Medical Treatment | By checking the box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking the box, I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking the box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking the box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking the box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Not needed at this time |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 150000 |
| How many dependents are in your family? | 2 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | Yes |
| Please explain any extenuating circumstances related to your financial need? (100 words or less) | As a single mother of two, I work multiple helping-profession roles while balancing the financial responsibilities of raising active children involved in sports and enrichment opportunities. While I am employed full time, the cost of camps and extracurricular programs can still create a significant financial strain. This opportunity would greatly support Evan’s continued growth, development, and access to positive experiences that may otherwise be difficult to afford in full at this time. |
| How did you find out about The Yunion's Summer Camp? | Someone referred me |
| Name of Person/Recruiter who Referred You | Ronald Lee Jr |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Diamond Jenkins |
| Add Your Signature Here | 6a1852f0c55080.44423831.png |
| Child's Name (Printed) | Evan Jenkins Jr. |
| Have Your Child Sign His/Her Signature Here | 6a1852f0cfc919.01479283.png |
| 2026 Keys2Life Performing Arts Camp | 2026 Keys2Life Performing Arts Camp, $0.00, 1 |
| Date | 2026-05-28 |
Taraji Wilson
Keys to Life Performing Arts Summer Camp · May 27, 2026
| Child Name | Taraji, Wilson |
| Age | 13 |
| Date of Birth | 2012-08-20 |
| T-Shirt Size (Adult Unisex) | Small |
| Grade Level this Fall? | 9 |
| School/District | Detroit |
| Name of School | F.L.I.C.S |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | No |
| Height | 5’2 |
| Weight | 110 |
| Sex | Female |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 8423 abington, Detroit, Michigan, 48228, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother |
| Who Does the Student Live With? (Check All That Apply) | Mother |
| Number of Siblings in the Home | 1 |
| Are siblings applying to a Yunion camp? | No, they are not applying for a Yunion Camp. |
| Is your child a returning Keys 2 Life or SWAG program participant? | No |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Please indicate student’s area of interest. We would like for you to check all applicable. | Acting, Dance, Theater, Music Production, Digital Media |
| Name of Parent/Guardian Completing This Form | Kelley, Wilson |
| Email Address of Parent/Guardian Completing This Form | orgswishersweet@gmail.com |
| Your Preferred Method Of Communication | Phone Call |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 258-2948 |
| Mother/Legal Guardian | Kelley, Wilson |
| Mother's Address | 8423 abington, Detroit, Michigan, 48228, United States |
| Mother's DOB | 1986-03-19 |
| Mothers Mobile Number | (313) 258-2948 |
| Mother's Email | orgswishersweet@gmail.com |
| Authorized for pick up? | Yes |
| 1. Your Child’s Strengths | Leadership potential, Creativity, Compassion for others, Strong personality / confidence, Helpful at home |
| 2. Areas Where Your Child May Need Support | Sometimes struggles to follow instructions at school, Becomes frustrated or upset when corrected |
| Emotional Regulation / Anger (Check all that apply) | Sometimes shuts down or withdraws when upset |
| School Engagement (Check all that apply) | Struggles to stay focused in class |
| How would you describe your child most of the time? | Calm and easygoing, Strong-willed, Quiet or reserved |
| What are you hoping your child gains from KEYS Performing Arts Camp (Check all that apply) | Increased confidence, Leadership skills, Stronger faith or spiritual foundation, Academic motivation |
| What concerns you most about your child right now? | Taraji is still having a hard time dealing with her grandma passing in 2022. Also I’m struggling financially and it’s affect her, she’s not always to do the things her peers do of have the things they have. |
| What kind of future do you hope for your child? | More confidence, more motivation, ant to not struggle so hard in school. I want her be the best she can be in everything she does. I want her to be proud of herself. |
| Medical Conditions (check all that apply) | None |
| Name | Kelley wilson |
| Phone | (313) 258-2948 |
| Additional Phone Number | (313) 879-9872 |
| Relationship to student | Mother |
| Emergency Medical Treatment | By checking the box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking the box, I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking the box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking the box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking the box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Tutoring (school year only), Mentoring, Counseling referral, Family resources |
| May one of our team members contact you with more information about our support services? | No |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 17000 |
| How many dependents are in your family? | 2 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | Yes |
| Please explain any extenuating circumstances related to your financial need? (100 words or less) | I am self employed as a nail tech. It’s getting harder to be. Y job and normal activities because of my condition. I have Multiple Sclerosis and in the process of applying for disability. Even walking amd driving are becoming harder and harder. I also Don’t have good transportation. I can’t afford to get another vehicle of fix the one I do have. I also don’t have much family or any other support system. No help from the fathers. |
| How did you find out about The Yunion's Summer Camp? | I don’t remember |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Kelley wilson |
| Add Your Signature Here | 6a16ffdbebf269.13826895.png |
| Child's Name (Printed) | Taraji wilson |
| Have Your Child Sign His/Her Signature Here | 6a16ffdc02fe03.51939158.png |
| 2026 Keys2Life Performing Arts Camp | 2026 Keys2Life Performing Arts Camp, $0.00, 1 |
| Date | 2026-05-27 |
Yisrayl Knight
Keys to Life Performing Arts Summer Camp · May 26, 2026
| Child Name | Yisrayl, Knight |
| Age | 12 |
| Date of Birth | 2014-01-14 |
| T-Shirt Size (Adult Unisex) | XL |
| Grade Level this Fall? | 7 |
| School/District | American Montessori academy/Livonia |
| Name of School | American Montessori Academy |
| Education Type | IEP |
| Does your Child need any additional support? Please specify in comment box below. | No |
| Height | 5’10 |
| Weight | 206 |
| Sex | Male |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 16603 Shaftesbury, Detroit, Michigan, 48219, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother, Father |
| Who Does the Student Live With? (Check All That Apply) | Mother, Father |
| Number of Siblings in the Home | 2 |
| Are siblings applying to a Yunion camp? | No, they are not applying for a Yunion Camp. |
| Primary Language Other Than English | N/A |
| Is your child a returning Keys 2 Life or SWAG program participant? | No |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Please indicate student’s area of interest. We would like for you to check all applicable. | Music Production, Digital Media |
| Name of Parent/Guardian Completing This Form | Katreia, Knight |
| Email Address of Parent/Guardian Completing This Form | kknight922@yahoo.com |
| Your Preferred Method Of Communication | |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 221-7627 |
| Father/Legal Guardian | Jeffery, Knight |
| Father's Address | 16603 Shaftesbury, Detroit, Michigan, 48219, United States |
| Father's DOB | 1986-05-01 |
| Father's Home Number | (313) 230-8080 |
| Father's Work Number | (313) 899-2678 |
| Father's Mobile Number | (313) 230-8080 |
| Father's Email | jknight501@gmail.com |
| Authorized for pick up? | Yes |
| Mother/Legal Guardian | Katreia, Knight |
| Mother's Address | 16603 Shaftesbury, Detroit, Michigan, 48219, United States |
| Mother's DOB | 1988-01-18 |
| Mothers Mobile Number | (313) 221-7627 |
| Mother's Email | kknight922@yahoo.com |
| Authorized for pick up? | Yes |
| 1. Your Child’s Strengths | Leadership potential, Creativity, Curiosity / enjoys learning, Good sense of humor |
| 2. Areas Where Your Child May Need Support | Sometimes struggles to follow instructions at home, Becomes frustrated or upset when corrected |
| Emotional Regulation / Anger (Check all that apply) | Has difficulty controlling anger or frustration, Reacts strongly to conflict or correction, Sometimes shuts down or withdraws when upset |
| Conflict with Others (Check all that apply) | Has frequent arguments with siblings, peers, or adults |
| School Engagement (Check all that apply) | Has received school suspension(s) |
| Has your child ever (Check all that apply): | Been suspended from school |
| How would you describe your child most of the time? | Calm and easygoing, Sensitive / emotional, Quiet or reserved |
| What are you hoping your child gains from KEYS Performing Arts Camp (Check all that apply) | More discipline, Greater respect for authority, Better anger management, Increased confidence, Positive male mentorship, Leadership skills, Stronger faith or spiritual foundation, Better decision making, Academic motivation |
| What concerns you most about your child right now? | Lack of confidence and discipline. A well as his drive to do things. |
| What kind of future do you hope for your child? | Grounded leader, respectful, and succeeding in his craft |
| Preferred Hospital for Emergency Treatment | Providence (Southfield) |
| Medical Conditions (check all that apply) | Allergies |
| Food Allergies | Cashews, pork, seafood |
| Name | Christopher Walker |
| Phone | (313) 544-3818 |
| Relationship to student | Grandfather |
| Name | Jeffery Knight Sr |
| Phone | (313) 461-5678 |
| Relationship to student | Grandfather |
| Name | Jeffery Knight Jr |
| Phone | (313) 230-8080 |
| Additional Phone Number | (313) 899-2678 |
| Relationship to student | Father |
| Emergency Medical Treatment | By checking the box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking the box, I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking the box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking the box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking the box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Tutoring (school year only), Mentoring, Counseling referral, Behavioral support, Family resources |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 20000 |
| How many dependents are in your family? | 3 |
| Are you a single-income family?* | No |
| Does the child for whom you are applying receive child support?* | No |
| Please explain any extenuating circumstances related to your financial need? (100 words or less) | Self employment income fluctuating, recent job loss , reduced income |
| How did you find out about The Yunion's Summer Camp? | I found out about it through the Cave of Adullam |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Katreia Knight |
| Add Your Signature Here | 6a1609fdb3a830.40781619.png |
| Child's Name (Printed) | Yisrayl Knight |
| Have Your Child Sign His/Her Signature Here | 6a160a2e98e558.30458717.png |
| 2026 Keys2Life Performing Arts Camp | 2026 Keys2Life Performing Arts Camp, $0.00, 1 |
| Date | 2026-05-26 |
Amaree Thomas
Keys to Life Performing Arts Summer Camp · May 26, 2026
| Child Name | Amaree, Thomas |
| Age | 11 |
| Date of Birth | 2014-11-29 |
| T-Shirt Size (Adult Unisex) | Medium |
| Grade Level this Fall? | 5 |
| School/District | Detroit |
| Name of School | New paradigm glazer academy |
| Education Type | IEP |
| Does your Child need any additional support? Please specify in comment box below. | No8088 said marys |
| Height | 4 |
| Weight | 10 |
| Sex | Male |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 8088 saint Mary’s, Detroit, Michigan, 48228, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother, Father |
| Who Does the Student Live With? (Check All That Apply) | Mother, Father |
| Number of Siblings in the Home | 3 |
| Are siblings applying to a Yunion camp? | Yes, they are applying for the Keys Performing Arts Camp. |
| Primary Language Other Than English | English |
| Is your child a returning Keys 2 Life or SWAG program participant? | No |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Please indicate student’s area of interest. We would like for you to check all applicable. | Acting, Music Production, Digital Media |
| Name of Parent/Guardian Completing This Form | Bianca, Reeves |
| Email Address of Parent/Guardian Completing This Form | beautifuljourney36@att.com |
| Your Preferred Method Of Communication | Phone Call |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 857-5945 |
| Father/Legal Guardian | Curtis, Thomas |
| Father's Address | 8088 St Marys, Detroit, Michigan, 48228, United States |
| Father's DOB | 1985-01-24 |
| Authorized for pick up? | Yes |
| Mother/Legal Guardian | Bianca, Reeves |
| Mother's Address | 8088 St Marys, Detroit, Michigan, 48228, United States |
| Mothers Mobile Number | (313) 857-5945 |
| Mother's Email | beautifuljourney36@att.com |
| Authorized for pick up? | Yes |
| 1. Your Child’s Strengths | Leadership potential, Creativity, Athletic ability, Compassion for others, Determination, Curiosity / enjoys learning, Strong personality / confidence, Good sense of humor, Helpful at home |
| 2. Areas Where Your Child May Need Support | Sometimes struggles to follow instructions at school, Becomes frustrated or upset when corrected |
| Emotional Regulation / Anger (Check all that apply) | Has difficulty controlling anger or frustration, Reacts strongly to conflict or correction, Sometimes shuts down or withdraws when upset |
| Conflict with Others (Check all that apply) | Has been involved in bullying (either as the aggressor or target), Sometimes responds physically when upset |
| School Engagement (Check all that apply) | Struggles with school attendance, Struggles to stay focused in class, Has experienced disciplinary action at school, Has received school suspension(s) |
| Has your child ever (Check all that apply): | Been suspended from school |
| How would you describe your child most of the time? | Calm and easygoing, Energetic / high activity level, Sensitive / emotional, Independent, Strong-willed |
| What are you hoping your child gains from KEYS Performing Arts Camp (Check all that apply) | More discipline, Greater respect for authority, Increased confidence, Positive male mentorship, Leadership skills, Stronger faith or spiritual foundation, Better decision making, Academic motivation |
| What concerns you most about your child right now? | Amaree is a great kid he struggles with speech and being picked on and he’s vevery defensive and don’t like to see others being picked on |
| What kind of future do you hope for your child? | I would like for Amaree to be successful in what ever field he desires to be in |
| Preferred Hospital for Emergency Treatment | Nearest available |
| Medical Conditions (check all that apply) | Allergies |
| Food Allergies | No |
| Allergic to Bees? | No |
| If medication must be administered during program hours, a medication authorization form must be on file. Parent Initials: | 6a15e0d86d2457.17201173.png |
| Additional medical or behavioral information staff should know: | Amaree sometimes have breath holding spells when he cry’s sometimes he holds his breath unwilling and passes out |
| Name | Rose Reeves |
| Phone | (313) 623-5699 |
| Relationship to student | Aunt |
| Name | Thelma Floyd |
| Phone | (248) 825-0093 |
| Relationship to student | Great aunt |
| Emergency Medical Treatment | By checking the box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking the box, I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking the box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking the box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking the box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Tutoring (school year only), Mentoring, Counseling referral, Behavioral support, Family resources |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 12000 |
| How many dependents are in your family? | 3 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | No |
| Please explain any extenuating circumstances related to your financial need? (100 words or less) | Not having transportation and being on a fixed income |
| How did you find out about The Yunion's Summer Camp? | Fox 2 news |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Bianca Reeves |
| Add Your Signature Here | 6a15e4fdec7cc1.20553790.png |
| Child's Name (Printed) | Amaree Thomas |
| Have Your Child Sign His/Her Signature Here | 6a15e4fe037cf8.61049821.png |
| 2026 Keys2Life Performing Arts Camp | 2026 Keys2Life Performing Arts Camp, $0.00, 1 |
| Date | 2026-05-26 |
serenity Stephens
Keys to Life Performing Arts Summer Camp · May 26, 2026
| Child Name | serenity, Stephens |
| Age | 13 |
| Date of Birth | 2013-01-28 |
| T-Shirt Size (Adult Unisex) | Medium |
| Grade Level this Fall? | 7 |
| School/District | Detroit |
| Name of School | Detroit leadership academy |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | No |
| Height | 5 |
| Weight | 1 |
| Sex | Female |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 8088 SAINT MARYS, Detroit, Michigan, 48228, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother |
| Who Does the Student Live With? (Check All That Apply) | Mother |
| Number of Siblings in the Home | 2 |
| Are siblings applying to a Yunion camp? | Yes, they are applying for the Keys Performing Arts Camp. |
| Is your child a returning Keys 2 Life or SWAG program participant? | No |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Please indicate student’s area of interest. We would like for you to check all applicable. | Dance, Music Production, Digital Media |
| Name of Parent/Guardian Completing This Form | Bianca, Reeves |
| Email Address of Parent/Guardian Completing This Form | beautifuljourney36@att.com |
| Your Preferred Method Of Communication | Text |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 857-5945 |
| Mother/Legal Guardian | Bianca, Reeves |
| Mother's Address | 8088 St Marys, Detroit, Michigan, 48228, United States |
| Mother's DOB | 1990-05-06 |
| Mothers Home Number | (313) 857-5945 |
| Mothers Mobile Number | (313) 857-5945 |
| Mother's Email | beautifuljourney36@att.com |
| Authorized for pick up? | Yes |
| 1. Your Child’s Strengths | Creativity, Determination, Curiosity / enjoys learning, Helpful at home |
| 2. Areas Where Your Child May Need Support | Other |
| Other | Serenity some time gets frustrated when told to do some thing but not all the time |
| Emotional Regulation / Anger (Check all that apply) | Reacts strongly to conflict or correction, Sometimes shuts down or withdraws when upset |
| School Engagement (Check all that apply) | Struggles to stay focused in class |
| How would you describe your child most of the time? | Energetic / high activity level, Sensitive / emotional, Independent, Strong-willed |
| What are you hoping your child gains from KEYS Performing Arts Camp (Check all that apply) | More discipline, Greater respect for authority, Better anger management, Increased confidence, Leadership skills, Stronger faith or spiritual foundation, Better decision making, Academic motivation |
| What concerns you most about your child right now? | Getting serenity to the point where she doesn’t self criticize herself in a negative way |
| What kind of future do you hope for your child? | Serenity loves dance and media but I would like for serenity to be successful in what ever field she desires |
| Preferred Hospital for Emergency Treatment | Nearest available |
| Medical Conditions (check all that apply) | Allergies, Asthma |
| Food Allergies | None |
| Allergic to Bees? | No |
| If medication must be administered during program hours, a medication authorization form must be on file. Parent Initials: | 6a15d43b82e215.05635136.png |
| Additional medical or behavioral information staff should know: | Serenity just lost her dad a few months ago ago and I have some health conditioni am on dialysis and have lupus so ther are many things I struggle with that serenity is afraid she will lose me |
| Name | Rose Reeves |
| Phone | (313) 823-5699 |
| Relationship to student | Aunt |
| Name | Thelma Floyd |
| Phone | (248) 825-0093 |
| Relationship to student | Great aunt |
| Name | Karrie Verdell |
| Phone | (843) 300-7202 |
| Emergency Medical Treatment | By checking the box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking the box, I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking the box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking the box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking the box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Tutoring (school year only), Mentoring, Counseling referral, Family resources |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 12000 |
| How many dependents are in your family? | 3 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | No |
| Please explain any extenuating circumstances related to your financial need? (100 words or less) | I have some transportation issues |
| How did you find out about The Yunion's Summer Camp? | fox 2 news |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Bianca Reeves |
| Add Your Signature Here | 6a15d78d496c78.43671783.png |
| Child's Name (Printed) | Serenity Stephen |
| Have Your Child Sign His/Her Signature Here | 6a15d78d52cbb1.30767259.png |
| 2026 Keys2Life Performing Arts Camp | 2026 Keys2Life Performing Arts Camp, $0.00, 1 |
| Date | 2026-05-26 |
Faith Nunn
Keys to Life Performing Arts Summer Camp · May 25, 2026
| Child Name | Faith, Nunn |
| Age | 13 |
| Date of Birth | 2012-12-21 |
| T-Shirt Size (Adult Unisex) | XS |
| Grade Level this Fall? | 9 |
| School/District | Detroit |
| Name of School | Chosen Vessels Academy |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | Yes, support with her attitude |
| Height | 5’6 |
| Weight | 120 |
| Sex | Female |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 4357 Leslie St., Detroit, Michigan, 48238, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother, Father |
| Who Does the Student Live With? (Check All That Apply) | Mother |
| Number of Siblings in the Home | 4 |
| Are siblings applying to a Yunion camp? | No, they are not applying for a Yunion Camp. |
| Is your child a returning Keys 2 Life or SWAG program participant? | Yes |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Please indicate student’s area of interest. We would like for you to check all applicable. | Acting, Dance, Theater |
| Name of Parent/Guardian Completing This Form | Helena, Nunn |
| Email Address of Parent/Guardian Completing This Form | hnunn@att.net |
| Your Preferred Method Of Communication | |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 686-1010 |
| Father/Legal Guardian | Ronald, Nunn |
| Father's Address | 520 St. Maron Place, Detroit, Michigan, 48207, United States |
| Father's DOB | 1979-02-17 |
| Father's Mobile Number | (248) 535-4938 |
| Father's Email | ronnunn217@gmail.com |
| Authorized for pick up? | Yes |
| Mother/Legal Guardian | Helena, Nunn |
| Mother's Address | 4357 Leslie St., Detroit, Michigan, 48238, United States |
| Mother's DOB | 1979-04-26 |
| Mothers Mobile Number | (313) 686-1010 |
| Mother's Email | hnunn@att.net |
| Authorized for pick up? | Yes |
| 1. Your Child’s Strengths | Leadership potential, Creativity, Athletic ability, Compassion for others |
| 2. Areas Where Your Child May Need Support | Sometimes struggles to follow instructions at home, Sometimes struggles to follow instructions at school, Becomes frustrated or upset when corrected |
| Emotional Regulation / Anger (Check all that apply) | Has difficulty controlling anger or frustration, Reacts strongly to conflict or correction, Sometimes shuts down or withdraws when upset |
| Conflict with Others (Check all that apply) | Has frequent arguments with siblings, peers, or adults, Sometimes responds physically when upset |
| School Engagement (Check all that apply) | Struggles to stay focused in class, Has experienced disciplinary action at school |
| Curfew / Home Expectations | Sometimes struggles to follow curfew or home rules |
| How would you describe your child most of the time? | Sensitive / emotional, Strong-willed, Quiet or reserved |
| What are you hoping your child gains from KEYS Performing Arts Camp (Check all that apply) | More discipline, Greater respect for authority, Better anger management, Increased confidence, Stronger faith or spiritual foundation, Better decision making |
| What concerns you most about your child right now? | Faith likes to argue and fight too much. |
| What kind of future do you hope for your child? | A future of peace and equity. |
| Preferred Hospital for Emergency Treatment | Children’s Hospital of MI |
| Medical Conditions (check all that apply) | Allergies, Asthma |
| Food Allergies | Seafood |
| Allergic to Bees? | No |
| If medication must be administered during program hours, a medication authorization form must be on file. Parent Initials: | 6a10cc19f1dac4.86441845.png |
| Name | Brianna Pitts |
| Phone | (313) 878-6093 |
| Relationship to student | Sister |
| Emergency Medical Treatment | By checking the box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking the box, I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking the box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking the box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking the box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Tutoring (school year only), Mentoring, Counseling referral, Behavioral support, Family resources |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 48000 |
| How many dependents are in your family? | 5 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | Yes |
| How did you find out about The Yunion's Summer Camp? | Returning Camper |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Helena Nunn |
| Add Your Signature Here | 6a143fdfc8f234.81961637.png |
| Child's Name (Printed) | Faith Nunn |
| Have Your Child Sign His/Her Signature Here | 6a143fdfd543f2.58465334.png |
| 2026 Keys2Life Performing Arts Camp | 2026 Keys2Life Performing Arts Camp, $0.00, 1 |
| Date | 2026-05-22 |
Saraiah Dawson
Keys to Life Performing Arts Summer Camp · May 24, 2026
| Child Name | Saraiah, Dawson |
| Age | 12 |
| Date of Birth | 2013-10-24 |
| T-Shirt Size (Adult Unisex) | XL |
| Grade Level this Fall? | 8 |
| School/District | DPSCD |
| Name of School | Bates Academy |
| Education Type | IEP |
| Does your Child need any additional support? Please specify in comment box below. | Saraiah has a minor math learning learning disability, but she is in general class for every subject. |
| Height | 5’6” |
| Weight | 200 |
| Sex | Female |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 15016 Wildemere St, Detroit, Michigan, 48238, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother, Father, Step-Father |
| Who Does the Student Live With? (Check All That Apply) | Mother |
| Number of Siblings in the Home | 1 |
| Are siblings applying to a Yunion camp? | No, they are not applying for a Yunion Camp. |
| Is your child a returning Keys 2 Life or SWAG program participant? | No |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Please indicate student’s area of interest. We would like for you to check all applicable. | Acting, Theater, Music Production, Digital Media |
| Name of Parent/Guardian Completing This Form | Sheleta, Reed |
| Email Address of Parent/Guardian Completing This Form | shelonpurpose@gmail.com |
| Your Preferred Method Of Communication | Phone Call |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 463-3022 |
| Father/Legal Guardian | Shawn, Dawson Jr. |
| Father's Address | 18967 Woodingham, Detroit, Michigan, 48221, United States |
| Father's DOB | 1990-12-18 |
| Father's Mobile Number | (313) 850-2029 |
| Authorized for pick up? | Yes |
| Mother/Legal Guardian | Sheleta, Reed |
| Mother's Address | 15016 Wildemere St, Detroit, Michigan, 48238, United States |
| Mother's DOB | 1989-04-21 |
| Mothers Mobile Number | (313) 463-3022 |
| Mother's Email | shelonpurpose@gmail.com |
| Authorized for pick up? | Yes |
| Step-Father | Dennis, Hall |
| Step-Father's Phone Number | (313) 939-1171 |
| Authorized for pick up? | Yes |
| 1. Your Child’s Strengths | Leadership potential, Creativity, Athletic ability, Compassion for others, Determination, Curiosity / enjoys learning, Strong personality / confidence, Good sense of humor, Helpful at home |
| 2. Areas Where Your Child May Need Support | Sometimes struggles to follow instructions at home, Sometimes struggles to follow instructions at school, Becomes frustrated or upset when corrected |
| Emotional Regulation / Anger (Check all that apply) | Reacts strongly to conflict or correction, Sometimes shuts down or withdraws when upset |
| Conflict with Others (Check all that apply) | Has been involved in bullying (either as the aggressor or target), Sometimes responds physically when upset |
| School Engagement (Check all that apply) | Struggles to stay focused in class, Has experienced disciplinary action at school, Has received school suspension(s) |
| Curfew / Home Expectations | Sometimes struggles to follow curfew or home rules |
| Exposure to Risk Behaviors (Check all that apply) | Has experimented with vaping, tobacco, alcohol, or drugs |
| Has your child ever (Check all that apply): | Been suspended from school |
| How would you describe your child most of the time? | Calm and easygoing, Sensitive / emotional, Independent, Strong-willed, Quiet or reserved |
| What are you hoping your child gains from KEYS Performing Arts Camp (Check all that apply) | More discipline, Better anger management, Increased confidence, Positive male mentorship, Leadership skills, Stronger faith or spiritual foundation, Better decision making, Academic motivation |
| What concerns you most about your child right now? | Saraiah has inattentive ADHD traits and trouble finding good friendship bonds within her age group. Our family has alot of adults. So she’s mature and needs help learning what’s age appropriate communication for herself. She has experienced diverse types of trauma. Socializing is an area where she has plenty of room for positive growth. She’s a light character. She has an extraordinary world view that could use some productive refining and expression. |
| What kind of future do you hope for your child? | Prayerfully, a better enriching summer program will lead her to enter 8th grade with alot more understanding of herself in diverse settings. I’m really hoping she finds a safe spot for her dramatic nature to thrive. Her therapist and I am working with her on refine her ADHD traits in favorable ways. This program is likely to help her flourish more with our very active self-care and time management goals. |
| Preferred Hospital for Emergency Treatment | Children’s Hospital in detroit mi |
| Medical Conditions (check all that apply) | None |
| If medication must be administered during program hours, a medication authorization form must be on file. Parent Initials: | 6a131fe2517915.33573100.png |
| Name | Venita Reed |
| Phone | (313) 463-3022 |
| Relationship to student | Grandmother |
| Name | Latanya Davis |
| Phone | (248) 470-3378 |
| Relationship to student | Grandmother |
| Emergency Medical Treatment | By checking the box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking the box, I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking the box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking the box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking the box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Mentoring, Family resources |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 42000 |
| How many dependents are in your family? | 2 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | No |
| Please explain any extenuating circumstances related to your financial need? (100 words or less) | I own a 100year old house. We are recovering from severe moisture damage to our home. My current income is low. My job ends with the school year. My next job doesn’t start until June. I am struggling to make ends meet. I am prioritizing my Saraiah’s mental health by securing more productive outlets for fun and creative expression. This scholarship will help us do that and so much more. |
| How did you find out about The Yunion's Summer Camp? | Someone referred me |
| Name of Person/Recruiter who Referred You | Martika Lewis |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Sheleta Reed |
| Add Your Signature Here | 6a13225b351b63.80771056.png |
| Child's Name (Printed) | Saraiah Dawson |
| Have Your Child Sign His/Her Signature Here | 6a13225b3ef5c9.77063293.png |
| 2026 Keys2Life Performing Arts Camp | 2026 Keys2Life Performing Arts Camp, $0.00, 1 |
| Date | 2026-05-24 |
Rapi Campbell
Keys to Life Performing Arts Summer Camp · May 24, 2026
| Child Name | Rapi, Campbell |
| Age | 11 |
| Date of Birth | 2014-12-29 |
| T-Shirt Size (Adult Unisex) | Large |
| Grade Level this Fall? | 6 |
| School/District | Detroit |
| Name of School | Trix |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | N/A |
| Height | 5 |
| Weight | 2 |
| Sex | Male |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 20069 Goulburn Ave, Detroit, Michigan, 48205-1007, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother |
| Who Does the Student Live With? (Check All That Apply) | Mother |
| Are siblings applying to a Yunion camp? | No, they are not applying for a Yunion Camp. |
| Is your child a returning Keys 2 Life or SWAG program participant? | No |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Please indicate student’s area of interest. We would like for you to check all applicable. | Acting, Theater, Music Production, Digital Media |
| Name of Parent/Guardian Completing This Form | Paula, Jarrett-Papaioannou |
| Email Address of Parent/Guardian Completing This Form | weddingextravaganzas711@gmail.com |
| Your Preferred Method Of Communication | Text |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 856-5747 |
| Mother/Legal Guardian | Paula, Jarrett-Papaioannou |
| Mother's Address | 20069 Goulburn Ave, Detroit, Michigan, 48205-1007, United States |
| Mother's DOB | 1976-04-28 |
| Mothers Work Number | (313) 444-2922 |
| Mothers Mobile Number | (313) 856-5747 |
| Mother's Email | weddingextravaganzas711@gmail.com |
| Authorized for pick up? | No |
| 1. Your Child’s Strengths | Leadership potential, Creativity, Compassion for others, Determination, Curiosity / enjoys learning, Strong personality / confidence, Good sense of humor, Helpful at home |
| Conflict with Others (Check all that apply) | Has been involved in bullying (either as the aggressor or target) |
| How would you describe your child most of the time? | Calm and easygoing, Sensitive / emotional, Independent, Strong-willed |
| What are you hoping your child gains from KEYS Performing Arts Camp (Check all that apply) | Increased confidence, Academic motivation |
| What concerns you most about your child right now? | N/A |
| What kind of future do you hope for your child? | My child would like to become a cartoonist. He always want to be a content creator. |
| Preferred Hospital for Emergency Treatment | Children's |
| Medical Conditions (check all that apply) | Allergies, Asthma |
| Food Allergies | Pineapple/Dairy |
| Allergic to Bees? | No |
| If medication must be administered during program hours, a medication authorization form must be on file. Parent Initials: | 6a12a9b5c70410.04789749.png |
| Name | Paula JarrettPapaioann |
| Phone | (313) 856-5747 |
| Relationship to student | Mother |
| Emergency Medical Treatment | By checking the box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking the box, I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking the box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking the box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking the box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| May one of our team members contact you with more information about our support services? | No |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 56000 |
| How many dependents are in your family? | 1 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | No |
| Please explain any extenuating circumstances related to your financial need? (100 words or less) | Single mother paying student loans income to high for subsidies. After paying bills there is just not enough for extras in the current economy. |
| How did you find out about The Yunion's Summer Camp? | Google Search |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Paula Jarrett-Papaioannou |
| Add Your Signature Here | 6a12ab9969cb77.79772730.png |
| Child's Name (Printed) | Rapi Campbell |
| Have Your Child Sign His/Her Signature Here | 6a12ab99737073.66888120.png |
| 2026 Keys2Life Performing Arts Camp | 2026 Keys2Life Performing Arts Camp, $0.00, 1 |
| Date | 2026-05-24 |
Berry Aubree
Keys to Life Performing Arts Summer Camp · May 23, 2026
| Child Name | Berry, Aubree |
| Age | 13 |
| Date of Birth | 2012-10-02 |
| T-Shirt Size (Adult Unisex) | Medium |
| Grade Level this Fall? | 9th |
| School/District | Detroit |
| Name of School | Cornerstone |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | No |
| Height | 5’2 |
| Weight | 107lbs |
| Sex | Female |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 19984, Whitcomb, Michigan, Detroit Michigan, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother |
| Who Does the Student Live With? (Check All That Apply) | Mother |
| Are siblings applying to a Yunion camp? | No, they are not applying for a Yunion Camp. |
| Is your child a returning Keys 2 Life or SWAG program participant? | No |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Please indicate student’s area of interest. We would like for you to check all applicable. | Acting, Dance |
| Name of Parent/Guardian Completing This Form | Alexa Patricia, Berry |
| Email Address of Parent/Guardian Completing This Form | patriciaberry7@icloud.com |
| Your Preferred Method Of Communication | |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 879-9872 |
| Mother/Legal Guardian | Alexa Patricia, Berry |
| Mother's Address | 19984, Whitcomb, Michigan, Detroit Michigan, United States |
| Mother's DOB | 1993-10-19 |
| Mothers Mobile Number | (313) 879-9872 |
| Mother's Email | patriciaberry7@icloud.com |
| Authorized for pick up? | Yes |
| 1. Your Child’s Strengths | Creativity, Athletic ability, Compassion for others, Determination, Strong personality / confidence, Good sense of humor, Helpful at home, Other strengths |
| Other strengths: | Kind, caring, compassionate |
| How would you describe your child most of the time? | Calm and easygoing, Energetic / high activity level, Independent, Quiet or reserved |
| What are you hoping your child gains from KEYS Performing Arts Camp (Check all that apply) | Increased confidence, Positive male mentorship, Leadership skills, Stronger faith or spiritual foundation, Better decision making, Academic motivation |
| What concerns you most about your child right now? | I pray Aubree adjusts well becoming a teenager and realizes how important academic success is to her life and future; and that she stays true to herself and doesn’t fall into following the wrong group or individuals. |
| What kind of future do you hope for your child? | In the state of the current world situation, I pray Aubree has a bright future filled with joy and that she finds a career she enjoys and one that will pay well so she can have a good life! |
| Preferred Hospital for Emergency Treatment | Providence |
| Medical Conditions (check all that apply) | Allergies |
| Allergic to Bees? | No |
| Name | Patricia Anne Berry |
| Phone | (313) 986-5089 |
| Additional Phone Number | (313) 879-9872 |
| Relationship to student | Grandmother |
| Name | Lauren Beras |
| Phone | (248) 563-4461 |
| Relationship to student | Godmother |
| Name | Gregory Berry |
| Phone | (313) 790-3244 |
| Relationship to student | Grandad |
| Emergency Medical Treatment | By checking the box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking the box, I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking the box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking the box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking the box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Tutoring (school year only), Mentoring, Family resources |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 19000 |
| How many dependents are in your family? | 2 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | No |
| Please explain any extenuating circumstances related to your financial need? (100 words or less) | On April 1st 2026, I was just awarded and regained custody of Aubree from Wayne County Probate Judge Michael J. McClory after 2 years and am trying to be the best mother I can be! I just got a job and am struggling financially but with grace of God I am determined and for sure desperately need a scholarship🙏🏽 |
| How did you find out about The Yunion's Summer Camp? | Someone referred me |
| Name of Person/Recruiter who Referred You | Bruce Collins |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Alexa Berry |
| Add Your Signature Here | 6a11d5c51dd3d7.29413200.png |
| Child's Name (Printed) | Aubree Berry |
| Have Your Child Sign His/Her Signature Here | 6a11d5c5295439.28105373.png |
| 2026 Keys2Life Performing Arts Camp | 2026 Keys2Life Performing Arts Camp, $0.00, 1 |
| Date | 2026-05-23 |
BrooklynReign Bush
Keys to Life Performing Arts Summer Camp · May 23, 2026
| Child Name | BrooklynReign, Bush |
| Age | 10 |
| Date of Birth | 2016-01-28 |
| T-Shirt Size (Adult Unisex) | Medium |
| Grade Level this Fall? | 5 |
| School/District | Detroit |
| Name of School | Detroit Community |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | No |
| Height | 4ft 11in |
| Weight | 130 |
| Sex | Female |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 12820 Bramell, Detroit, Michigan, 48223, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother, Father |
| Who Does the Student Live With? (Check All That Apply) | Mother, Father |
| Number of Siblings in the Home | 1 |
| Are siblings applying to a Yunion camp? | No, they are not applying for a Yunion Camp. |
| Is your child a returning Keys 2 Life or SWAG program participant? | No |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Please indicate student’s area of interest. We would like for you to check all applicable. | Acting, Dance, Theater |
| Name of Parent/Guardian Completing This Form | Yvette, Bush |
| Email Address of Parent/Guardian Completing This Form | Yvettebush31@gmail.com |
| Your Preferred Method Of Communication | Phone Call |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 918-9356 |
| Father/Legal Guardian | Charles, Bush Sr. |
| Father's Address | 12820 Bramell, Detroit, Michigan, 48223, United States |
| Father's DOB | 1976-06-04 |
| Father's Home Number | (313) 392-3367 |
| Father's Mobile Number | (313) 392-3367 |
| Father's Email | coachbushdbc@gmail.com |
| Authorized for pick up? | Yes |
| Mother/Legal Guardian | Yvette, Bush |
| Mother's Address | 12820 Bramell, Detroit, Michigan, 48223, United States |
| Mother's DOB | 1975-11-25 |
| Mothers Home Number | (323) 918-9356 |
| Mothers Mobile Number | (313) 918-9356 |
| Mother's Email | Yvettebush31@gmail.com |
| Authorized for pick up? | Yes |
| 1. Your Child’s Strengths | Leadership potential, Creativity, Athletic ability, Curiosity / enjoys learning, Good sense of humor, Helpful at home |
| 2. Areas Where Your Child May Need Support | Sometimes struggles to follow instructions at home, Becomes frustrated or upset when corrected |
| Emotional Regulation / Anger (Check all that apply) | Reacts strongly to conflict or correction |
| Conflict with Others (Check all that apply) | Other |
| School Engagement (Check all that apply) | Other |
| Other | Has no problem in School |
| Leaving Home Without Permission (Check all that apply) | Other |
| Other | N/A |
| Exposure to Risk Behaviors (Check all that apply) | Other |
| Other | N/A |
| How would you describe your child most of the time? | Energetic / high activity level |
| What are you hoping your child gains from KEYS Performing Arts Camp (Check all that apply) | More discipline, Increased confidence, Leadership skills, Better decision making, Academic motivation |
| What concerns you most about your child right now? | Nothing i just want her in a Program doing the things she enjoys while learning New. |
| What kind of future do you hope for your child? | Where Everything is Possible and Nothing is Impossible beyond her Reach! |
| Preferred Hospital for Emergency Treatment | Providence Hospital |
| Medical Conditions (check all that apply) | Allergies, Asthma |
| Food Allergies | None |
| Allergic to Bees? | No |
| If medication must be administered during program hours, a medication authorization form must be on file. Parent Initials: | 6a11c24d2ee662.93202992.png |
| Additional medical or behavioral information staff should know: | Carries Albuterol inhaler |
| Name | Yvette Bush |
| Phone | (313) 918-9356 |
| Additional Phone Number | (313) 392-3367 |
| Relationship to student | Mother |
| Name | Charles Bush Sr |
| Phone | (313) 392-3367 |
| Additional Phone Number | (313) 918-9356 |
| Relationship to student | Father |
| Name | MiShay Adams |
| Phone | (248) 798-8265 |
| Relationship to student | Sister |
| Emergency Medical Treatment | By checking the box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking the box, I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking the box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking the box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking the box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Not needed at this time |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 24000 |
| How many dependents are in your family? | 2 |
| Are you a single-income family?* | No |
| Does the child for whom you are applying receive child support?* | No |
| Please explain any extenuating circumstances related to your financial need? (100 words or less) | Would like an Affordable Summer Program |
| How did you find out about The Yunion's Summer Camp? | Other Flyer |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Yvette Bush |
| Add Your Signature Here | 6a11c4463e01f6.84109894.png |
| Child's Name (Printed) | BrooklynReign Bush |
| Have Your Child Sign His/Her Signature Here | 6a11c4465468c2.19163153.png |
| 2026 Keys2Life Performing Arts Camp | 2026 Keys2Life Performing Arts Camp, $0.00, 1 |
| Date | 2026-05-23 |
Halo Swayne
Keys to Life Performing Arts Summer Camp · May 22, 2026
| Child Name | Halo, Swayne |
| Age | 13 |
| Date of Birth | 2012-11-18 |
| T-Shirt Size (Adult Unisex) | Small |
| Grade Level this Fall? | 9th |
| School/District | 7 |
| Name of School | Adams Young |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | No |
| Height | 5’5 |
| Weight | 135 |
| Sex | Female |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 20091 Bentler Street, Detroit, Michigan, 48219, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother, Father, Guardian |
| Who Does the Student Live With? (Check All That Apply) | Mother, Father |
| Number of Siblings in the Home | 3 |
| Are siblings applying to a Yunion camp? | No, they are not applying for a Yunion Camp. |
| Is your child a returning Keys 2 Life or SWAG program participant? | Yes |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Please indicate student’s area of interest. We would like for you to check all applicable. | Acting, Dance, Theater, Music Production |
| Name of Parent/Guardian Completing This Form | Brandy, Slack |
| Email Address of Parent/Guardian Completing This Form | aokikouture@gmail.com |
| Your Preferred Method Of Communication | Text |
| Cell Phone Number of Parent/Guardian Completing This Form | (231) 392-9261 |
| Father/Legal Guardian | Daniel, Swayne |
| Father's Address | 20091 Bentler, Detroit, Michigan, 48219, United States |
| Father's DOB | 1984-04-28 |
| Father's Work Number | (313) 452-1111 |
| Father's Mobile Number | (313) 570-6418 |
| Father's Email | danoswayne1005@gmail.com |
| Authorized for pick up? | Yes |
| Mother/Legal Guardian | Brandy, Slack |
| Mother's Address | 20091 Bentler Street, Detroit, Michigan, 48219, United States |
| Mother's DOB | 1985-04-28 |
| Mothers Mobile Number | (231) 392-9261 |
| Mother's Email | aokikouture@gmail.com |
| Authorized for pick up? | Yes |
| 1. Your Child’s Strengths | Leadership potential, Creativity, Athletic ability, Compassion for others, Strong personality / confidence, Good sense of humor |
| 2. Areas Where Your Child May Need Support | Sometimes struggles to follow instructions at home, Becomes frustrated or upset when corrected |
| Emotional Regulation / Anger (Check all that apply) | Sometimes shuts down or withdraws when upset |
| School Engagement (Check all that apply) | Struggles to stay focused in class |
| How would you describe your child most of the time? | Energetic / high activity level, Sensitive / emotional, Strong-willed |
| What are you hoping your child gains from KEYS Performing Arts Camp (Check all that apply) | More discipline, Greater respect for authority, Increased confidence, Leadership skills, Stronger faith or spiritual foundation, Better decision making, Academic motivation |
| What concerns you most about your child right now? | Her ability to stay focused |
| What kind of future do you hope for your child? | Goal oriented,Bright, promising, certain of what she wants to do in life. |
| Preferred Hospital for Emergency Treatment | Children’s |
| Medical Conditions (check all that apply) | Allergies, Asthma |
| Allergic to Bees? | No |
| If medication must be administered during program hours, a medication authorization form must be on file. Parent Initials: | 6a10738dce5a83.07234356.png |
| Name | Glenda Hampton |
| Phone | (313) 570-6418 |
| Additional Phone Number | (313) 452-1111 |
| Relationship to student | Grandma |
| Name | Genie Slack |
| Phone | (313) 415-2812 |
| Emergency Medical Treatment | By checking the box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking the box, I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking the box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking the box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking the box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Tutoring (school year only), Mentoring |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | Family Insight Form |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 9000 |
| How many dependents are in your family? | 6 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | No |
| How did you find out about The Yunion's Summer Camp? | Previous Student |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Brandy Slack |
| Add Your Signature Here | 6a10742df00e72.79100191.png |
| Child's Name (Printed) | Halo Swayne |
| Have Your Child Sign His/Her Signature Here | 6a10742e0722d5.93533205.png |
| 2026 Keys2Life Performing Arts Camp | 2026 Keys2Life Performing Arts Camp, $0.00, 1 |
| Date | 2026-05-22 |
Ethan Respress
Keys to Life Performing Arts Summer Camp · May 22, 2026
| Child Name | Ethan, Respress |
| Age | 10 |
| Date of Birth | 2015-06-13 |
| T-Shirt Size (Adult Unisex) | Small |
| Grade Level this Fall? | 6 |
| School/District | West Bloomfield |
| Name of School | Ethan is homeschooled may attend Southfield Christian in the fall |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | No |
| Height | 4”10 |
| Weight | 113 |
| Sex | Male |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 7116 Hillside Dr, West Bloomfield, Michigan, 48322, United States |
| County in Which Child Resides | Oakland County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother, Father |
| Who Does the Student Live With? (Check All That Apply) | Mother, Father |
| Number of Siblings in the Home | 1 |
| Are siblings applying to a Yunion camp? | Yes, they are applying for the Level Up Workforce & Leadership Development Camp. |
| Is your child a returning Keys 2 Life or SWAG program participant? | No |
| Are you applying for a scholarship? | No, I will pay the full price |
| Please indicate student’s area of interest. We would like for you to check all applicable. | Acting, Theater, Music Production, Digital Media |
| Name of Parent/Guardian Completing This Form | Havana, Respress |
| Email Address of Parent/Guardian Completing This Form | hjrobin336@yahoo.com |
| Your Preferred Method Of Communication | Text |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 218-4016 |
| Father/Legal Guardian | Eddie, Respress |
| Father's Address | 7116 Hillside Dr, West Bloomfield, Michigan, 48322, United States |
| Father's DOB | 1975-05-10 |
| Father's Home Number | (586) 785-0907 |
| Father's Work Number | (586) 785-0907 |
| Father's Mobile Number | (586) 785-0907 |
| Father's Email | erespress@gmail.com |
| Authorized for pick up? | Yes |
| Mother/Legal Guardian | Havana, Respress |
| Mother's Address | 7116 Hillside Dr, West Bloomfield, Michigan, 48332, United States |
| Mother's DOB | 1980-09-23 |
| Mothers Home Number | (313) 218-4016 |
| Mothers Work Number | (313) 218-4016 |
| Mothers Mobile Number | (313) 218-4016 |
| Mother's Email | hjrobin336@yahoo.com |
| Authorized for pick up? | Yes |
| Emergency Medical Treatment | By checking the box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking the box, I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking the box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking the box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking the box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Tutoring (school year only), Mentoring, Counseling referral, Behavioral support, Family resources |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| How did you find out about The Yunion's Summer Camp? | Other your website |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Havana Respress |
| Add Your Signature Here | 6a0fae09a0f917.15741845.png |
| Child's Name (Printed) | Ethan Respress |
| Have Your Child Sign His/Her Signature Here | 6a0fae09abd006.56407950.png |
| 2026 Keys2Life Performing Arts Camp | 2026 Keys2Life Performing Arts Camp, $0.00, 1 |
| Date | 2026-05-21 |
Ashly Coats
Keys to Life Performing Arts Summer Camp · May 21, 2026
| Child Name | Ashly, Coats |
| Age | 11 |
| Date of Birth | 2026-05-17 |
| T-Shirt Size (Adult Unisex) | Medium |
| Grade Level this Fall? | 6 |
| School/District | University prep academy |
| Name of School | university prep art and design |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | no |
| Height | 4 |
| Weight | 11 |
| Sex | Male |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 34 hazelwood, 1, Michigan, 48202, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother |
| Who Does the Student Live With? (Check All That Apply) | Mother |
| Number of Siblings in the Home | 1 |
| Is your child a returning Keys 2 Life or SWAG program participant? | No |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Please indicate student’s area of interest. We would like for you to check all applicable. | Digital Media |
| Name of Parent/Guardian Completing This Form | Ashly, Coats |
| Email Address of Parent/Guardian Completing This Form | kramcollective@gmail.com |
| Your Preferred Method Of Communication | Text |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 329-9078 |
| Mother/Legal Guardian | Ashly, Coats |
| Mother's Address | 34 Hazelwood, 1, Michigan, Detroit, United States |
| Mother's DOB | 1987-12-20 |
| Mothers Home Number | (313) 329-9078 |
| Mother's Email | Freedoug39@gmail.com |
| Authorized for pick up? | Yes |
| 1. Your Child’s Strengths | Leadership potential, Compassion for others, Curiosity / enjoys learning, Good sense of humor |
| 2. Areas Where Your Child May Need Support | Sometimes struggles to follow instructions at home, Becomes frustrated or upset when corrected |
| Emotional Regulation / Anger (Check all that apply) | Sometimes shuts down or withdraws when upset |
| How would you describe your child most of the time? | Calm and easygoing, Independent |
| What are you hoping your child gains from KEYS Performing Arts Camp (Check all that apply) | More discipline, Increased confidence, Positive male mentorship, Leadership skills, Better decision making |
| What concerns you most about your child right now? | I don't have any concerns, we are working him talking back when he is being chastised |
| What kind of future do you hope for your child? | A successful with many opportunities |
| Medical Conditions (check all that apply) | Allergies, Seizures |
| Food Allergies | none |
| Allergic to Bees? | No |
| Name | Tosha People |
| Phone | (313) 457-5771 |
| Relationship to student | grandmother |
| Emergency Medical Treatment | By checking the box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking the box, I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking the box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking the box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking the box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Tutoring (school year only), Mentoring, Counseling referral, Family resources |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 22000 |
| How many dependents are in your family? | 2 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | No |
| How did you find out about The Yunion's Summer Camp? | Someone referred me |
| Name of Person/Recruiter who Referred You | Kei'mya Lewis |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Ashly Coats |
| Add Your Signature Here | 6a0f842281ff53.05967073.png |
| Child's Name (Printed) | Kei'andre Lewis |
| Have Your Child Sign His/Her Signature Here | 6a0f84228dfe37.58828178.png |
| 2026 Keys2Life Performing Arts Camp | 2026 Keys2Life Performing Arts Camp, $0.00, 1 |
| Date | 2026-05-21 |
RyHanna Doze
Keys to Life Performing Arts Summer Camp · May 21, 2026
| Child Name | RyHanna, Doze |
| Age | 12 |
| Date of Birth | 2013-11-19 |
| T-Shirt Size (Adult Unisex) | XS |
| Grade Level this Fall? | 8th |
| School/District | Unknown |
| Name of School | Barber prep school |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | No |
| Height | 5'0 |
| Weight | 122 |
| Sex | Female |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 8936 Asbury Park, Detroit, Michigan, 48228, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother |
| Who Does the Student Live With? (Check All That Apply) | Mother |
| Number of Siblings in the Home | 3 |
| Are siblings applying to a Yunion camp? | No, they are not applying for a Yunion Camp. |
| Is your child a returning Keys 2 Life or SWAG program participant? | Yes |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Please indicate student’s area of interest. We would like for you to check all applicable. | Acting, Dance |
| Name of Parent/Guardian Completing This Form | Gemini, Doze |
| Email Address of Parent/Guardian Completing This Form | geminildoze89@gmail.com |
| Your Preferred Method Of Communication | Text |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 624-7574 |
| Mother/Legal Guardian | Gemini, Doze |
| Mother's Address | 8936 Asbury Park, Detroit, Michigan, 48228, United States |
| Mother's DOB | 1991-12-21 |
| Mothers Home Number | (313) 624-7574 |
| Mothers Work Number | (313) 624-7574 |
| Mothers Mobile Number | (313) 624-7574 |
| Mother's Email | geminildoze89@gmail.com |
| Authorized for pick up? | Yes |
| 1. Your Child’s Strengths | Creativity, Athletic ability, Compassion for others, Determination, Strong personality / confidence, Good sense of humor |
| Emotional Regulation / Anger (Check all that apply) | Sometimes shuts down or withdraws when upset |
| How would you describe your child most of the time? | Calm and easygoing, Sensitive / emotional, Independent, Quiet or reserved |
| What are you hoping your child gains from KEYS Performing Arts Camp (Check all that apply) | Increased confidence, Academic motivation |
| What concerns you most about your child right now? | Her social ability and getting back to herself after a traumatic experience |
| What kind of future do you hope for your child? | A happy and enjoyable future. |
| Preferred Hospital for Emergency Treatment | Henry Ford |
| Medical Conditions (check all that apply) | None |
| If medication must be administered during program hours, a medication authorization form must be on file. Parent Initials: | 6a0e8e81795017.73842349.png |
| Additional medical or behavioral information staff should know: | No |
| Name | Consuelo Doze |
| Phone | (313) 978-1154 |
| Additional Phone Number | (313) 879-7119 |
| Relationship to student | Grandmother |
| Name | Laquita hart |
| Phone | (313) 483-2707 |
| Relationship to student | Auntie |
| Emergency Medical Treatment | By checking the box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking the box, I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking the box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking the box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking the box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Mentoring, Counseling referral, Family resources |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 10000 |
| How many dependents are in your family? | 4 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | No |
| How did you find out about The Yunion's Summer Camp? | Previous key2life parent |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Gemini Doze |
| Add Your Signature Here | 6a0e8fbc966038.93757283.png |
| Child's Name (Printed) | RyHanna Doze |
| Have Your Child Sign His/Her Signature Here | 6a0e8fbca007f3.06071233.png |
| 2026 Keys2Life Performing Arts Camp | 2026 Keys2Life Performing Arts Camp, $0.00, 1 |
| Date | 2026-05-21 |
Brooklynn Ulmer
Keys to Life Performing Arts Summer Camp · May 21, 2026
| Child Name | Brooklynn, Ulmer |
| Age | 12 |
| Date of Birth | 2014-02-01 |
| T-Shirt Size (Adult Unisex) | Small |
| Grade Level this Fall? | 7th |
| School/District | UPA |
| Name of School | UPA |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | N/a |
| Height | 5’2 |
| Weight | 130 |
| Sex | Female |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 18688 Birwood st, Detroit, Michigan, 48221, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother, Step-Father |
| Who Does the Student Live With? (Check All That Apply) | Mother, Step-Mother |
| Number of Siblings in the Home | 2 |
| Are siblings applying to a Yunion camp? | No, they are not applying for a Yunion Camp. |
| Is your child a returning Keys 2 Life or SWAG program participant? | No |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Please indicate student’s area of interest. We would like for you to check all applicable. | Acting, Dance, Theater, Digital Media |
| Name of Parent/Guardian Completing This Form | Karicia, Shorts |
| Email Address of Parent/Guardian Completing This Form | kariciashorts@gmail.com |
| Your Preferred Method Of Communication | Phone Call |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 236-6301 |
| Mother/Legal Guardian | Karicia, Shorts |
| Mother's Address | 18688 Birwood St, Detroit, Michigan, 48221, United States |
| Mother's DOB | 1995-07-28 |
| Mother's Email | kariciashorts@gmail.com |
| Authorized for pick up? | Yes |
| Step-Father | Rashon, Johnson |
| Step-Father's Phone Number | (313) 515-5760 |
| Authorized for pick up? | Yes |
| 1. Your Child’s Strengths | Leadership potential, Creativity, Athletic ability, Compassion for others, Determination, Curiosity / enjoys learning, Strong personality / confidence, Good sense of humor |
| 2. Areas Where Your Child May Need Support | Becomes frustrated or upset when corrected |
| Emotional Regulation / Anger (Check all that apply) | Has difficulty controlling anger or frustration, Reacts strongly to conflict or correction, Sometimes shuts down or withdraws when upset |
| How would you describe your child most of the time? | Energetic / high activity level, Sensitive / emotional, Independent, Strong-willed |
| What are you hoping your child gains from KEYS Performing Arts Camp (Check all that apply) | More discipline, Increased confidence, Leadership skills, Better decision making |
| What concerns you most about your child right now? | Company she keeps and being gullible or easily swayed by her peers. |
| What kind of future do you hope for your child? | One that is successful, fulfilling, joyful |
| Medical Conditions (check all that apply) | None |
| If medication must be administered during program hours, a medication authorization form must be on file. Parent Initials: | 6a0e4cc81a72d2.05225514.png |
| Name | Kiwana Gee |
| Phone | (313) 208-1721 |
| Relationship to student | Grandmother |
| Emergency Medical Treatment | By checking the box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking the box, I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking the box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking the box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking the box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Mentoring, Counseling referral |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 45000 |
| How many dependents are in your family? | 2 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | No |
| How did you find out about The Yunion's Summer Camp? | |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Add Your Signature Here | 6a0e4d548f0fe2.71708224.png |
| Child's Name (Printed) | Brooklynn Ulmer |
| Have Your Child Sign His/Her Signature Here | 6a0e4d54991a11.54534922.png |
| 2026 Keys2Life Performing Arts Camp | 2026 Keys2Life Performing Arts Camp, $0.00, 1 |
| Date | 2026-05-20 |
Santana Summers
Keys to Life Performing Arts Summer Camp · May 20, 2026
| Child Name | Santana, Summers |
| Age | 10 |
| Date of Birth | 2015-07-24 |
| T-Shirt Size (Adult Unisex) | Medium |
| Grade Level this Fall? | 5th |
| School/District | DPS |
| Name of School | JOHN R King |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | No |
| Height | 3 |
| Weight | 110 |
| Sex | Female |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 15403 FORRER ST, Detroit, Michigan, 48227-2330, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother, Father |
| Who Does the Student Live With? (Check All That Apply) | Mother, Father |
| Number of Siblings in the Home | 3 |
| Are siblings applying to a Yunion camp? | Yes, they are applying for the Keys Performing Arts Camp. |
| Is your child a returning Keys 2 Life or SWAG program participant? | No |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Please indicate student’s area of interest. We would like for you to check all applicable. | Acting, Dance, Music Production, Digital Media |
| Name of Parent/Guardian Completing This Form | Ka'Nessa, Cooper |
| Email Address of Parent/Guardian Completing This Form | Nessasummers10@gmail.com |
| Your Preferred Method Of Communication | Phone Call |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 854-2601 |
| Father/Legal Guardian | Andre, Summers |
| Father's Address | 15403 FORRER ST, Detroit, Michigan, 48227-2330, United States |
| Father's DOB | 1983-01-04 |
| Father's Home Number | (313) 523-2582 |
| Father's Mobile Number | (313) 854-2601 |
| Father's Email | Nessasummers10@gmail.com |
| Authorized for pick up? | Yes |
| Mother/Legal Guardian | Ka'Nessa, Cooper |
| Mother's Address | 15403 FORRER ST, Detroit, Michigan, 48227-2330, United States |
| Mother's DOB | 1979-11-04 |
| Mothers Home Number | (313) 854-2601 |
| Mothers Mobile Number | (313) 854-2601 |
| Mother's Email | Nessasummers10@gmail.com |
| Authorized for pick up? | Yes |
| 1. Your Child’s Strengths | Leadership potential, Creativity, Compassion for others, Determination, Curiosity / enjoys learning, Strong personality / confidence, Good sense of humor, Helpful at home |
| 2. Areas Where Your Child May Need Support | Sometimes struggles to follow instructions at home |
| Emotional Regulation / Anger (Check all that apply) | Sometimes shuts down or withdraws when upset |
| How would you describe your child most of the time? | Energetic / high activity level, Sensitive / emotional, Independent, Strong-willed |
| What are you hoping your child gains from KEYS Performing Arts Camp (Check all that apply) | More discipline, Increased confidence, Leadership skills, Better decision making |
| Medical Conditions (check all that apply) | None |
| If medication must be administered during program hours, a medication authorization form must be on file. Parent Initials: | 6a0e31d48eaf95.82484769.png |
| Name | SANDRA COOPER |
| Phone | (313) 282-7337 |
| Relationship to student | Grandma |
| Emergency Medical Treatment | By checking the box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking the box, I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking the box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking the box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking the box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| May one of our team members contact you with more information about our support services? | No |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 30000 |
| How many dependents are in your family? | 2 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | Yes |
| How did you find out about The Yunion's Summer Camp? | Someone referred me |
| Name of Person/Recruiter who Referred You | Shalandria Cooper |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Kanessa Cooper |
| Add Your Signature Here | 6a0e328e383461.12627858.png |
| Child's Name (Printed) | Santana Summers |
| Have Your Child Sign His/Her Signature Here | 6a0e328e43d3e1.22322813.png |
| 2026 Keys2Life Performing Arts Camp | 2026 Keys2Life Performing Arts Camp, $0.00, 1 |
| Date | 2026-05-20 |
Sonia Summers
Keys to Life Performing Arts Summer Camp · May 20, 2026
| Child Name | Sonia, Summers |
| Age | 12 |
| Date of Birth | 2014-02-08 |
| T-Shirt Size (Adult Unisex) | Medium |
| Grade Level this Fall? | 7th |
| School/District | DPS |
| Name of School | John R King |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | No |
| Height | 4 |
| Weight | 110 |
| Sex | Female |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 15403 FORRER ST, Detroit, Michigan, 48227, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother, Father |
| Who Does the Student Live With? (Check All That Apply) | Mother, Father |
| Number of Siblings in the Home | 3 |
| Are siblings applying to a Yunion camp? | Yes, they are applying for the Keys Performing Arts Camp. |
| Is your child a returning Keys 2 Life or SWAG program participant? | No |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Please indicate student’s area of interest. We would like for you to check all applicable. | Acting, Dance, Theater, Digital Media |
| Name of Parent/Guardian Completing This Form | Ka'Nessa, Cooper |
| Email Address of Parent/Guardian Completing This Form | Nessasummers10@gmail.com |
| Your Preferred Method Of Communication | Phone Call |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 854-2601 |
| Father/Legal Guardian | Andre, Summers |
| Father's Address | 15403 FORRER ST, Detroit, Michigan, 48227, United States |
| Father's DOB | 1983-01-04 |
| Father's Home Number | (313) 523-2582 |
| Father's Mobile Number | (313) 854-2601 |
| Father's Email | Nessasummers10@gmail.com |
| Authorized for pick up? | Yes |
| Mother/Legal Guardian | Ka'Nessa, Cooper |
| Mother's Address | 15403 FORRER ST, Detroit, Michigan, 48227-2330, United States |
| Mother's DOB | 1979-11-04 |
| Mothers Work Number | (313) 854-2601 |
| Mothers Mobile Number | (313) 854-2601 |
| Mother's Email | Nessasummers10@gmail.com |
| Authorized for pick up? | Yes |
| 1. Your Child’s Strengths | Leadership potential, Creativity, Athletic ability, Compassion for others, Determination, Curiosity / enjoys learning, Strong personality / confidence, Good sense of humor, Helpful at home |
| 2. Areas Where Your Child May Need Support | Sometimes struggles to follow instructions at home |
| Emotional Regulation / Anger (Check all that apply) | Sometimes shuts down or withdraws when upset |
| How would you describe your child most of the time? | Energetic / high activity level, Independent, Strong-willed |
| What are you hoping your child gains from KEYS Performing Arts Camp (Check all that apply) | Increased confidence, Leadership skills |
| Medical Conditions (check all that apply) | None |
| If medication must be administered during program hours, a medication authorization form must be on file. Parent Initials: | 6a0e2e4ae9dea8.75146278.png |
| Name | Sandra Cooper |
| Phone | (313) 282-7337 |
| Relationship to student | Grandma |
| Emergency Medical Treatment | By checking the box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking the box, I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking the box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking the box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking the box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Not needed at this time |
| May one of our team members contact you with more information about our support services? | No |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 30000 |
| How many dependents are in your family? | 4 |
| Are you a single-income family?* | No |
| Does the child for whom you are applying receive child support?* | Yes |
| How did you find out about The Yunion's Summer Camp? | Someone referred me |
| Name of Person/Recruiter who Referred You | Shalandria Cooper |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Kanessa Cooper |
| Add Your Signature Here | 6a0e2fa68316e7.87297759.png |
| Child's Name (Printed) | Sonia Summers |
| Have Your Child Sign His/Her Signature Here | 6a0e2fa698c374.57931998.png |
| 2026 Keys2Life Performing Arts Camp | 2026 Keys2Life Performing Arts Camp, $0.00, 1 |
| Date | 2026-05-20 |
Avery Taylor
Keys to Life Performing Arts Summer Camp · May 20, 2026
| Child Name | Avery, Taylor |
| Age | 12 |
| Date of Birth | 2013-08-05 |
| T-Shirt Size (Adult Unisex) | Small |
| Grade Level this Fall? | 8 |
| School/District | Van Buren Township |
| Name of School | McBride Middle School |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | No |
| Height | 5’ |
| Weight | 170 |
| Sex | Female |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 19531 Archer, Detroit, Michigan, 48219, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother, Father |
| Who Does the Student Live With? (Check All That Apply) | Mother |
| Number of Siblings in the Home | 2 |
| Are siblings applying to a Yunion camp? | No, they are not applying for a Yunion Camp. |
| Is your child a returning Keys 2 Life or SWAG program participant? | No |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Please indicate student’s area of interest. We would like for you to check all applicable. | Acting, Theater, Music Production, Digital Media |
| Name of Parent/Guardian Completing This Form | Leslie, Wright |
| Email Address of Parent/Guardian Completing This Form | ms_wright84@yahoo.com |
| Your Preferred Method Of Communication | Text |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 622-4047 |
| Father/Legal Guardian | Jesse, Taylor |
| Father's Address | 19531 Archer, Detroit, Michigan, 48219, United States |
| Father's DOB | 1989-06-11 |
| Father's Mobile Number | (313) 595-1062 |
| Father's Email | jesse.taylor89@gmail.com |
| Authorized for pick up? | Yes |
| Mother/Legal Guardian | Leslie, Wright |
| Mother's Address | 8682 Ironwood dr, Van Buren Townshio, Michigan, 48111, United States |
| Mother's DOB | 1984-03-13 |
| Mothers Mobile Number | (313) 622-4044 |
| Mother's Email | ms_wright84@yahoo.com |
| Authorized for pick up? | Yes |
| 1. Your Child’s Strengths | Leadership potential, Creativity, Compassion for others, Determination, Curiosity / enjoys learning, Strong personality / confidence, Good sense of humor, Helpful at home |
| How would you describe your child most of the time? | Calm and easygoing, Strong-willed, Quiet or reserved |
| What are you hoping your child gains from KEYS Performing Arts Camp (Check all that apply) | Increased confidence, Leadership skills |
| What concerns you most about your child right now? | Building confidence, boosting self esteem |
| What kind of future do you hope for your child? | A future where she is confident, thriving in every aspect, living up to her full potential. |
| Preferred Hospital for Emergency Treatment | Closest available |
| Medical Conditions (check all that apply) | None |
| If medication must be administered during program hours, a medication authorization form must be on file. Parent Initials: | 6a0de818534760.61052706.png |
| Name | Linda Adams |
| Phone | (248) 231-1309 |
| Relationship to student | Grandmother |
| Emergency Medical Treatment | By checking the box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking the box, I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking the box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking the box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking the box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Not needed at this time |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 30000 |
| How many dependents are in your family? | 2 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | No |
| Please explain any extenuating circumstances related to your financial need? (100 words or less) | Single family home, will not be receiving income for summer months |
| How did you find out about The Yunion's Summer Camp? | |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Leslie Wright |
| Add Your Signature Here | 6a0de92887d381.77965985.png |
| Child's Name (Printed) | Avery Taylor |
| Have Your Child Sign His/Her Signature Here | 6a0de92893f359.13238795.png |
| 2026 Keys2Life Performing Arts Camp | 2026 Keys2Life Performing Arts Camp, $0.00, 1 |
| Date | 2026-05-20 |
I'Lan Bennett
Keys to Life Performing Arts Summer Camp · May 19, 2026
| Child Name | I'Lan, Bennett |
| Age | 12 |
| Date of Birth | 2014-04-09 |
| T-Shirt Size (Adult Unisex) | XS |
| Grade Level this Fall? | 7 |
| School/District | Wayne |
| Name of School | AMA |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | NA |
| Height | 5 |
| Sex | Female |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 12000 Chatham, Redford, Michigan, 48239, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother, Father |
| Who Does the Student Live With? (Check All That Apply) | Mother, Father |
| Number of Siblings in the Home | 2 |
| Are siblings applying to a Yunion camp? | No, they are not applying for a Yunion Camp. |
| Primary Language Other Than English | English |
| Is your child a returning Keys 2 Life or SWAG program participant? | Yes |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Please indicate student’s area of interest. We would like for you to check all applicable. | Acting, Dance |
| Name of Parent/Guardian Completing This Form | Latanya, Satawhite |
| Email Address of Parent/Guardian Completing This Form | lsatawhite@gmail.com |
| Your Preferred Method Of Communication | Text |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 953-7945 |
| Father/Legal Guardian | Patrick, Bennett |
| Father's Address | 12000 chatham, Redford, Michigan, 48239, United States |
| Father's DOB | 1972-12-13 |
| Father's Home Number | (313) 686-8401 |
| Authorized for pick up? | Yes |
| Mother/Legal Guardian | Latanya, Satawhite |
| Mother's Address | 12000 Chatham, Redford, Michigan, Redford, United States |
| Mother's DOB | 1987-11-07 |
| Mothers Home Number | (313) 953-7945 |
| Mother's Email | lsatawhite@gmail.com |
| Authorized for pick up? | Yes |
| 1. Your Child’s Strengths | Leadership potential, Creativity, Athletic ability, Determination |
| How would you describe your child most of the time? | Strong-willed |
| What are you hoping your child gains from KEYS Performing Arts Camp (Check all that apply) | Leadership skills |
| Medical Conditions (check all that apply) | None |
| Name | Desjuan Bennett |
| Phone | (248) 445-0370 |
| Relationship to student | Brother |
| Emergency Medical Treatment | By checking the box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking the box, I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking the box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking the box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking the box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Not needed at this time |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 50000 |
| How many dependents are in your family? | 5 |
| Are you a single-income family?* | No |
| Does the child for whom you are applying receive child support?* | No |
| Please explain any extenuating circumstances related to your financial need? (100 words or less) | The economy has pivoted extremely, and we can use the assistance for camp. |
| How did you find out about The Yunion's Summer Camp? | Someone referred me |
| Name of Person/Recruiter who Referred You | Latanya |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Latanya Satawhite |
| Add Your Signature Here | 6a0cc1555d0345.90587554.png |
| Child's Name (Printed) | I'Lam Bennett |
| Have Your Child Sign His/Her Signature Here | 6a0cc15567e445.42293487.png |
| 2026 Keys2Life Performing Arts Camp | 2026 Keys2Life Performing Arts Camp, $0.00, 1 |
| Date | 2026-05-19 |
Jacey Womack
Keys to Life Performing Arts Summer Camp · May 17, 2026
| Child Name | Jacey, Womack |
| Age | 10 |
| Date of Birth | 2015-11-11 |
| T-Shirt Size (Adult Unisex) | XS |
| Grade Level this Fall? | 6 |
| School/District | Detroit |
| Name of School | Bates academy |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | NA |
| Height | 4’11 |
| Weight | 89 |
| Sex | Female |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 18203 Woodingham, Detroit, Michigan, 48221, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother, Father |
| Who Does the Student Live With? (Check All That Apply) | Mother, Father |
| Number of Siblings in the Home | 2 |
| Are siblings applying to a Yunion camp? | Yes, they are applying for the Keys Performing Arts Camp. |
| Is your child a returning Keys 2 Life or SWAG program participant? | No |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Please indicate student’s area of interest. We would like for you to check all applicable. | Acting, Dance, Theater |
| Name of Parent/Guardian Completing This Form | Archemee, Womack |
| Email Address of Parent/Guardian Completing This Form | archemee@gmail.com |
| Your Preferred Method Of Communication | |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 213-5058 |
| Father/Legal Guardian | Jonathan, Womack |
| Father's Address | 18203 Woodingham, Detroit, Michigan, 48221, United States |
| Father's DOB | 1984-07-09 |
| Father's Home Number | (313) 719-7984 |
| Father's Mobile Number | (313) 719-7984 |
| Authorized for pick up? | Yes |
| Mother/Legal Guardian | Archemee, Womack |
| Mother's Address | 18203 Woodingham, Detroit, Michigan, 48221, United States |
| Mother's DOB | 1985-11-12 |
| Mothers Mobile Number | (313) 213-5058 |
| Mother's Email | archemee@gmail.com |
| Authorized for pick up? | Yes |
| 1. Your Child’s Strengths | Leadership potential, Creativity, Compassion for others, Good sense of humor, Helpful at home |
| 2. Areas Where Your Child May Need Support | Other |
| Other | None |
| Emotional Regulation / Anger (Check all that apply) | Sometimes shuts down or withdraws when upset |
| Conflict with Others (Check all that apply) | Other |
| Other | None |
| How would you describe your child most of the time? | Calm and easygoing |
| What are you hoping your child gains from KEYS Performing Arts Camp (Check all that apply) | Increased confidence, Leadership skills, Stronger faith or spiritual foundation |
| What kind of future do you hope for your child? | Blessed, confident and independent and happy. |
| Medical Conditions (check all that apply) | None |
| If medication must be administered during program hours, a medication authorization form must be on file. Parent Initials: | 6a09ca9e1a50b8.71129933.png |
| Name | Jaydes womack |
| Phone | (313) 727-7984 |
| Relationship to student | Brother |
| Name | Myiea Mayes |
| Phone | (586) 843-7277 |
| Relationship to student | Auntie |
| Emergency Medical Treatment | By checking the box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking the box, I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking the box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking the box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking the box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Tutoring (school year only) |
| May one of our team members contact you with more information about our support services? | No |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 70000 |
| How many dependents are in your family? | 5 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | No |
| How did you find out about The Yunion's Summer Camp? | Summer Discovery |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Archemee Womack |
| Add Your Signature Here | 6a09cb621fdeb7.26032607.png |
| Child's Name (Printed) | Jacey womack |
| Have Your Child Sign His/Her Signature Here | 6a09cb622a4ac1.61643370.png |
| 2026 Keys2Life Performing Arts Camp | 2026 Keys2Life Performing Arts Camp, $0.00, 1 |
| Date | 2026-05-17 |
Anjolaoluwa Daramola
Keys to Life Performing Arts Summer Camp · May 17, 2026
| Child Name | Anjolaoluwa, Daramola |
| Age | 12 |
| Date of Birth | 2013-05-22 |
| T-Shirt Size (Adult Unisex) | Small |
| Grade Level this Fall? | 8 |
| School/District | Detroit |
| Name of School | University Prep Academy |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | No |
| Height | 5’2 |
| Weight | 105 |
| Sex | Female |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 15651 E 7 Mile Rd, Detroit, Michigan, 48205, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother, Father |
| Who Does the Student Live With? (Check All That Apply) | Mother |
| Number of Siblings in the Home | 1 |
| Are siblings applying to a Yunion camp? | No, they are not applying for a Yunion Camp. |
| Is your child a returning Keys 2 Life or SWAG program participant? | No |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Please indicate student’s area of interest. We would like for you to check all applicable. | Acting, Dance, Theater, Music Production, Digital Media |
| Name of Parent/Guardian Completing This Form | Jasmine, Jones |
| Email Address of Parent/Guardian Completing This Form | jas30chelle@gmail.com |
| Your Preferred Method Of Communication | Phone Call |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 457-5509 |
| Father/Legal Guardian | Bayo, Daramola |
| Father's Address | NA, Detroit, Michigan, 48205, United States |
| Father's DOB | 1983-12-12 |
| Authorized for pick up? | No |
| Mother/Legal Guardian | Jasmine, Jones |
| Mother's Address | 15651 E 7 Mile Rd, Detroit, Michigan, 48205, United States |
| Mother's DOB | 1988-11-13 |
| Mothers Home Number | (313) 457-5509 |
| Mother's Email | jas30chelle@gmail.com |
| Authorized for pick up? | Yes |
| 1. Your Child’s Strengths | Leadership potential, Creativity, Curiosity / enjoys learning, Good sense of humor |
| 2. Areas Where Your Child May Need Support | Other |
| Other | Needs reassurance in goal focus |
| Emotional Regulation / Anger (Check all that apply) | Sometimes shuts down or withdraws when upset |
| How would you describe your child most of the time? | Energetic / high activity level, Sensitive / emotional, Strong-willed |
| What are you hoping your child gains from KEYS Performing Arts Camp (Check all that apply) | More discipline, Increased confidence, Positive male mentorship, Leadership skills, Stronger faith or spiritual foundation, Better decision making, Academic motivation |
| What concerns you most about your child right now? | I’m most concerned in her fear of being seen and irrational idea of perfection. She doesn’t want to be seen and perceived. Very intuitive and vigilant. |
| What kind of future do you hope for your child? | That she will break out of her shell and allow her authentic talents to be showcased in result growing her confidence. |
| Preferred Hospital for Emergency Treatment | Children’s DMC |
| Medical Conditions (check all that apply) | None |
| Name | Jasmine Jones |
| Phone | (313) 457-5509 |
| Additional Phone Number | (313) 523-5646 |
| Relationship to student | Mother |
| Name | Paula Johnson |
| Phone | (313) 523-5646 |
| Relationship to student | Grandmother |
| Emergency Medical Treatment | By checking the box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking the box, I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking the box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking the box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking the box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Not needed at this time |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 38000 |
| How many dependents are in your family? | 2 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | Yes |
| Please explain any extenuating circumstances related to your financial need? (100 words or less) | I am currently an independent contractor so my income fluctuates seasonally and can sometimes be unpredictable. |
| How did you find out about The Yunion's Summer Camp? | My colleague saw the spotlight on the news last spring and shared |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Jasmine C Jones |
| Add Your Signature Here | 6a09b3b7b6b706.64457421.png |
| Child's Name (Printed) | Anjolaoluwa Daramola |
| Have Your Child Sign His/Her Signature Here | 6a09b3b7c05021.80476473.png |
| 2026 Keys2Life Performing Arts Camp | 2026 Keys2Life Performing Arts Camp, $0.00, 1 |
| Date | 2026-05-17 |
Aubree Cadmus
Keys to Life Performing Arts Summer Camp · May 16, 2026
| Child Name | Aubree, Cadmus |
| Age | 11 |
| Date of Birth | 2014-11-25 |
| T-Shirt Size (Adult Unisex) | Medium |
| Grade Level this Fall? | 7 |
| School/District | Southfield |
| Name of School | University K-12 |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | No |
| Height | 5"4" |
| Weight | 110 |
| Sex | Female |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 28241 Fontana Dr, Southfield, Michigan, 48076, United States |
| County in Which Child Resides | Oakland County |
| Parents/Guardian the Student Has (Check All That Apply) | Father, Guardian |
| Who Does the Student Live With? (Check All That Apply) | Other |
| Who Does the Student Live With? | Grandmother, Sister, Godmother |
| Number of Siblings in the Home | 1 |
| Are siblings applying to a Yunion camp? | No, they are not applying for a Yunion Camp. |
| Is your child a returning Keys 2 Life or SWAG program participant? | Yes |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Please indicate student’s area of interest. We would like for you to check all applicable. | Acting, Dance, Theater, Music Production |
| Name of Parent/Guardian Completing This Form | Fletchia, Brand |
| Email Address of Parent/Guardian Completing This Form | NBrand_01@yahoo.com |
| Your Preferred Method Of Communication | Text |
| Cell Phone Number of Parent/Guardian Completing This Form | (248) 910-4783 |
| Father/Legal Guardian | Uche, Cadmus |
| Father's Address | 28241 Fontana Dr, Southfield, Michigan, 48076, United States |
| Father's DOB | 1977-01-06 |
| Father's Home Number | (313) 802-1601 |
| Father's Mobile Number | (313) 802-1601 |
| Father's Email | NBrand_01@yahoo.com |
| Authorized for pick up? | Yes |
| Emergency Medical Treatment | By checking the box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking the box, I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking the box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking the box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking the box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Tutoring (school year only), Mentoring, Counseling referral |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 40000 |
| How many dependents are in your family? | 4 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | No |
| Please explain any extenuating circumstances related to your financial need? (100 words or less) | Aubree lives with me during the summer, and I do my best to keep her involved in positive, meaningful activities. Last year, Aubree’s mother passed away, which has been an extremely difficult journey for her. This program became something she truly fell in love with and gave her joy, structure, and an outlet during a hard time. I am applying for financial assistance so she can continue participating in something that has brought her comfort, healing, and confidence as she continues to cope with her loss. |
| How did you find out about The Yunion's Summer Camp? | Last year there were two young ladies passing out flyers at Palmer Park Preparatory Academy. |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Fletchia Brand |
| Add Your Signature Here | 6a08d7361699f0.23823617.png |
| Child's Name (Printed) | Aubree Cadmus |
| Have Your Child Sign His/Her Signature Here | 6a08d7361fc260.95030098.png |
| 2026 Keys2Life Performing Arts Camp | 2026 Keys2Life Performing Arts Camp, $0.00, 1 |
| Date | 2026-05-16 |
Zoe Franklin
Keys to Life Performing Arts Summer Camp · May 15, 2026
| Child Name | Zoe, Franklin |
| Age | 12 |
| Date of Birth | 2013-12-04 |
| T-Shirt Size (Adult Unisex) | XS |
| Grade Level this Fall? | 7th |
| School/District | Homeschool |
| Name of School | Homeschool |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | NA |
| Height | 5'1 |
| Weight | 105 |
| Sex | Female |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 135 West Philadelphia Street, Detroit, Michigan, 48202, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother |
| Who Does the Student Live With? (Check All That Apply) | Mother |
| Number of Siblings in the Home | 3 |
| Are siblings applying to a Yunion camp? | No, they are not applying for a Yunion Camp. |
| Is your child a returning Keys 2 Life or SWAG program participant? | Yes |
| Are you applying for a scholarship? | No, I will pay the full price |
| Please indicate student’s area of interest. We would like for you to check all applicable. | Acting, Theater, Music Production, Digital Media |
| Name of Parent/Guardian Completing This Form | Darlene, Shropshire |
| Email Address of Parent/Guardian Completing This Form | darlene.l.shropshire@gmail.com |
| Your Preferred Method Of Communication | |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 623-2533 |
| Mother/Legal Guardian | Darlene, Shropshire |
| Mother's Address | 135 West Philadelphia Street, Detroit, Michigan, 48202, United States |
| Mother's DOB | 1990-06-11 |
| Mothers Mobile Number | (313) 622-2533 |
| Mother's Email | darlene.l.shropshire@gmail.com |
| Authorized for pick up? | Yes |
| 1. Your Child’s Strengths | Leadership potential, Creativity, Compassion for others, Determination, Curiosity / enjoys learning, Strong personality / confidence, Good sense of humor, Helpful at home |
| 2. Areas Where Your Child May Need Support | Other |
| Other | Confidence in abilities |
| Emotional Regulation / Anger (Check all that apply) | Sometimes shuts down or withdraws when upset |
| What are you hoping your child gains from KEYS Performing Arts Camp (Check all that apply) | Increased confidence, Leadership skills, Stronger faith or spiritual foundation |
| Medical Conditions (check all that apply) | Allergies, Asthma |
| Allergic to Bees? | No |
| If medication must be administered during program hours, a medication authorization form must be on file. Parent Initials: | 6a075523a13046.07016807.png |
| Name | Jonathan Shropshire |
| Phone | (313) 957-9554 |
| Relationship to student | Father |
| Name | Priscilla Franklin |
| Phone | (313) 701-3295 |
| Relationship to student | Grandmother |
| Name | Anthony Gainey |
| Phone | (586) 212-5138 |
| Relationship to student | Father |
| Emergency Medical Treatment | By checking the box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking the box, I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking the box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking the box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking the box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Not needed at this time |
| May one of our team members contact you with more information about our support services? | No |
| How did you find out about The Yunion's Summer Camp? | Google Search |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Darlene Shropshirep |
| Add Your Signature Here | 6a0755d2d7fe70.61947716.png |
| Child's Name (Printed) | Zoe Franklin |
| Have Your Child Sign His/Her Signature Here | 6a0755d2e327f9.79163561.png |
| 2026 Keys2Life Performing Arts Camp | 2026 Keys2Life Performing Arts Camp, $0.00, 1 |
| Date | 2026-05-15 |
Aniya Burton
Keys to Life Performing Arts Summer Camp · May 15, 2026
| Child Name | Aniya, Burton |
| Age | 11 |
| Date of Birth | 2015-04-22 |
| T-Shirt Size (Adult Unisex) | XS |
| Grade Level this Fall? | 6 |
| School/District | Inkster |
| Name of School | American international academy |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | No |
| Height | 4’9 |
| Weight | 89 |
| Sex | Female |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 26629 Dartmouth, Inkster, Michigan, 48141, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother |
| Who Does the Student Live With? (Check All That Apply) | Mother |
| Number of Siblings in the Home | 1 |
| Are siblings applying to a Yunion camp? | No, they are not applying for a Yunion Camp. |
| Is your child a returning Keys 2 Life or SWAG program participant? | No |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Please indicate student’s area of interest. We would like for you to check all applicable. | Acting, Dance, Theater, Music Production |
| Name of Parent/Guardian Completing This Form | Angelique, Wilson |
| Email Address of Parent/Guardian Completing This Form | angeliqueewilson@gmail.com |
| Your Preferred Method Of Communication | |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 384-6014 |
| Mother/Legal Guardian | Angelique, Wilson |
| Mother's Address | 26629 Dartmouth, Inkster, Michigan, 48141, United States |
| Mother's DOB | 1994-08-09 |
| Mothers Mobile Number | (313) 384-6014 |
| Mother's Email | angeliqueewilson@gmail.com |
| Authorized for pick up? | Yes |
| 1. Your Child’s Strengths | Leadership potential, Creativity, Athletic ability, Compassion for others, Determination, Curiosity / enjoys learning, Strong personality / confidence, Good sense of humor, Helpful at home |
| Emotional Regulation / Anger (Check all that apply) | Reacts strongly to conflict or correction, Sometimes shuts down or withdraws when upset |
| How would you describe your child most of the time? | Calm and easygoing, Independent, Strong-willed |
| What are you hoping your child gains from KEYS Performing Arts Camp (Check all that apply) | Increased confidence, Leadership skills, Academic motivation |
| What concerns you most about your child right now? | Her been shy and not opening up |
| What kind of future do you hope for your child? | I hope for a really great bright future with great success and support |
| Preferred Hospital for Emergency Treatment | Closest one |
| Medical Conditions (check all that apply) | Allergies, Vision Impairment |
| Food Allergies | None |
| Allergic to Bees? | No |
| If medication must be administered during program hours, a medication authorization form must be on file. Parent Initials: | 6a071ba8aa01e2.91855439.png |
| Name | Angelique Wilson |
| Phone | (313) 384-6014 |
| Relationship to student | Mom |
| Name | Angelique Wilson |
| Phone | (313) 384-6014 |
| Emergency Medical Treatment | By checking the box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking the box, I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking the box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking the box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking the box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Tutoring (school year only), Mentoring, Family resources |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| How many dependents are in your family? | 2 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | Yes |
| Please explain any extenuating circumstances related to your financial need? (100 words or less) | It comes every blue mean $24 or lower. |
| How did you find out about The Yunion's Summer Camp? | Someone referred me |
| Name of Person/Recruiter who Referred You | My son therapist |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Angelique Wilson |
| Add Your Signature Here | 6a071ca009c915.92742301.png |
| Child's Name (Printed) | Aniya Burton |
| Have Your Child Sign His/Her Signature Here | 6a071ca01b51c7.04372960.png |
| 2026 Keys2Life Performing Arts Camp | 2026 Keys2Life Performing Arts Camp, $0.00, 1 |
| Date | 2026-05-15 |
Ameriana Gordon
Keys to Life Performing Arts Summer Camp · May 15, 2026
| Child Name | Ameriana, Gordon |
| Age | 10 |
| Date of Birth | 2015-09-10 |
| T-Shirt Size (Adult Unisex) | Medium |
| Grade Level this Fall? | 5 |
| School/District | Wayne |
| Name of School | Detroit academy of Art & science |
| Education Type | IEP |
| Does your Child need any additional support? Please specify in comment box below. | No |
| Height | 5’1 |
| Weight | 110 |
| Sex | Female |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 15292 cedargrove, Detroit, Michigan, 48205, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother |
| Who Does the Student Live With? (Check All That Apply) | Mother |
| Number of Siblings in the Home | 2 |
| Are siblings applying to a Yunion camp? | Yes, they are applying for the Keys Performing Arts Camp. |
| Is your child a returning Keys 2 Life or SWAG program participant? | No |
| Are you applying for a scholarship? | No, I will pay the full price |
| Please indicate student’s area of interest. We would like for you to check all applicable. | Acting, Dance |
| Name of Parent/Guardian Completing This Form | Alisha, Jackson |
| Email Address of Parent/Guardian Completing This Form | alisha.jackson1@icloud.com |
| Your Preferred Method Of Communication | |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 424-3661 |
| Mother/Legal Guardian | Alisha, Jackson |
| Mother's Address | 15292 Cedargrove Ave, Detroit, Michigan, 48205, United States |
| Mother's DOB | 1989-12-31 |
| Mothers Home Number | (313) 424-3661 |
| Mother's Email | alisha.jackson1@icloud.com |
| Authorized for pick up? | Yes |
| 1. Your Child’s Strengths | Creativity, Athletic ability, Compassion for others, Good sense of humor, Helpful at home |
| 2. Areas Where Your Child May Need Support | Sometimes struggles to follow instructions at home, Sometimes struggles to follow instructions at school |
| Emotional Regulation / Anger (Check all that apply) | Has difficulty controlling anger or frustration |
| Conflict with Others (Check all that apply) | Has been involved in bullying (either as the aggressor or target) |
| School Engagement (Check all that apply) | Struggles to stay focused in class |
| How would you describe your child most of the time? | Sensitive / emotional, Independent |
| What are you hoping your child gains from KEYS Performing Arts Camp (Check all that apply) | More discipline, Greater respect for authority, Better anger management |
| Medical Conditions (check all that apply) | None |
| Name | Marie Jackson |
| Phone | (313) 915-8051 |
| Additional Phone Number | (313) 424-3661 |
| Relationship to student | Grandmother |
| Emergency Medical Treatment | By checking the box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking the box, I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking the box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking the box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking the box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Tutoring (school year only), Behavioral support, Family resources |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| How did you find out about The Yunion's Summer Camp? | School |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Alisha Jackson |
| Add Your Signature Here | 6a0685e6a27bb4.70212513.png |
| Child's Name (Printed) | Ameriana |
| Have Your Child Sign His/Her Signature Here | 6a0685e6aefa44.46701673.png |
| 2026 Keys2Life Performing Arts Camp | 2026 Keys2Life Performing Arts Camp, $0.00, 1 |
| Date | 2026-05-14 |
Kelis Travis
Keys to Life Performing Arts Summer Camp · May 15, 2026
| Child Name | Kelis, Travis |
| Age | 11 |
| Date of Birth | 2014-07-18 |
| T-Shirt Size (Adult Unisex) | Small |
| Grade Level this Fall? | 7 |
| School/District | University Prep Art & Design |
| Name of School | UPrep Art & Design |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | No |
| Height | 5’3 |
| Weight | 100 |
| Sex | Female |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 7292 West Outer Drive, Detroit, Michigan, 48235, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother, Father |
| Who Does the Student Live With? (Check All That Apply) | Mother, Father |
| Number of Siblings in the Home | 1 |
| Are siblings applying to a Yunion camp? | Yes, they are applying for the Level Up Workforce & Leadership Development Camp. |
| Is your child a returning Keys 2 Life or SWAG program participant? | No |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Please indicate student’s area of interest. We would like for you to check all applicable. | Acting, Theater |
| Name of Parent/Guardian Completing This Form | Kanieth, Travis |
| Email Address of Parent/Guardian Completing This Form | kaniethtravis@gmail.com |
| Your Preferred Method Of Communication | |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 978-6562 |
| Father/Legal Guardian | William, Travis |
| Father's Address | 7292 West Outer Drive, Detroit, Michigan, 48235, United States |
| Father's DOB | 1976-08-13 |
| Father's Mobile Number | (248) 508-3467 |
| Father's Email | tenman313@yahoo.com |
| Authorized for pick up? | Yes |
| Mother/Legal Guardian | Kanieth, Travis |
| Mother's Address | 7292 West Outer Drive, Detroit, Michigan, 48235, United States |
| Mother's DOB | 1982-09-15 |
| Mothers Mobile Number | (313) 978-6562 |
| Mother's Email | kaniethtravis@gmail.com |
| Authorized for pick up? | Yes |
| 1. Your Child’s Strengths | Leadership potential, Creativity, Athletic ability, Compassion for others, Curiosity / enjoys learning, Good sense of humor |
| Emotional Regulation / Anger (Check all that apply) | Sometimes shuts down or withdraws when upset |
| How would you describe your child most of the time? | Calm and easygoing, Energetic / high activity level, Independent, Strong-willed |
| What are you hoping your child gains from KEYS Performing Arts Camp (Check all that apply) | Greater respect for authority, Increased confidence, Leadership skills, Stronger faith or spiritual foundation, Academic motivation |
| What concerns you most about your child right now? | I have no concerns for my child At this time. |
| What kind of future do you hope for your child? | I hope that my child will have a bright future in life for her as she continues to grow and thrive in her own ways as she continues through her journey and continues through her education. |
| Preferred Hospital for Emergency Treatment | Children’s Hospital |
| Medical Conditions (check all that apply) | None |
| If medication must be administered during program hours, a medication authorization form must be on file. Parent Initials: | 6a067a989041f9.85823771.png |
| Name | Kanieth Travis |
| Phone | (313) 978-6562 |
| Relationship to student | Mother |
| Name | William Travis |
| Phone | (248) 508-3467 |
| Relationship to student | Father |
| Name | Kamora Moss |
| Phone | (734) 819-2237 |
| Relationship to student | Sister |
| Emergency Medical Treatment | By checking the box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking the box, I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking the box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking the box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking the box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Mentoring, Family resources |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 60000 |
| How many dependents are in your family? | 2 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | No |
| How did you find out about The Yunion's Summer Camp? | Someone referred me |
| Name of Person/Recruiter who Referred You | Antoine Crowder |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Kanieth Travis |
| Add Your Signature Here | 6a067b6de28c55.67828838.png |
| Child's Name (Printed) | Kelis Travis |
| Have Your Child Sign His/Her Signature Here | 6a067b6ded9e81.21605100.png |
| 2026 Keys2Life Performing Arts Camp | 2026 Keys2Life Performing Arts Camp, $0.00, 1 |
| Date | 2026-05-14 |
Kristian Travis
Keys to Life Performing Arts Summer Camp · May 14, 2026
| Child Name | Kristian, Travis |
| Age | 12 |
| Date of Birth | 2013-08-09 |
| T-Shirt Size (Adult Unisex) | Small |
| Grade Level this Fall? | 8th |
| School/District | Independent Public Charter |
| Name of School | University Prep Art &Design |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | No |
| Height | 4'6 |
| Weight | 80 lbs |
| Sex | Female |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 8656 Heritage Pl apt 109, Detroit, Michigan, 48204, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother |
| Who Does the Student Live With? (Check All That Apply) | Mother |
| Are siblings applying to a Yunion camp? | No, they are not applying for a Yunion Camp. |
| Primary Language Other Than English | N/A |
| Is your child a returning Keys 2 Life or SWAG program participant? | No |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Please indicate student’s area of interest. We would like for you to check all applicable. | Acting, Theater, Music Production, Digital Media |
| Name of Parent/Guardian Completing This Form | Erin, Gooch |
| Email Address of Parent/Guardian Completing This Form | successfule0813@gmail.com |
| Your Preferred Method Of Communication | Text |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 929-5580 |
| Mother/Legal Guardian | Erin, Gooch |
| Mother's Address | 8656 Heritage Pl apt 109, Detroit, Michigan, 48204, United States |
| Mother's DOB | 1985-12-27 |
| Mothers Work Number | (313) 600-0127 |
| Mothers Mobile Number | (313) 929-5580 |
| Mother's Email | successfule0813@gmail.com |
| Authorized for pick up? | Yes |
| 1. Your Child’s Strengths | Leadership potential, Creativity, Athletic ability, Compassion for others, Curiosity / enjoys learning, Good sense of humor |
| 2. Areas Where Your Child May Need Support | Sometimes struggles to follow instructions at home, Becomes frustrated or upset when corrected, Other |
| Other | Confidence when unfamiliar |
| How would you describe your child most of the time? | Energetic / high activity level, Independent |
| What are you hoping your child gains from KEYS Performing Arts Camp (Check all that apply) | More discipline, Increased confidence, Positive male mentorship, Leadership skills, Better decision making, Academic motivation |
| What concerns you most about your child right now? | Leadership skills, better decision making, positive male role models. |
| What kind of future do you hope for your child? | College Graduate with high paying job, high morale, respects herself, makes good decisions that helps her move forward in a positive way. |
| Preferred Hospital for Emergency Treatment | Childrens Hospital of Michigan |
| Medical Conditions (check all that apply) | Allergies, Asthma, Requires Epi-Pen |
| Food Allergies | Ranch, Mayo, Eggs, Egg Based Products |
| Allergic to Bees? | No |
| If medication must be administered during program hours, a medication authorization form must be on file. Parent Initials: | 6a063a7b00ffb1.46160715.png |
| Additional medical or behavioral information staff should know: | N/A |
| Name | Donitra Scott |
| Phone | (313) 346-2266 |
| Relationship to student | Friend of Family |
| Emergency Medical Treatment | By checking the box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking the box, I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking the box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking the box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking the box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Mentoring, Counseling referral, Family resources |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 40000 |
| How many dependents are in your family? | 2 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | No |
| Please explain any extenuating circumstances related to your financial need? (100 words or less) | Single Parent |
| How did you find out about The Yunion's Summer Camp? | Nights Of the Arts Event at UPAD Middle School |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Erin Gooch |
| Add Your Signature Here | 6a063c85c0d192.51524739.png |
| Child's Name (Printed) | Kristian Travis |
| Have Your Child Sign His/Her Signature Here | 6a063c85cb4846.47818861.png |
| 2026 Keys2Life Performing Arts Camp | 2026 Keys2Life Performing Arts Camp, $0.00, 1 |
| Date | 2026-05-14 |
Yareli Alfaro-Ortiz
Keys to Life Performing Arts Summer Camp · May 14, 2026
| Child Name | Yareli, Alfaro-Ortiz |
| Age | 10 |
| Date of Birth | 2015-10-01 |
| T-Shirt Size (Adult Unisex) | Medium |
| Grade Level this Fall? | 6th |
| School/District | Detroit Public Schools |
| Name of School | Academy of Americas |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | NA |
| Height | 4 |
| Weight | 10 |
| Sex | Female |
| Eye Color | Brown |
| Ethnicity | Hispanic |
| Student Address | 1561 Infantry St, Detroit, Michigan, 48209-2016, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother, Father |
| Who Does the Student Live With? (Check All That Apply) | Mother, Father |
| Number of Siblings in the Home | 2 |
| Are siblings applying to a Yunion camp? | Yes, they are applying for the Keys Performing Arts Camp. |
| Primary Language Other Than English | Spanish |
| Is your child a returning Keys 2 Life or SWAG program participant? | Yes |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Please indicate student’s area of interest. We would like for you to check all applicable. | Acting, Dance, Theater |
| Name of Parent/Guardian Completing This Form | Marcela, Alfaro |
| Email Address of Parent/Guardian Completing This Form | matiz.alfaro75@gmail.com |
| Your Preferred Method Of Communication | |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 629-6162 |
| Father/Legal Guardian | Jorge, Alfaro |
| Father's Address | 1561 Infantry St, Detroit, Michigan, 48209-2016, United States |
| Father's DOB | 1970-10-17 |
| Father's Home Number | (313) 671-7922 |
| Father's Mobile Number | (313) 671-7922 |
| Father's Email | Matiz.alfaro75@gmail.com |
| Authorized for pick up? | Yes |
| Mother/Legal Guardian | Marcela, Alfaro |
| Mother's Address | 1561 Infantry St, Detroit, Michigan, 48209-2016, United States |
| Mother's DOB | 1975-09-12 |
| Mothers Mobile Number | (313) 629-6162 |
| Mother's Email | matiz.alfaro75@gmail.com |
| Authorized for pick up? | Yes |
| 1. Your Child’s Strengths | Leadership potential, Creativity, Determination, Curiosity / enjoys learning, Good sense of humor |
| 2. Areas Where Your Child May Need Support | Sometimes struggles to follow instructions at home |
| Emotional Regulation / Anger (Check all that apply) | Has difficulty controlling anger or frustration, Reacts strongly to conflict or correction |
| Curfew / Home Expectations | Sometimes struggles to follow curfew or home rules |
| How would you describe your child most of the time? | Energetic / high activity level, Sensitive / emotional, Strong-willed |
| What are you hoping your child gains from KEYS Performing Arts Camp (Check all that apply) | Increased confidence, Leadership skills, Better decision making |
| Medical Conditions (check all that apply) | None |
| Name | Marcela Alfaro |
| Phone | (313) 629-6162 |
| Relationship to student | Mother |
| Name | Kevin Alfaro-Ortiz |
| Phone | (313) 775-6693 |
| Relationship to student | Brother |
| Name | Jorge Alfaro |
| Phone | (313) 671-7922 |
| Relationship to student | Father |
| Emergency Medical Treatment | By checking the box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking the box, I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking the box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking the box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking the box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Tutoring (school year only), Mentoring, Counseling referral |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 30000 |
| How many dependents are in your family? | 3 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | No |
| Please explain any extenuating circumstances related to your financial need? (100 words or less) | We currently only have one person working in the family providing financial support. Because of our immigration status and other factors, we have limited access to outside support, including things such as the food assistance program and Medicaid. We currently cannot afford to pay for the cost of the camp. Please feel free to reach out with any other questions or if supporting documentation is required or needed. Thank you |
| How did you find out about The Yunion's Summer Camp? | Someone referred me |
| Name of Person/Recruiter who Referred You | Yulisa Rocha |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Marcela Alfaro |
| Add Your Signature Here | 6a06026e838f46.85203250.png |
| Child's Name (Printed) | Yareli Alfaro-Ortiz |
| Have Your Child Sign His/Her Signature Here | 6a06026e8ec526.11883990.png |
| 2026 Keys2Life Performing Arts Camp | 2026 Keys2Life Performing Arts Camp, $0.00, 1 |
| Date | 2026-05-14 |
David Alfaro-Ortiz
Keys to Life Performing Arts Summer Camp · May 14, 2026
| Child Name | David, Alfaro-Ortiz |
| Age | 12 |
| Date of Birth | 2013-10-29 |
| T-Shirt Size (Adult Unisex) | Medium |
| Grade Level this Fall? | 6th |
| School/District | Detroit Public Schools |
| Name of School | Academy of Americas |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | NA |
| Height | 4 |
| Weight | 11 |
| Sex | Male |
| Eye Color | Brown |
| Ethnicity | Hispanic |
| Student Address | 1561 Infantry St, Detroit, Michigan, 48209-2016, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother, Father |
| Who Does the Student Live With? (Check All That Apply) | Mother, Father |
| Number of Siblings in the Home | 2 |
| Are siblings applying to a Yunion camp? | Yes, they are applying for the Keys Performing Arts Camp. |
| Primary Language Other Than English | Spanish |
| Is your child a returning Keys 2 Life or SWAG program participant? | Yes |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Please indicate student’s area of interest. We would like for you to check all applicable. | Acting, Dance, Theater, Music Production, Digital Media |
| Name of Parent/Guardian Completing This Form | Marcela, Alfaro |
| Email Address of Parent/Guardian Completing This Form | matiz.alfaro75@gmail.com |
| Your Preferred Method Of Communication | |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 629-6162 |
| Father/Legal Guardian | Jorge, Alfaro |
| Father's Address | 1561 Infantry St, Detroit, Michigan, 48209-2016, United States |
| Father's DOB | 1970-10-17 |
| Father's Mobile Number | (313) 671-7922 |
| Father's Email | Matiz.alfaro75@gmail.com |
| Authorized for pick up? | Yes |
| Mother/Legal Guardian | Marcela, Alfaro |
| Mother's Address | 1561 Infantry St, Detroit, Michigan, 48209-2016, United States |
| Mother's DOB | 1975-09-12 |
| Mothers Mobile Number | (313) 629-6162 |
| Mother's Email | Matiz.alfaro75@gmail.com |
| Authorized for pick up? | Yes |
| 1. Your Child’s Strengths | Leadership potential, Creativity, Athletic ability, Curiosity / enjoys learning, Strong personality / confidence, Good sense of humor |
| 2. Areas Where Your Child May Need Support | Sometimes struggles to follow instructions at home |
| School Engagement (Check all that apply) | Struggles to stay focused in class |
| Curfew / Home Expectations | Sometimes struggles to follow curfew or home rules |
| How would you describe your child most of the time? | Energetic / high activity level, Sensitive / emotional, Strong-willed |
| What are you hoping your child gains from KEYS Performing Arts Camp (Check all that apply) | More discipline, Increased confidence, Positive male mentorship, Leadership skills, Better decision making, Academic motivation |
| Medical Conditions (check all that apply) | None |
| Name | Marcela Alfaro |
| Phone | (313) 629-6162 |
| Relationship to student | Mother |
| Name | Kevin Alfaro-Ortiz |
| Phone | (313) 775-6693 |
| Relationship to student | Brother |
| Name | Jorge Alfaro |
| Phone | (313) 671-7922 |
| Relationship to student | Father |
| Emergency Medical Treatment | By checking the box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking the box, I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking the box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking the box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking the box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Tutoring (school year only), Mentoring, Counseling referral, Behavioral support, Family resources |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 30000 |
| How many dependents are in your family? | -1 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | No |
| Please explain any extenuating circumstances related to your financial need? (100 words or less) | We currently only have one person working in the family providing financial support. Because of our immigration status and other factors, we have limited access to outside support, including things such as the food assistance program and Medicaid. We currently cannot afford to pay for the cost of the camp. Please feel free to reach out with any other questions or if supporting documentation is required or needed. Thank you |
| How did you find out about The Yunion's Summer Camp? | Someone referred me |
| Name of Person/Recruiter who Referred You | Yulisa Rocha |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Marcela Alfaro |
| Add Your Signature Here | 6a060208300df9.86954587.png |
| Child's Name (Printed) | David Alfaro-Ortiz |
| Have Your Child Sign His/Her Signature Here | 6a060208396bb9.06000601.png |
| 2026 Keys2Life Performing Arts Camp | 2026 Keys2Life Performing Arts Camp, $0.00, 1 |
| Date | 2026-05-14 |
Akari Caudill
Keys to Life Performing Arts Summer Camp · May 13, 2026
| Child Name | Akari, Caudill |
| Age | 11 |
| Date of Birth | 2014-08-27 |
| T-Shirt Size (Adult Unisex) | Small |
| Grade Level this Fall? | 7th |
| School/District | Eastpointe |
| Name of School | Eastpointe Middle School |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | N/a |
| Height | 4 |
| Weight | 65 pounds |
| Sex | Male |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 23123 Lambrecht ave, Eastpointe, Michigan, 48021, United States |
| County in Which Child Resides | Macomb County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother, Father |
| Who Does the Student Live With? (Check All That Apply) | Mother |
| Number of Siblings in the Home | 3 |
| Are siblings applying to a Yunion camp? | No, they are not applying for a Yunion Camp. |
| Is your child a returning Keys 2 Life or SWAG program participant? | No |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Please indicate student’s area of interest. We would like for you to check all applicable. | Acting, Dance |
| Name of Parent/Guardian Completing This Form | Kyra, Whitsell |
| Email Address of Parent/Guardian Completing This Form | kyrawhitsell@yahoo.com |
| Your Preferred Method Of Communication | |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 953-3426 |
| Father/Legal Guardian | Andrew, Caudill |
| Father's Address | 23123 Lambrecht ave, Eastpointe, Michigan, 48021, United States |
| Father's DOB | 1991-01-03 |
| Authorized for pick up? | Yes |
| Mother/Legal Guardian | Kyra, Whitsell |
| Mother's Address | 23123 Lambrecht ave, Eastpointe, Michigan, 48021, United States |
| Mother's DOB | 1988-12-19 |
| Mother's Email | kyrawhitsell@yahoo.com |
| Authorized for pick up? | Yes |
| Emergency Medical Treatment | By checking the box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking the box, I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking the box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking the box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking the box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Tutoring (school year only) |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 30000 |
| How many dependents are in your family? | 4 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | No |
| How did you find out about The Yunion's Summer Camp? | Someone referred me |
| Name of Person/Recruiter who Referred You | Tiffany Hudson |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Kyra Whitsell |
| Add Your Signature Here | 6a047e884e2cd9.30749212.png |
| Child's Name (Printed) | Akari Caudill |
| Have Your Child Sign His/Her Signature Here | 6a047e8858f3f4.45518545.png |
| 2026 Keys2Life Performing Arts Camp | 2026 Keys2Life Performing Arts Camp, $0.00, 1 |
| Date | 2026-05-13 |
Bryce Greene
Keys to Life Performing Arts Summer Camp · May 12, 2026
| Child Name | Bryce, Greene |
| Age | 11 |
| Date of Birth | 2015-02-10 |
| T-Shirt Size (Adult Unisex) | Small |
| Grade Level this Fall? | 6 |
| School/District | Warren |
| Name of School | MMSA |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | No |
| Height | 5ft |
| Weight | 78lbs |
| Sex | Male |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 18824 Hull St, Detroit, Michigan, 48203, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother, Father |
| Who Does the Student Live With? (Check All That Apply) | Mother, Father |
| Number of Siblings in the Home | 1 |
| Are siblings applying to a Yunion camp? | Yes, they are applying for the Keys Performing Arts Camp. |
| Is your child a returning Keys 2 Life or SWAG program participant? | No |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Please indicate student’s area of interest. We would like for you to check all applicable. | Acting, Music Production, Digital Media |
| Name of Parent/Guardian Completing This Form | Monet, Trammell |
| Email Address of Parent/Guardian Completing This Form | monet.trammell@gmail.com |
| Your Preferred Method Of Communication | |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 740-3032 |
| Father/Legal Guardian | Robert, Greene |
| Father's Address | 9621 Knodell, Detroit, Michigan, 48213, United States |
| Father's DOB | 1993-06-07 |
| Father's Mobile Number | (313) 955-4357 |
| Authorized for pick up? | Yes |
| Mother/Legal Guardian | Monet, Trammell |
| Mother's Address | 18824 Hull St, Detroit, Michigan, 48203, United States |
| Mother's DOB | 1993-03-01 |
| Mothers Mobile Number | (313) 740-3032 |
| Mother's Email | monet.trammell@gmail.com |
| Authorized for pick up? | Yes |
| 1. Your Child’s Strengths | Leadership potential, Creativity, Athletic ability, Curiosity / enjoys learning, Strong personality / confidence, Good sense of humor |
| 2. Areas Where Your Child May Need Support | Sometimes struggles to follow instructions at school, Becomes frustrated or upset when corrected |
| Emotional Regulation / Anger (Check all that apply) | Sometimes shuts down or withdraws when upset |
| Conflict with Others (Check all that apply) | Has frequent arguments with siblings, peers, or adults |
| How would you describe your child most of the time? | Calm and easygoing, Sensitive / emotional, Independent, Strong-willed |
| What are you hoping your child gains from KEYS Performing Arts Camp (Check all that apply) | More discipline, Increased confidence, Positive male mentorship, Leadership skills, Better decision making |
| Preferred Hospital for Emergency Treatment | Children’s Hospital-Troy |
| Medical Conditions (check all that apply) | None |
| If medication must be administered during program hours, a medication authorization form must be on file. Parent Initials: | 6a0348f388c731.27497779.png |
| Name | Delores Greene |
| Phone | (313) 753-6936 |
| Relationship to student | Grandmother |
| Emergency Medical Treatment | By checking the box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking the box, I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking the box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking the box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking the box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Tutoring (school year only), Mentoring |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 20000 |
| How many dependents are in your family? | 2 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | No |
| Please explain any extenuating circumstances related to your financial need? (100 words or less) | We currently live with family |
| How did you find out about The Yunion's Summer Camp? | Other- Flyer |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Monet Trammell |
| Add Your Signature Here | 6a0349b26ce641.71141243.png |
| Child's Name (Printed) | Bryce Greene |
| Have Your Child Sign His/Her Signature Here | 6a0349b2788e88.66730619.png |
| 2026 Keys2Life Performing Arts Camp | 2026 Keys2Life Performing Arts Camp, $0.00, 1 |
| Date | 2026-05-12 |
Cole Hobson
Keys to Life Performing Arts Summer Camp · May 12, 2026
| Child Name | Cole, Hobson |
| Age | 12 |
| Date of Birth | 2013-06-23 |
| T-Shirt Size (Adult Unisex) | XL |
| Grade Level this Fall? | 8th |
| School/District | Southfield |
| Name of School | Pace Academy |
| Education Type | IEP |
| Does your Child need any additional support? Please specify in comment box below. | Yes. He has ADHD. He needs additional assistance with learning task. |
| Height | 5'7 |
| Weight | 170 |
| Sex | Male |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 18141 Fielding St., Detroit, Michigan, 48219, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother |
| Who Does the Student Live With? (Check All That Apply) | Mother |
| Number of Siblings in the Home | 1 |
| Are siblings applying to a Yunion camp? | No, they are not applying for a Yunion Camp. |
| Is your child a returning Keys 2 Life or SWAG program participant? | No |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Please indicate student’s area of interest. We would like for you to check all applicable. | Music Production |
| Name of Parent/Guardian Completing This Form | Shavon, Andrews |
| Email Address of Parent/Guardian Completing This Form | andrews.shavon@gmail.com |
| Your Preferred Method Of Communication | Text |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 926-9131 |
| Mother/Legal Guardian | Shavon, Andrews |
| Mother's Address | 18141 Fielding St, Detroit, Michigan, 48219, United States |
| Mother's DOB | 1981-06-26 |
| Mothers Home Number | (313) 926-9131 |
| Mothers Mobile Number | (313) 926-9131 |
| Mother's Email | andrews.shavon@gmail.com |
| Authorized for pick up? | Yes |
| 1. Your Child’s Strengths | Creativity, Compassion for others, Helpful at home |
| 2. Areas Where Your Child May Need Support | Sometimes struggles to follow instructions at home, Sometimes struggles to follow instructions at school, Other |
| Other | Struggles with having confidence to do task |
| Conflict with Others (Check all that apply) | Other |
| Other | Struggles with defending his self |
| School Engagement (Check all that apply) | Struggles to stay focused in class |
| How would you describe your child most of the time? | Calm and easygoing, Sensitive / emotional |
| What are you hoping your child gains from KEYS Performing Arts Camp (Check all that apply) | Increased confidence, Positive male mentorship, Leadership skills |
| What concerns you most about your child right now? | His lack of confidence. I want him to know that he's capable of doing anything he puts his mind to. I think a lot of times he's misunderstood because he's a special learner. |
| What kind of future do you hope for your child? | I want Cole to have a bright future and I know he will with the right positive experiences. He loves music, science and cars and desires to do something in all of these things. |
| Preferred Hospital for Emergency Treatment | Henry Ford Health |
| Additional medical or behavioral information staff should know: | N/A |
| Name | Karmen Hatcher |
| Phone | (734) 430-2416 |
| Relationship to student | Friend of the family |
| Emergency Medical Treatment | By checking the box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking the box, I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking the box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking the box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking the box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Tutoring (school year only), Mentoring, Counseling referral, Family resources |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| How many dependents are in your family? | 1 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | No |
| Please explain any extenuating circumstances related to your financial need? (100 words or less) | I lost my job in March and so did his father so currently im not receiving any income. Applied for unemployment and seeking work at this time. |
| How did you find out about The Yunion's Summer Camp? | Summer Discovery |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Shavon Andrews |
| Add Your Signature Here | 6a0343b911ae85.82647341.png |
| Child's Name (Printed) | Cole Hobson |
| Have Your Child Sign His/Her Signature Here | 6a0343b91d20d3.01910075.png |
| 2026 Keys2Life Performing Arts Camp | 2026 Keys2Life Performing Arts Camp, $0.00, 1 |
| Date | 2026-05-12 |
Bailey Greene
Keys to Life Performing Arts Summer Camp · May 12, 2026
| Child Name | Bailey, Greene |
| Age | 11 |
| Date of Birth | 2015-02-10 |
| T-Shirt Size (Adult Unisex) | XS |
| Grade Level this Fall? | 6 |
| School/District | Warren |
| Name of School | MMSA |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | No |
| Height | 5ft |
| Weight | 70 |
| Sex | Female |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 18824 Hull st, Detroit, Michigan, 48203, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother, Father |
| Who Does the Student Live With? (Check All That Apply) | Mother, Father |
| Number of Siblings in the Home | 1 |
| Are siblings applying to a Yunion camp? | Yes, they are applying for the Keys Performing Arts Camp. |
| Is your child a returning Keys 2 Life or SWAG program participant? | No |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Please indicate student’s area of interest. We would like for you to check all applicable. | Dance, Music Production |
| Name of Parent/Guardian Completing This Form | Monet, Trammell |
| Email Address of Parent/Guardian Completing This Form | monet.trammell@gmail.com |
| Your Preferred Method Of Communication | |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 740-3032 |
| Father/Legal Guardian | Robert, Greene |
| Father's Address | 9621 Knodell, Detroit, Michigan, 48213, United States |
| Father's DOB | 1993-06-07 |
| Father's Mobile Number | (313) 955-4357 |
| Authorized for pick up? | Yes |
| Mother/Legal Guardian | Monet, Trammell |
| Mother's Address | 18824 Hull St, Detroit, Michigan, 48203, United States |
| Mother's DOB | 1993-03-01 |
| Mothers Mobile Number | (313) 740-3032 |
| Mother's Email | monet.trammell@gmail.com |
| Authorized for pick up? | Yes |
| 1. Your Child’s Strengths | Leadership potential, Creativity, Athletic ability, Compassion for others, Good sense of humor, Helpful at home |
| 2. Areas Where Your Child May Need Support | Becomes frustrated or upset when corrected |
| Emotional Regulation / Anger (Check all that apply) | Sometimes shuts down or withdraws when upset |
| How would you describe your child most of the time? | Calm and easygoing, Sensitive / emotional, Independent, Quiet or reserved |
| What are you hoping your child gains from KEYS Performing Arts Camp (Check all that apply) | Increased confidence, Leadership skills |
| Preferred Hospital for Emergency Treatment | Children’s Hospital-Troy |
| Medical Conditions (check all that apply) | None |
| If medication must be administered during program hours, a medication authorization form must be on file. Parent Initials: | 6a0342470f1096.71847261.png |
| Name | Delores Greene |
| Phone | (313) 753-6936 |
| Relationship to student | Grandmother |
| Emergency Medical Treatment | By checking the box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking the box, I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking the box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking the box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking the box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Tutoring (school year only), Mentoring |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 20000 |
| How many dependents are in your family? | 2 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | No |
| Please explain any extenuating circumstances related to your financial need? (100 words or less) | We currently live with family |
| How did you find out about The Yunion's Summer Camp? | Other- flyer |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Monet Trammell |
| Add Your Signature Here | 6a0343873a5a04.28361806.png |
| Child's Name (Printed) | Bailey Greene |
| Have Your Child Sign His/Her Signature Here | 6a0343874536f5.89740997.png |
| 2026 Keys2Life Performing Arts Camp | 2026 Keys2Life Performing Arts Camp, $0.00, 1 |
| Date | 2026-05-12 |
Cayden Theus
Keys to Life Performing Arts Summer Camp · May 11, 2026
| Child Name | Cayden, Theus |
| Age | 13 |
| Date of Birth | 2010-04-26 |
| T-Shirt Size (Adult Unisex) | Medium |
| Grade Level this Fall? | 9 |
| School/District | Warren |
| Name of School | Michigan Math and Science |
| Education Type | IEP |
| Height | 5’6 |
| Weight | 180 |
| Sex | Male |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 21131 Dexter Blvd, Warren, Michigan, Michigan, United States |
| County in Which Child Resides | Macomb County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother |
| Who Does the Student Live With? (Check All That Apply) | Mother |
| Are siblings applying to a Yunion camp? | Yes, they are applying for the Level Up Workforce & Leadership Development Camp. |
| Primary Language Other Than English | No |
| Is your child a returning Keys 2 Life or SWAG program participant? | No |
| Are you applying for a scholarship? | No, I will pay the full price |
| Please indicate student’s area of interest. We would like for you to check all applicable. | Music Production |
| Name of Parent/Guardian Completing This Form | Crystal, Oldham |
| Email Address of Parent/Guardian Completing This Form | oldham.crystal@yahoo.com |
| Your Preferred Method Of Communication | |
| Cell Phone Number of Parent/Guardian Completing This Form | (586) 823-2786 |
| Mother/Legal Guardian | Crystal, Oldham |
| Mother's Address | 21131 Dexter Blvd, Warren, Michigan, 48089, United States |
| Mother's DOB | 1987-01-28 |
| Mothers Home Number | (586) 823-2786 |
| Mothers Mobile Number | (586) 823-2786 |
| Mother's Email | oldham.crystal@yahoo.com |
| Authorized for pick up? | Yes |
| Emergency Medical Treatment | By checking the box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking the box, I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking the box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking the box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking the box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Mentoring, Counseling referral |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| How did you find out about The Yunion's Summer Camp? | |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Crystal Oldham |
| Add Your Signature Here | 6a01f62e351eb6.94703890.png |
| Child's Name (Printed) | Cayden Theus |
| Have Your Child Sign His/Her Signature Here | 6a01f62e402590.22231154.png |
| 2026 Keys2Life Performing Arts Camp | 2026 Keys2Life Performing Arts Camp, $0.00, 1 |
| Date | 2026-05-11 |
Mason Siler
Keys to Life Performing Arts Summer Camp · May 8, 2026
| Child Name | Mason, Siler |
| Age | 13 |
| Date of Birth | 2012-12-26 |
| T-Shirt Size (Adult Unisex) | Large |
| Grade Level this Fall? | 8 |
| School/District | Lincoln Park |
| Name of School | Lincoln Park Middle School |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | No |
| Height | 6’1 |
| Weight | 160 |
| Sex | Male |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 2970 Ferris Ave, Lincoln Park, Michigan, 48146, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother, Father |
| Who Does the Student Live With? (Check All That Apply) | Mother |
| Are siblings applying to a Yunion camp? | No, they are not applying for a Yunion Camp. |
| Is your child a returning Keys 2 Life or SWAG program participant? | Yes |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Please indicate student’s area of interest. We would like for you to check all applicable. | Acting, Theater, Music Production, Digital Media |
| Name of Parent/Guardian Completing This Form | Ashley, Robinson |
| Email Address of Parent/Guardian Completing This Form | robinson_n_ashley@yahoo.com |
| Your Preferred Method Of Communication | Text |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 986-3596 |
| Father/Legal Guardian | Christian, Siler |
| Father's Address | 1981 Pasadena, Detroit, Michigan, 48206, United States |
| Father's Mobile Number | (313) 413-8808 |
| Authorized for pick up? | Yes |
| Mother/Legal Guardian | Ashley, Robinson |
| Mother's Address | 2970 Ferris Ave, Lincoln Park, Michigan, 48146, United States |
| Mother's Email | robinson_n_ashleh@yahoo.com |
| Authorized for pick up? | Yes |
| 1. Your Child’s Strengths | Leadership potential, Athletic ability, Determination, Strong personality / confidence, Good sense of humor |
| Emotional Regulation / Anger (Check all that apply) | Sometimes shuts down or withdraws when upset |
| How would you describe your child most of the time? | Energetic / high activity level, Strong-willed |
| What are you hoping your child gains from KEYS Performing Arts Camp (Check all that apply) | More discipline, Increased confidence, Positive male mentorship, Leadership skills, Better decision making, Academic motivation |
| Medical Conditions (check all that apply) | Allergies |
| If medication must be administered during program hours, a medication authorization form must be on file. Parent Initials: | 69fe1cc609a782.24060380.png |
| Name | Arianna Robinson |
| Phone | (248) 417-1922 |
| Relationship to student | Aunt |
| Name | Christina Mitchell |
| Phone | (313) 651-6061 |
| Relationship to student | Aunt |
| Name | Dorothy Robinson |
| Phone | (313) 618-0911 |
| Relationship to student | Grandmother |
| Emergency Medical Treatment | By checking the box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking the box, I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking the box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking the box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking the box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Not needed at this time |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 50000 |
| How many dependents are in your family? | 2 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | No |
| Please explain any extenuating circumstances related to your financial need? (100 words or less) | I am a single income household and primarily take care of my son while working full time and paying to complete my college degree. Any financial assistance would be appreciated. |
| How did you find out about The Yunion's Summer Camp? | Someone referred me |
| Name of Person/Recruiter who Referred You | Katrina Fuller |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Ashley Robinson |
| Add Your Signature Here | 69fe1dcbdcb6d3.01007972.png |
| Child's Name (Printed) | Mason Siler |
| Have Your Child Sign His/Her Signature Here | 69fe1dcbe7bcc8.46816851.png |
| 2026 Keys2Life Performing Arts Camp | 2026 Keys2Life Performing Arts Camp, $0.00, 1 |
| Date | 2026-05-08 |
Jeremiah Williams
Keys to Life Performing Arts Summer Camp · May 8, 2026
| Child Name | Jeremiah, Williams |
| Age | 10 |
| Date of Birth | 2015-11-09 |
| T-Shirt Size (Adult Unisex) | Small |
| Grade Level this Fall? | 6 |
| School/District | Detroit |
| Name of School | Pembroke elementary |
| Education Type | IEP |
| Does your Child need any additional support? Please specify in comment box below. | None |
| Height | 4 |
| Weight | 100 |
| Sex | Female |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 7456 Pembroke, DETROIT, Michigan, 48221, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother, Step-Father |
| Who Does the Student Live With? (Check All That Apply) | Mother, Step-Father |
| Number of Siblings in the Home | 2 |
| Are siblings applying to a Yunion camp? | Yes, they are applying for the Keys Performing Arts Camp. |
| Is your child a returning Keys 2 Life or SWAG program participant? | No |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Please indicate student’s area of interest. We would like for you to check all applicable. | Acting, Music Production, Digital Media |
| Name of Parent/Guardian Completing This Form | Tarasha, jenkins |
| Email Address of Parent/Guardian Completing This Form | tarasha2014@gmail.com |
| Your Preferred Method Of Communication | |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 338-4013 |
| Mother/Legal Guardian | Tarasha, jenkins |
| Mother's Address | 7456 Pembroke, DETROIT, Michigan, 48221, United States |
| Mother's DOB | 1986-09-26 |
| Mothers Home Number | (313) 338-4013 |
| Mothers Work Number | (313) 226-8498 |
| Mothers Mobile Number | (313) 338-4013 |
| Mother's Email | tarasha2014@gmail.com |
| Authorized for pick up? | Yes |
| Step-Father | Demond, Smith |
| Step-Father's Address | 9000 E. Jefferson, Apt 2016, DETROIT, Michigan, 48214, United States |
| Step-Father's Phone Number | (313) 463-3909 |
| Step-Father's email address | MYMANNS07@GMAIL.COM |
| Authorized for pick up? | Yes |
| 1. Your Child’s Strengths | Leadership potential, Compassion for others, Determination, Curiosity / enjoys learning, Helpful at home |
| 2. Areas Where Your Child May Need Support | Sometimes struggles to follow instructions at home, Sometimes struggles to follow instructions at school |
| Emotional Regulation / Anger (Check all that apply) | Sometimes shuts down or withdraws when upset |
| Conflict with Others (Check all that apply) | Sometimes responds physically when upset |
| School Engagement (Check all that apply) | Struggles to stay focused in class, Has experienced disciplinary action at school |
| How would you describe your child most of the time? | Sensitive / emotional, Quiet or reserved |
| What are you hoping your child gains from KEYS Performing Arts Camp (Check all that apply) | More discipline, Greater respect for authority, Better anger management, Increased confidence, Positive male mentorship, Leadership skills, Stronger faith or spiritual foundation, Better decision making, Academic motivation |
| What concerns you most about your child right now? | Struggles academically in school. Needs more confidence. Dependent on his twin brother. |
| What kind of future do you hope for your child? | To do better academically. Stronger confidence and more independence. |
| Preferred Hospital for Emergency Treatment | Children's |
| Medical Conditions (check all that apply) | Allergies |
| Food Allergies | Pets |
| Allergic to Bees? | No |
| If medication must be administered during program hours, a medication authorization form must be on file. Parent Initials: | 69fd71d2667b77.05963385.png |
| Additional medical or behavioral information staff should know: | Allergies in the spring and summer. |
| Name | William Trammell |
| Phone | (313) 971-3276 |
| Additional Phone Number | (313) 837-9473 |
| Relationship to student | Uncle |
| Name | Andrea Trammell |
| Phone | (313) 680-0287 |
| Relationship to student | Auntie |
| Name | Olivia colbert |
| Phone | (313) 743-2880 |
| Relationship to student | Sister |
| Emergency Medical Treatment | By checking the box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking the box, I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking the box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking the box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking the box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Tutoring (school year only), Mentoring, Family resources |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 50 |
| How many dependents are in your family? | 2 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | No |
| Please explain any extenuating circumstances related to your financial need? (100 words or less) | Single Mom. I work. Im paid twice a month. Bills are high. And so is the col. Finances are being challenged right now |
| How did you find out about The Yunion's Summer Camp? | Someone referred me |
| Name of Person/Recruiter who Referred You | Cindy Cook |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Tarasha Jenkins |
| Add Your Signature Here | 69fd72b8cc3828.31339329.png |
| Child's Name (Printed) | Jeremiah Williams |
| Have Your Child Sign His/Her Signature Here | 69fd72b8d56662.73181412.png |
| 2026 Keys2Life Performing Arts Camp | 2026 Keys2Life Performing Arts Camp, $0.00, 1 |
| Date | 2026-05-08 |
Joaiah Williams
Keys to Life Performing Arts Summer Camp · May 8, 2026
| Child Name | Joaiah, Williams |
| Age | 10 |
| Date of Birth | 2015-11-09 |
| T-Shirt Size (Adult Unisex) | Small |
| Grade Level this Fall? | 6 |
| School/District | Detroit |
| Name of School | Pembroke elementary |
| Education Type | IEP |
| Does your Child need any additional support? Please specify in comment box below. | None |
| Height | 4 |
| Weight | 100 |
| Sex | Male |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 7456 Pembroke, DETROIT, Michigan, 48221, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother, Step-Father |
| Who Does the Student Live With? (Check All That Apply) | Mother, Step-Father |
| Number of Siblings in the Home | 2 |
| Are siblings applying to a Yunion camp? | Yes, they are applying for the Keys Performing Arts Camp. |
| Is your child a returning Keys 2 Life or SWAG program participant? | No |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Please indicate student’s area of interest. We would like for you to check all applicable. | Acting, Music Production, Digital Media |
| Name of Parent/Guardian Completing This Form | Tarasha, jenkins |
| Email Address of Parent/Guardian Completing This Form | tarasha2014@gmail.com |
| Your Preferred Method Of Communication | |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 338-4013 |
| Mother/Legal Guardian | Tarasha, jenkins |
| Mother's Address | 7456 Pembroke, DETROIT, Michigan, 48221, United States |
| Mother's DOB | 1986-09-26 |
| Mothers Home Number | (313) 338-4013 |
| Mothers Work Number | (313) 226-8498 |
| Mothers Mobile Number | (313) 338-4013 |
| Mother's Email | tarasha2014@gmail.com |
| Authorized for pick up? | Yes |
| Step-Father | DEMOND, SMITH |
| Step-Father's Address | 9000 E. Jefferson, Apt 2016, DETROIT, Michigan, 48214, United States |
| Step-Father's Phone Number | (313) 463-3909 |
| Step-Father's email address | MYMANNS07@GMAIL.COM |
| Authorized for pick up? | Yes |
| 1. Your Child’s Strengths | Leadership potential, Athletic ability, Compassion for others, Curiosity / enjoys learning, Helpful at home |
| 2. Areas Where Your Child May Need Support | Sometimes struggles to follow instructions at home |
| Emotional Regulation / Anger (Check all that apply) | Sometimes shuts down or withdraws when upset |
| Conflict with Others (Check all that apply) | Other |
| Other | No conflict really. He argues with his twin sometimes |
| School Engagement (Check all that apply) | Struggles to stay focused in class |
| How would you describe your child most of the time? | Calm and easygoing, Sensitive / emotional |
| What are you hoping your child gains from KEYS Performing Arts Camp (Check all that apply) | Increased confidence, Positive male mentorship, Leadership skills, Stronger faith or spiritual foundation, Better decision making, Academic motivation |
| What concerns you most about your child right now? | His confidence. Being able to articulate how he feel. And his education because dps has failed my children academically. |
| What kind of future do you hope for your child? | To be the best at all he can be |
| Preferred Hospital for Emergency Treatment | Children's |
| Medical Conditions (check all that apply) | None |
| If medication must be administered during program hours, a medication authorization form must be on file. Parent Initials: | 69fd6c5d3a2063.51445263.png |
| Additional medical or behavioral information staff should know: | None |
| Name | William Trammell |
| Phone | (313) 971-3276 |
| Additional Phone Number | (313) 837-9473 |
| Relationship to student | Uncle |
| Name | Andrea Trammell |
| Phone | (313) 680-0287 |
| Relationship to student | Auntie |
| Name | Olivia Colbert |
| Phone | (313) 743-7228 |
| Relationship to student | Sister |
| Emergency Medical Treatment | By checking the box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking the box, I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking the box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking the box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking the box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Tutoring (school year only), Mentoring, Family resources |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 50 |
| How many dependents are in your family? | 2 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | No |
| Please explain any extenuating circumstances related to your financial need? (100 words or less) | I am a single mom of twin boys. I work. Paid twice a month but bills is kicking my butt. So finances is really tight right now. |
| How did you find out about The Yunion's Summer Camp? | Someone referred me |
| Name of Person/Recruiter who Referred You | Cindy Cook |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Tarasha Jenkins |
| Add Your Signature Here | 69fd6e088569f4.71198285.png |
| Child's Name (Printed) | Josiah Williams |
| Have Your Child Sign His/Her Signature Here | 69fd6e089a56e7.24075685.png |
| 2026 Keys2Life Performing Arts Camp | 2026 Keys2Life Performing Arts Camp, $0.00, 1 |
| Date | 2026-05-08 |
Nasir DeBose
Keys to Life Performing Arts Summer Camp · May 8, 2026
| Child Name | Nasir, DeBose |
| Age | 12 |
| Date of Birth | 2014-01-07 |
| T-Shirt Size (Adult Unisex) | Medium |
| Grade Level this Fall? | 7th |
| School/District | BMEA |
| Name of School | BMEA Independent School |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | N/A |
| Height | 5'5 |
| Weight | 100 |
| Sex | Male |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 20283 Lancaster St, Harper Woods, Michigan, 48225, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother, Father |
| Who Does the Student Live With? (Check All That Apply) | Mother, Father |
| Number of Siblings in the Home | 3 |
| Are siblings applying to a Yunion camp? | No, they are not applying for a Yunion Camp. |
| Primary Language Other Than English | N/A |
| Is your child a returning Keys 2 Life or SWAG program participant? | Yes |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Please indicate student’s area of interest. We would like for you to check all applicable. | Music Production |
| Name of Parent/Guardian Completing This Form | Tanisha, DeBose |
| Email Address of Parent/Guardian Completing This Form | tanishadebose@gmail.com |
| Your Preferred Method Of Communication | |
| Cell Phone Number of Parent/Guardian Completing This Form | (248) 607-2032 |
| Father/Legal Guardian | CJ, DeBose |
| Father's Address | 20283 Lancaster St., Harper Woods, Michigan, 48225, United States |
| Father's DOB | 1991-05-16 |
| Father's Mobile Number | (248) 607-2321 |
| Father's Email | cj7debose@gmail.com |
| Authorized for pick up? | Yes |
| Mother/Legal Guardian | Tanisha, DeBose |
| Mother's Address | 20283 Lancaster St, Harper Woods, Michigan, 48225, United States |
| Mother's DOB | 1989-10-09 |
| Mothers Mobile Number | (248) 607-2032 |
| Mother's Email | tanishadebose@gmail.com |
| Authorized for pick up? | Yes |
| 1. Your Child’s Strengths | Leadership potential, Creativity, Athletic ability, Compassion for others, Curiosity / enjoys learning, Strong personality / confidence, Helpful at home |
| Emotional Regulation / Anger (Check all that apply) | Has difficulty controlling anger or frustration, Sometimes shuts down or withdraws when upset |
| How would you describe your child most of the time? | Independent, Strong-willed |
| What are you hoping your child gains from KEYS Performing Arts Camp (Check all that apply) | Better anger management, Stronger faith or spiritual foundation |
| What concerns you most about your child right now? | He shows up great as a leader in various areas, especially at school. He seeks to understand, but often gets frustrated when he isn't understanding. I would love for him to have more practical tools to calm himself when frustrated, also understanding of place and time of how to display frustration in the "everyday" interactions. |
| What kind of future do you hope for your child? | My hope for him is that he continues to hone in on his leadership skills, but not just any leadership skills, that he builds the muscle to implement more restorative practices. I hope that he doesn't lose his confidence as he navigates this world. That he continues to walk upright boldly, and learns how to lead with kindness, compassion and curiosity. |
| Medical Conditions (check all that apply) | Allergies |
| Food Allergies | No dairy milk |
| Allergic to Bees? | No |
| If medication must be administered during program hours, a medication authorization form must be on file. Parent Initials: | 69fd55e3a5c5e0.52488978.png |
| Name | Tanisha DeBose |
| Phone | (248) 607-2032 |
| Relationship to student | Mom |
| Name | CJ DeBose |
| Phone | (248) 607-2321 |
| Relationship to student | Father |
| Emergency Medical Treatment | By checking the box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking the box, I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking the box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking the box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking the box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Tutoring (school year only) |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 60000 |
| How many dependents are in your family? | 5 |
| Are you a single-income family?* | No |
| Does the child for whom you are applying receive child support?* | No |
| Please explain any extenuating circumstances related to your financial need? (100 words or less) | We are a household of 6. With raising cost, economic turmoil it is becoming increasingly hard to afford extracurricular activities, even though summer camps are essential to closing the education gap. This scholarship would afford my son the opportunity for growth. As a previous summer camp attendee, I noticed that impact this camp has had on him. He carries a lot of what he learned last year into how he shows up in the world. There has been growth in all areas to be in fact. |
| How did you find out about The Yunion's Summer Camp? | Returning student |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Tanisha DeBose |
| Add Your Signature Here | 69fd59667ad610.85367797.png |
| Child's Name (Printed) | Nasir DeBose |
| Have Your Child Sign His/Her Signature Here | 69fd5966a848b8.87918228.png |
| 2026 Keys2Life Performing Arts Camp | 2026 Keys2Life Performing Arts Camp, $0.00, 1 |
| Date | 2026-05-07 |
Kameron Moncreif
Keys to Life Performing Arts Summer Camp · May 7, 2026
| Child Name | Kameron, Moncreif |
| Age | 10 |
| Date of Birth | 2016-06-25 |
| T-Shirt Size (Adult Unisex) | Medium |
| Grade Level this Fall? | 5th |
| School/District | Wayne |
| Name of School | Detroit Innovation Academy |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | No, child gets a regular education, no additional support is needed |
| Height | 4'11 |
| Weight | 100 |
| Sex | Male |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 12100 Heyden St., Detroit, Michigan, 48228, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Guardian |
| Who Does the Student Live With? (Check All That Apply) | Other |
| Who Does the Student Live With? | Guardian/Grandmother |
| Number of Siblings in the Home | 1 |
| Are siblings applying to a Yunion camp? | Yes, they are applying for the Keys Performing Arts Camp. |
| Is your child a returning Keys 2 Life or SWAG program participant? | No |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Please indicate student’s area of interest. We would like for you to check all applicable. | Dance, Theater, Music Production, Digital Media |
| Name of Parent/Guardian Completing This Form | Hope, Jordan |
| Email Address of Parent/Guardian Completing This Form | Hoperjordan102769@gmail.com |
| Your Preferred Method Of Communication | Text |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 663-9308 |
| 1. Your Child’s Strengths | Leadership potential, Creativity, Athletic ability, Compassion for others, Determination, Curiosity / enjoys learning, Strong personality / confidence, Good sense of humor, Helpful at home |
| 2. Areas Where Your Child May Need Support | Sometimes struggles to follow instructions at home, Sometimes struggles to follow instructions at school, Becomes frustrated or upset when corrected |
| Emotional Regulation / Anger (Check all that apply) | Has difficulty controlling anger or frustration, Reacts strongly to conflict or correction, Sometimes shuts down or withdraws when upset |
| Conflict with Others (Check all that apply) | Has frequent arguments with siblings, peers, or adults, Has been involved in bullying (either as the aggressor or target), Sometimes responds physically when upset |
| How would you describe your child most of the time? | Calm and easygoing, Energetic / high activity level, Independent, Strong-willed |
| What are you hoping your child gains from KEYS Performing Arts Camp (Check all that apply) | More discipline, Greater respect for authority, Better anger management, Increased confidence, Positive male mentorship, Leadership skills, Stronger faith or spiritual foundation, Better decision making, Academic motivation |
| What concerns you most about your child right now? | My concern for my grandson is that with his bad attitude at times when he doesn't get his way, may cause a bigger problem down the road. |
| What kind of future do you hope for your child? | A future where my grandson can control himself so he can continue too be a better person so he can accomplish the things he want to do in life. |
| Preferred Hospital for Emergency Treatment | Children's hospital |
| Medical Conditions (check all that apply) | None |
| Name | Hope Jordan |
| Phone | (313) 663-9308 |
| Relationship to student | Guardian/Grandmother |
| Name | Yvonne Johnson |
| Phone | (313) 978-4594 |
| Relationship to student | Aunt |
| Name | Reggie Hite |
| Phone | (216) 219-4625 |
| Relationship to student | Uncle |
| Emergency Medical Treatment | By checking the box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking the box, I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking the box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking the box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking the box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Mentoring, Counseling referral, Behavioral support, Family resources |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 15840 |
| How many dependents are in your family? | 3 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | No |
| Please explain any extenuating circumstances related to your financial need? (100 words or less) | I only work 20 hours a week, and I have no other monetary support, and with out the a scholarship my grandson wouldn't have the chance for the exposure that your camp program can provide. |
| How did you find out about The Yunion's Summer Camp? | His sister attended this camp last year. |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Hope Jordan |
| Add Your Signature Here | 69fcc54082b165.52088661.png |
| Child's Name (Printed) | Kameron Moncrief |
| Have Your Child Sign His/Her Signature Here | 69fcc5408ce3b2.66696882.png |
| 2026 Keys2Life Performing Arts Camp | 2026 Keys2Life Performing Arts Camp, $0.00, 1 |
| Date | 2026-05-07 |
Jade Robinson
Keys to Life Performing Arts Summer Camp · May 7, 2026
| Child Name | Jade, Robinson |
| Age | 12 |
| Date of Birth | 2013-11-03 |
| T-Shirt Size (Adult Unisex) | Medium |
| Grade Level this Fall? | 8th |
| School/District | Wayne |
| Name of School | Detroit innovation Academy |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | No |
| Height | 4.11 |
| Weight | 130 |
| Sex | Female |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 12100 Heyden St., Detroit, Michigan, 48228, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Guardian |
| Who Does the Student Live With? (Check All That Apply) | Other |
| Who Does the Student Live With? | Grandmother |
| Number of Siblings in the Home | 1 |
| Are siblings applying to a Yunion camp? | Yes, they are applying for the Keys Performing Arts Camp. |
| Primary Language Other Than English | English |
| Is your child a returning Keys 2 Life or SWAG program participant? | Yes |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Please indicate student’s area of interest. We would like for you to check all applicable. | Acting, Dance, Theater |
| Name of Parent/Guardian Completing This Form | Hope, Jordan |
| Email Address of Parent/Guardian Completing This Form | Hoperjordan102769@gmail.com |
| Your Preferred Method Of Communication | Text |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 663-9308 |
| 1. Your Child’s Strengths | Leadership potential, Creativity, Compassion for others, Determination, Curiosity / enjoys learning, Good sense of humor, Helpful at home |
| 2. Areas Where Your Child May Need Support | Sometimes struggles to follow instructions at home, Sometimes struggles to follow instructions at school |
| Emotional Regulation / Anger (Check all that apply) | Sometimes shuts down or withdraws when upset |
| Conflict with Others (Check all that apply) | Has frequent arguments with siblings, peers, or adults, Has been involved in bullying (either as the aggressor or target) |
| School Engagement (Check all that apply) | Struggles to stay focused in class |
| How would you describe your child most of the time? | Calm and easygoing, Sensitive / emotional, Independent |
| What are you hoping your child gains from KEYS Performing Arts Camp (Check all that apply) | More discipline, Greater respect for authority, Increased confidence, Leadership skills, Stronger faith or spiritual foundation, Better decision making, Academic motivation |
| What concerns you most about your child right now? | That she didn't take her education seriously and that she will be left behind. |
| What kind of future do you hope for your child? | I hope that my grand daughter start, believing in herself more and that she can do the things that she wants, so that she can have a stable life. |
| Preferred Hospital for Emergency Treatment | Children's hospital |
| Medical Conditions (check all that apply) | None |
| Name | Hope Jordan |
| Phone | (313) 663-9308 |
| Relationship to student | Guardian/ grandmother |
| Name | Yvonne Johnson |
| Phone | (313) 978-4594 |
| Relationship to student | Aunt |
| Name | Reggie Hite |
| Phone | (216) 219-4625 |
| Relationship to student | Uncle |
| Emergency Medical Treatment | By checking the box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking the box, I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking the box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking the box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking the box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Mentoring, Counseling referral, Behavioral support, Family resources |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 15840 |
| How many dependents are in your family? | 3 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | No |
| Please explain any extenuating circumstances related to your financial need? (100 words or less) | I only work 20 hours a week, I don't have any other monetary support, to help expose my grand daughter to the opportunities that this camp can do. |
| How did you find out about The Yunion's Summer Camp? | My child attended last year. |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Hope Jordan |
| Add Your Signature Here | 69fcaf6d1baf95.01745127.png |
| Child's Name (Printed) | Jade Robinson |
| Have Your Child Sign His/Her Signature Here | 69fcaf6d300ad2.84194637.png |
| 2026 Keys2Life Performing Arts Camp | 2026 Keys2Life Performing Arts Camp, $0.00, 1 |
| Date | 2026-05-07 |
MaKenna Reed
Keys to Life Performing Arts Summer Camp · May 7, 2026
| Child Name | MaKenna, Reed |
| Age | 13 |
| Date of Birth | 2023-01-23 |
| T-Shirt Size (Adult Unisex) | Medium |
| Grade Level this Fall? | 8 |
| School/District | UPSCD |
| Name of School | University Prep Science and Math |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | None |
| Height | 5 |
| Weight | 2 |
| Sex | Female |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 5590 Devonshire Rd, Detroit, Michigan, 48224, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother, Father |
| Who Does the Student Live With? (Check All That Apply) | Mother |
| Number of Siblings in the Home | 1 |
| Are siblings applying to a Yunion camp? | No, they are not applying for a Yunion Camp. |
| Primary Language Other Than English | None |
| Is your child a returning Keys 2 Life or SWAG program participant? | No |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Please indicate student’s area of interest. We would like for you to check all applicable. | Acting, Dance, Theater |
| Name of Parent/Guardian Completing This Form | Shanayl, Bennett-Reed |
| Email Address of Parent/Guardian Completing This Form | shanaylbr@gmail.com |
| Your Preferred Method Of Communication | Text |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 358-5701 |
| Father/Legal Guardian | Emmanuel, Reed |
| Father's Address | 7265 Burnette, Detroit, Michigan, 48210, United States |
| Father's DOB | 1983-06-24 |
| Father's Mobile Number | (313) 671-2760 |
| Father's Email | Emmanuelreed@gmail.com |
| Authorized for pick up? | Yes |
| Mother/Legal Guardian | Shanayl, Bennett-Reed |
| Mother's Address | 5590 Devonshire Rd, Detroit, Michigan, 48224, United States |
| Mother's DOB | 1985-09-12 |
| Mothers Work Number | (313) 798-0285 |
| Mothers Mobile Number | (313) 358-5701 |
| Mother's Email | shanaylbr@gmail.com |
| Authorized for pick up? | Yes |
| 1. Your Child’s Strengths | Leadership potential, Creativity, Compassion for others, Determination, Good sense of humor |
| 2. Areas Where Your Child May Need Support | Becomes frustrated or upset when corrected, Other |
| Other | Can be sensitive to tone/volume people used when being corrected. Can be an over achiever. |
| Emotional Regulation / Anger (Check all that apply) | Sometimes shuts down or withdraws when upset |
| Conflict with Others (Check all that apply) | Other |
| Other | Will vent to mom but gets frustrated when trying to express herself. |
| School Engagement (Check all that apply) | Struggles with school attendance, Other |
| Other | Deals with excessive tiredness, low energy. |
| How would you describe your child most of the time? | Calm and easygoing, Sensitive / emotional, Independent |
| What are you hoping your child gains from KEYS Performing Arts Camp (Check all that apply) | Increased confidence, Positive male mentorship, Leadership skills, Academic motivation |
| What concerns you most about your child right now? | My main concern is helping my child navigate the excessive tiredness. Also, keeping her organized without being overwhelmed. |
| What kind of future do you hope for your child? | I hope for a future where my child is confident enough to express her thoughts and feelings without being overwhelmed. Also, being confident in her gifts and talents. |
| Preferred Hospital for Emergency Treatment | Henry Ford Health Main Campus |
| Medical Conditions (check all that apply) | Allergies |
| Food Allergies | None |
| Allergic to Bees? | No |
| Additional medical or behavioral information staff should know: | None |
| Name | Jeraldine Bennett |
| Phone | (313) 414-6923 |
| Relationship to student | Grandmother |
| Name | Alisia Taylor |
| Phone | (313) 613-3400 |
| Relationship to student | Aunt |
| Name | Stephanie Shorts |
| Phone | (313) 738-4225 |
| Relationship to student | Aunt |
| Emergency Medical Treatment | By checking the box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking the box, I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking the box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking the box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking the box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Tutoring (school year only), Mentoring, Counseling referral, Family resources |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 48000 |
| How many dependents are in your family? | 3 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | Yes |
| Please explain any extenuating circumstances related to your financial need? (100 words or less) | I am in the process of getting on track with back payments for our mortgage and electricity. I did not work from January to July of 2025, but I'm still catching up on bills. |
| How did you find out about The Yunion's Summer Camp? | Someone referred me |
| Name of Person/Recruiter who Referred You | Alisia Taylor |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Shanayl Bennett- Reed |
| Add Your Signature Here | 69fc020f527f18.21491795.png |
| Child's Name (Printed) | MaKenna Reed |
| Have Your Child Sign His/Her Signature Here | 69fc020f61ef78.18777787.png |
| 2026 Keys2Life Performing Arts Camp | 2026 Keys2Life Performing Arts Camp, $0.00, 1 |
| Date | 2026-05-06 |
Serena Buchanon
Keys to Life Performing Arts Summer Camp · May 4, 2026
| Child Name | Serena, Buchanon |
| Age | 13 |
| Date of Birth | 2012-11-09 |
| T-Shirt Size (Adult Unisex) | Medium |
| Grade Level this Fall? | 8 |
| School/District | Centerline Schools |
| Name of School | Wolfe Middle School |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | no |
| Height | 5.3 |
| Weight | 130 |
| Sex | Female |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 7020 orchard Avenue, Warren, Michigan, 48091, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Father |
| Who Does the Student Live With? (Check All That Apply) | Other |
| Who Does the Student Live With? | Aunt |
| Number of Siblings in the Home | 3 |
| Are siblings applying to a Yunion camp? | Yes, they are applying for the Keys Performing Arts Camp. |
| Is your child a returning Keys 2 Life or SWAG program participant? | Yes |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Please indicate student’s area of interest. We would like for you to check all applicable. | Acting, Dance, Theater |
| Name of Parent/Guardian Completing This Form | Whitley, Buchanon |
| Email Address of Parent/Guardian Completing This Form | email2whitley@gmail.com |
| Your Preferred Method Of Communication | Text |
| Cell Phone Number of Parent/Guardian Completing This Form | (248) 200-8811 |
| Father/Legal Guardian | Justin, Buchanon |
| Father's Address | 7020 orchard Avenue, Warren, Michigan, 48091, United States |
| Father's DOB | 1989-09-17 |
| Father's Home Number | (313) 848-5263 |
| Father's Email | email2whitley@gmail.com |
| Authorized for pick up? | Yes |
| 1. Your Child’s Strengths | Creativity, Compassion for others, Curiosity / enjoys learning, Helpful at home |
| 2. Areas Where Your Child May Need Support | Sometimes struggles to follow instructions at home, Becomes frustrated or upset when corrected |
| Emotional Regulation / Anger (Check all that apply) | Sometimes shuts down or withdraws when upset |
| School Engagement (Check all that apply) | Struggles to stay focused in class |
| How would you describe your child most of the time? | Calm and easygoing, Quiet or reserved |
| What are you hoping your child gains from KEYS Performing Arts Camp (Check all that apply) | Increased confidence, Leadership skills, Better decision making |
| What concerns you most about your child right now? | Doesn't speak up for herself. Is often confused about what she wants for herself. Has difficulty making friends |
| What kind of future do you hope for your child? | I hope she starts to believe in herself more and starts thinking more about her future and not whats going on around her and peer pressure |
| Preferred Hospital for Emergency Treatment | Beaumont |
| Medical Conditions (check all that apply) | None |
| Name | Jasmine Turner |
| Phone | (313) 680-3134 |
| Relationship to student | aunt |
| Name | Erika Shepherd |
| Phone | (313) 475-8376 |
| Relationship to student | aunt |
| Emergency Medical Treatment | By checking the box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking the box, I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking the box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking the box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking the box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Mentoring |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 37000 |
| How many dependents are in your family? | 4 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | No |
| Please explain any extenuating circumstances related to your financial need? (100 words or less) | I am a single parent, serena is my niece who i've been raising since she was 3. I also have two other teenagers at home and Im a foster parent to my 4 year old niece |
| How did you find out about The Yunion's Summer Camp? | |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Whitley Buchanon |
| Add Your Signature Here | 69f8e379123456.79845400.png |
| Child's Name (Printed) | Serena Buchanon |
| Have Your Child Sign His/Her Signature Here | 69f8e3791d92b9.99447427.png |
| 2026 Keys2Life Performing Arts Camp | 2026 Keys2Life Performing Arts Camp, $0.00, 1 |
| Date | 2026-05-04 |
Noah White
Keys to Life Performing Arts Summer Camp · May 3, 2026
| Child Name | Noah, White |
| Age | 11 |
| Date of Birth | 2015-04-04 |
| T-Shirt Size (Adult Unisex) | XL |
| Grade Level this Fall? | 6 |
| School/District | Dearborn Heights |
| Name of School | Global heights academy |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | No |
| Height | 5’1 |
| Weight | 209 |
| Sex | Male |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 7280 Dacosta, Redford, Michigan, 48239, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother, Father |
| Who Does the Student Live With? (Check All That Apply) | Mother |
| Number of Siblings in the Home | 1 |
| Are siblings applying to a Yunion camp? | No, they are not applying for a Yunion Camp. |
| Primary Language Other Than English | None |
| Is your child a returning Keys 2 Life or SWAG program participant? | No |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Please indicate student’s area of interest. We would like for you to check all applicable. | Acting, Dance, Theater, Music Production, Digital Media |
| Name of Parent/Guardian Completing This Form | Alise, White |
| Email Address of Parent/Guardian Completing This Form | aliseywhite@gmail.com |
| Your Preferred Method Of Communication | |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 452-2460 |
| Father/Legal Guardian | Lawrence, Corley |
| Father's Address | 7280, Redford, Michigan, 48239, United States |
| Authorized for pick up? | Yes |
| Mother/Legal Guardian | Alise, White |
| Mother's Address | 7280, Redford, Michigan, 48239, United States |
| Mother's Email | aliseywhite@gmail.com |
| Authorized for pick up? | Yes |
| 1. Your Child’s Strengths | Leadership potential, Creativity, Athletic ability, Compassion for others, Determination, Curiosity / enjoys learning, Strong personality / confidence, Good sense of humor, Helpful at home |
| 2. Areas Where Your Child May Need Support | Sometimes struggles to follow instructions at home |
| How would you describe your child most of the time? | Calm and easygoing, Energetic / high activity level, Independent, Strong-willed |
| What are you hoping your child gains from KEYS Performing Arts Camp (Check all that apply) | More discipline, Positive male mentorship, Leadership skills, Better decision making |
| What concerns you most about your child right now? | Lack of focus |
| Preferred Hospital for Emergency Treatment | Providence |
| Medical Conditions (check all that apply) | Allergies |
| Allergic to Bees? | No |
| If medication must be administered during program hours, a medication authorization form must be on file. Parent Initials: | 69f76c12570b18.27406001.png |
| Additional medical or behavioral information staff should know: | Allergic to amoxicillin |
| Name | Alise White |
| Phone | (313) 452-2460 |
| Relationship to student | Mother |
| Emergency Medical Treatment | By checking the box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking the box, I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking the box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking the box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking the box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Mentoring, Family resources |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | Family Insight Form |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 12000 |
| How many dependents are in your family? | 3 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | Yes |
| Please explain any extenuating circumstances related to your financial need? (100 words or less) | Part time job. Single mom |
| How did you find out about The Yunion's Summer Camp? | Flyer at my job. Speedy laundromat |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Alise White |
| Add Your Signature Here | 69f76d352403e0.56894205.png |
| Child's Name (Printed) | Noah White |
| Have Your Child Sign His/Her Signature Here | 69f76d352f42f6.25745890.png |
| 2026 Keys2Life Performing Arts Camp | 2026 Keys2Life Performing Arts Camp, $0.00, 1 |
| Date | 2026-05-03 |
Lailah Duncan
Keys to Life Performing Arts Summer Camp · April 30, 2026
| Child Name | Lailah, Duncan |
| Age | 12 |
| Date of Birth | 2013-05-27 |
| T-Shirt Size (Adult Unisex) | XS |
| Grade Level this Fall? | 8 |
| School/District | Detroit |
| Name of School | University prep science and math |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | N/A |
| Height | 4’11 |
| Weight | 110 |
| Sex | Female |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 6761 burh st, Detroit, Michigan, 48212, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother, Father, Step-Father |
| Who Does the Student Live With? (Check All That Apply) | Mother, Step-Father |
| Number of Siblings in the Home | 5 |
| Are siblings applying to a Yunion camp? | Yes, they are applying for the Keys Performing Arts Camp. |
| Is your child a returning Keys 2 Life or SWAG program participant? | No |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Please indicate student’s area of interest. We would like for you to check all applicable. | Dance, Theater |
| Name of Parent/Guardian Completing This Form | Saphonia, Shorts |
| Email Address of Parent/Guardian Completing This Form | saphonia.shorts@gmail.com |
| Your Preferred Method Of Communication | Text |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 738-4225 |
| Father/Legal Guardian | Deandre, Duncan |
| Father's Address | 19135 Chester St, Grosse Pointe, Michigan, 48236, United States |
| Father's DOB | 1985-06-26 |
| Father's Work Number | (313) 422-5841 |
| Authorized for pick up? | Yes |
| Mother/Legal Guardian | SAPHONIA, Shorts |
| Mother's Address | 19135 Chester St, Grosse Pointe, Michigan, 48236, United States |
| Mother's DOB | 1985-06-01 |
| Mothers Home Number | (313) 738-4225 |
| Mothers Work Number | (248) 734-0969 |
| Mothers Mobile Number | (313) 738-4225 |
| Mother's Email | saphonia.shorts@gmail.com |
| Authorized for pick up? | Yes |
| Step-Father | Waymond, Hayes |
| Step-Father's Address | Michigan, United States |
| Authorized for pick up? | Yes |
| 1. Your Child’s Strengths | Creativity, Compassion for others, Determination, Curiosity / enjoys learning, Good sense of humor |
| Emotional Regulation / Anger (Check all that apply) | Sometimes shuts down or withdraws when upset |
| School Engagement (Check all that apply) | Struggles to stay focused in class |
| How would you describe your child most of the time? | Calm and easygoing, Sensitive / emotional, Independent, Quiet or reserved |
| What are you hoping your child gains from KEYS Performing Arts Camp (Check all that apply) | Increased confidence, Leadership skills, Academic motivation |
| What concerns you most about your child right now? | Academics- i want her to want to do better and ask questions if she needs help. |
| What kind of future do you hope for your child? | Where she takes risk (safe) and enjoy the the career that she chooses. |
| Preferred Hospital for Emergency Treatment | Children’s Hospital (Detroit) |
| Medical Conditions (check all that apply) | None |
| If medication must be administered during program hours, a medication authorization form must be on file. Parent Initials: | 69f3a01e016154.21736121.png |
| Name | SAPHONIA SHORTS |
| Phone | (313) 738-4225 |
| Relationship to student | Mother |
| Name | Deandre Duncan |
| Phone | (313) 422-5841 |
| Relationship to student | Father |
| Emergency Medical Treatment | By checking the box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking the box, I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking the box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking the box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking the box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Tutoring (school year only), Mentoring, Counseling referral |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 42005 |
| How many dependents are in your family? | 5 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | No |
| Please explain any extenuating circumstances related to your financial need? (100 words or less) | I currently have four children that are in college that I am assisting and I have two other children that would be in a summer program that also needs assistance with pay so receiving this financial assistance would be a great help to our family |
| How did you find out about The Yunion's Summer Camp? | Summer Discovery |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | SAPHONIA SHORTS |
| Add Your Signature Here | 69f3a0cd4816e0.08537283.png |
| Child's Name (Printed) | Lailah Duncan |
| Have Your Child Sign His/Her Signature Here | 69f3a0cd532bb5.60101517.png |
| 2026 Keys2Life Performing Arts Camp | 2026 Keys2Life Performing Arts Camp, $0.00, 1 |
| Date | 2026-04-30 |
Messiah Jones
Keys to Life Performing Arts Summer Camp · April 30, 2026
| Child Name | Messiah, Jones |
| Age | 11 |
| Date of Birth | 2015-05-22 |
| T-Shirt Size (Adult Unisex) | Small |
| Grade Level this Fall? | 6th |
| School/District | Detroit |
| Name of School | MCA |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | n/a |
| Height | 5’0 |
| Weight | 98 |
| Sex | Female |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 19040 Curtis, Detroit, Michigan, 48219, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother |
| Who Does the Student Live With? (Check All That Apply) | Mother |
| Number of Siblings in the Home | 1 |
| Are siblings applying to a Yunion camp? | Yes, they are applying for the Keys Performing Arts Camp. |
| Is your child a returning Keys 2 Life or SWAG program participant? | No |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Please indicate student’s area of interest. We would like for you to check all applicable. | Acting, Dance, Theater, Music Production, Digital Media |
| Name of Parent/Guardian Completing This Form | Renita, Williams |
| Email Address of Parent/Guardian Completing This Form | renitawilliams90@gmail.com |
| Your Preferred Method Of Communication | Text |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 989-2086 |
| Mother/Legal Guardian | Renita, Williams |
| Mother's Address | 19040 Curtis, Detroit, Michigan, 48219, United States |
| Mother's DOB | 1984-01-06 |
| Mothers Mobile Number | (313) 989-2086 |
| Mother's Email | renitawilliams90@gmail.com |
| Authorized for pick up? | Yes |
| 1. Your Child’s Strengths | Leadership potential, Creativity, Athletic ability, Compassion for others, Determination, Curiosity / enjoys learning, Strong personality / confidence, Good sense of humor, Helpful at home |
| 2. Areas Where Your Child May Need Support | Sometimes struggles to follow instructions at school |
| Emotional Regulation / Anger (Check all that apply) | Sometimes shuts down or withdraws when upset |
| School Engagement (Check all that apply) | Struggles to stay focused in class |
| How would you describe your child most of the time? | Energetic / high activity level, Sensitive / emotional, Independent, Strong-willed |
| What are you hoping your child gains from KEYS Performing Arts Camp (Check all that apply) | More discipline, Greater respect for authority, Better anger management, Increased confidence, Leadership skills, Stronger faith or spiritual foundation, Better decision making, Academic motivation |
| Preferred Hospital for Emergency Treatment | Providence |
| Medical Conditions (check all that apply) | None |
| Name | Renita Williams |
| Phone | (313) 989-2086 |
| Additional Phone Number | (313) 829-4586 |
| Relationship to student | Mother |
| Emergency Medical Treatment | By checking the box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking the box, I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking the box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking the box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking the box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Tutoring (school year only), Counseling referral, Family resources |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 20000 |
| How many dependents are in your family? | 2 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | No |
| How did you find out about The Yunion's Summer Camp? | |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Renita Williams |
| Add Your Signature Here | 69f35d830dc7d6.01003599.png |
| Child's Name (Printed) | Messiah Joned |
| Have Your Child Sign His/Her Signature Here | 69f35d831900d3.28961992.png |
| 2026 Keys2Life Performing Arts Camp | 2026 Keys2Life Performing Arts Camp, $0.00, 1 |
| Date | 2026-04-30 |
Rahziel Smith
Keys to Life Performing Arts Summer Camp · April 29, 2026
| Child Name | Rahziel, Smith |
| Age | 13 |
| Date of Birth | 2013-02-24 |
| T-Shirt Size (Adult Unisex) | Small |
| Grade Level this Fall? | 8 |
| School/District | DPSCD |
| Name of School | Dixon Educational Leadership Academy |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | No |
| Height | 5’ 1” |
| Weight | 113 |
| Sex | Male |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 7801 Fielding St, Detroit, Michigan, 48228, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother |
| Who Does the Student Live With? (Check All That Apply) | Mother |
| Number of Siblings in the Home | 1 |
| Are siblings applying to a Yunion camp? | No, they are not applying for a Yunion Camp. |
| Is your child a returning Keys 2 Life or SWAG program participant? | Yes |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Please indicate student’s area of interest. We would like for you to check all applicable. | Dance, Theater, Digital Media |
| Name of Parent/Guardian Completing This Form | Sherrie, Smith |
| Email Address of Parent/Guardian Completing This Form | ccsoupsherrie@gmail.com |
| Your Preferred Method Of Communication | |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 471-4005 |
| Mother/Legal Guardian | Sherrie, Smith |
| Mother's Address | 7801 Fielding St, Detroit, Michigan, 48228, United States |
| Mother's DOB | 1979-12-10 |
| Mothers Work Number | (313) 471-4005 |
| Mothers Mobile Number | (313) 471-4005 |
| Mother's Email | ccsoupsherrie@gmail.com |
| Authorized for pick up? | Yes |
| 1. Your Child’s Strengths | Leadership potential, Compassion for others, Determination, Curiosity / enjoys learning, Good sense of humor, Helpful at home |
| 2. Areas Where Your Child May Need Support | Other |
| Other | Doesn’t always like interacting in groups tries to stay to himself a lot |
| Emotional Regulation / Anger (Check all that apply) | Sometimes shuts down or withdraws when upset |
| Curfew / Home Expectations | Sometimes struggles to follow curfew or home rules |
| How would you describe your child most of the time? | Calm and easygoing, Quiet or reserved |
| What are you hoping your child gains from KEYS Performing Arts Camp (Check all that apply) | Increased confidence, Leadership skills |
| What concerns you most about your child right now? | Not having a desire to make friends |
| What kind of future do you hope for your child? | One where he is spiritually, mentally, emotionally, and financially whole |
| Preferred Hospital for Emergency Treatment | Children’s |
| Medical Conditions (check all that apply) | Allergies |
| Food Allergies | Peanuts |
| Allergic to Bees? | No |
| Name | Sherrie Smith |
| Phone | (313) 471-4005 |
| Relationship to student | Mother |
| Name | Sylvia Reynolds |
| Phone | (313) 920-3709 |
| Relationship to student | Grandmother |
| Name | Mark Reynolds |
| Phone | (313) 333-3429 |
| Relationship to student | Grandfather |
| Emergency Medical Treatment | By checking the box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking the box, I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking the box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking the box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking the box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 60000 |
| How many dependents are in your family? | 2 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | No |
| Please explain any extenuating circumstances related to your financial need? (100 words or less) | Unable to afford basic expenses prior to the rise in gas, food and or health insurance premiums just went up. I’m attempting to find a better job but right now everything is maxed and on payment plans. Based on what I make I don’t qualify for any assistance |
| How did you find out about The Yunion's Summer Camp? | Someone referred me |
| Name of Person/Recruiter who Referred You | Charyse |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Sherrie Smith |
| Add Your Signature Here | 69f294d573c438.91855177.png |
| Child's Name (Printed) | Rahziel Smith |
| Have Your Child Sign His/Her Signature Here | 69f294d58070e0.39613434.png |
| 2026 Keys2Life Performing Arts Camp | 2026 Keys2Life Performing Arts Camp, $0.00, 1 |
| Date | 2026-04-29 |
Royal Warr
Keys to Life Performing Arts Summer Camp · April 29, 2026
| Child Name | Royal, Warr |
| Age | 11 |
| Date of Birth | 2014-07-27 |
| T-Shirt Size (Adult Unisex) | XS |
| Grade Level this Fall? | 7 |
| School/District | Detroit |
| Name of School | Paul Robeson Malcolm X Academy |
| Education Type | Working on IEP and 504 |
| Does your Child need any additional support? Please specify in comment box below. | Yes academically |
| Height | 5 |
| Weight | 110 |
| Sex | Female |
| Eye Color | Brown |
| Ethnicity | Native |
| Student Address | 7131 Outer Dr W, Detroit, Michigan, 48235, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother, Father |
| Who Does the Student Live With? (Check All That Apply) | Mother |
| Number of Siblings in the Home | 1 |
| Are siblings applying to a Yunion camp? | No, they are not applying for a Yunion Camp. |
| Primary Language Other Than English | English |
| Is your child a returning Keys 2 Life or SWAG program participant? | No |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Please indicate student’s area of interest. We would like for you to check all applicable. | Acting, Dance, Theater, Music Production, Digital Media |
| Name of Parent/Guardian Completing This Form | Angela, Clay |
| Email Address of Parent/Guardian Completing This Form | angela_clay@yahoo.com |
| Your Preferred Method Of Communication | Text |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 900-2800 |
| Father/Legal Guardian | Shelton, Warr |
| Father's Address | 00000, Detroit, Michigan, 00000, United States |
| Father's DOB | 1975-11-29 |
| Father's Home Number | (000) 000-0000 |
| Authorized for pick up? | Yes |
| Mother/Legal Guardian | Angela, Clay |
| Mother's Address | 7131 W Outer Drive, Detroit, Michigan, 48235, United States |
| Mother's DOB | 1981-02-04 |
| Mothers Work Number | (313) 900-2800 |
| Mothers Mobile Number | (313) 900-2800 |
| Mother's Email | angela_clay@yahoo.com |
| Authorized for pick up? | Yes |
| 1. Your Child’s Strengths | Creativity, Compassion for others, Other strengths |
| Other strengths: | Artist |
| How would you describe your child most of the time? | Calm and easygoing, Sensitive / emotional, Quiet or reserved |
| What are you hoping your child gains from KEYS Performing Arts Camp (Check all that apply) | Increased confidence, Leadership skills, Stronger faith or spiritual foundation, Better decision making, Academic motivation |
| What concerns you most about your child right now? | Social anxiety |
| What kind of future do you hope for your child? | A bright future |
| Preferred Hospital for Emergency Treatment | Henry Ford |
| Medical Conditions (check all that apply) | None |
| Name | Angela |
| Phone | (313) 900-2800 |
| Relationship to student | Mother |
| Name | Angela |
| Phone | (313) 900-2800 |
| Relationship to student | Mother |
| Name | Angela |
| Phone | (313) 900-2800 |
| Relationship to student | Mother |
| Emergency Medical Treatment | By checking the box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking the box, I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking the box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking the box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking the box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Tutoring (school year only), Mentoring |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | Family Insight Form |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 25000 |
| How many dependents are in your family? | 2 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | No |
| Please explain any extenuating circumstances related to your financial need? (100 words or less) | Just trying to make ends meet |
| How did you find out about The Yunion's Summer Camp? | Someone referred me |
| Name of Person/Recruiter who Referred You | Kiara |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Angela |
| Add Your Signature Here | 69f27fb229c553.68272012.png |
| Child's Name (Printed) | Royal |
| Have Your Child Sign His/Her Signature Here | 69f27fb235a990.95202567.png |
| 2026 Keys2Life Performing Arts Camp | 2026 Keys2Life Performing Arts Camp, $0.00, 1 |
| Date | 2026-04-29 |
Landon Amos
Keys to Life Performing Arts Summer Camp · April 29, 2026
| Child Name | Landon, Amos |
| Age | 12 |
| Date of Birth | 2013-10-29 |
| T-Shirt Size (Adult Unisex) | XS |
| Grade Level this Fall? | 8th |
| School/District | University Prep |
| Name of School | UPAD |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | None |
| Height | 4'11 |
| Weight | 87 |
| Sex | Male |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 5950 John R st #6, Detroit, Michigan, 48202, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother, Father |
| Who Does the Student Live With? (Check All That Apply) | Mother |
| Number of Siblings in the Home | 1 |
| Are siblings applying to a Yunion camp? | No, they are not applying for a Yunion Camp. |
| Is your child a returning Keys 2 Life or SWAG program participant? | No |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Please indicate student’s area of interest. We would like for you to check all applicable. | Acting, Theater, Music Production, Digital Media |
| Name of Parent/Guardian Completing This Form | Kameshea, Amos |
| Email Address of Parent/Guardian Completing This Form | Mesha_Amos@yahoo.com |
| Your Preferred Method Of Communication | Text |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 766-8406 |
| Father/Legal Guardian | Richard, Castro |
| Father's Address | 2056 Clark St, Detroit, Michigan, 48209, United States |
| Father's DOB | 1980-10-24 |
| Father's Mobile Number | (714) 612-0122 |
| Father's Email | Dolocastro1980@gmail.com |
| Authorized for pick up? | Yes |
| Mother/Legal Guardian | Kameshea, Amos |
| Mother's Address | 5950 John R st #6, Not Hispanic or Latino, Michigan, 48202, United States |
| Mother's DOB | 1983-08-12 |
| Mothers Work Number | (586) 359-2805 |
| Mothers Mobile Number | (313) 766-8406 |
| Mother's Email | Mesha_Amos@yahoo.com |
| Authorized for pick up? | Yes |
| 1. Your Child’s Strengths | Leadership potential, Creativity, Athletic ability, Compassion for others, Determination, Curiosity / enjoys learning, Strong personality / confidence, Good sense of humor, Helpful at home |
| 2. Areas Where Your Child May Need Support | Becomes frustrated or upset when corrected |
| Emotional Regulation / Anger (Check all that apply) | Has difficulty controlling anger or frustration, Sometimes shuts down or withdraws when upset |
| Conflict with Others (Check all that apply) | Has frequent arguments with siblings, peers, or adults, Has been involved in bullying (either as the aggressor or target) |
| School Engagement (Check all that apply) | Has received school suspension(s) |
| Exposure to Risk Behaviors (Check all that apply) | Has been exposed to drug or alcohol use among peers |
| Has your child ever (Check all that apply): | Been suspended from school |
| How would you describe your child most of the time? | Calm and easygoing, Independent, Strong-willed, Quiet or reserved |
| What are you hoping your child gains from KEYS Performing Arts Camp (Check all that apply) | Better anger management, Increased confidence, Positive male mentorship, Leadership skills, Better decision making |
| What concerns you most about your child right now? | To be a successful adult contributing to society in a positive manner. Also, to be a well-rounded gentleman that knows how to maneuver in the world and enjoys life. Very self-controlled with emotional intelligence and maturity. |
| What kind of future do you hope for your child? | Prosperous, healthy, happy and spiritually aware and sound. |
| Preferred Hospital for Emergency Treatment | Beaumont |
| Medical Conditions (check all that apply) | None |
| Name | KAMESHEA AMOS |
| Phone | (313) 766-8406 |
| Relationship to student | Mom |
| Name | Richard Castro |
| Phone | (714) 612-0122 |
| Relationship to student | Dad |
| Name | O'bren Amos |
| Phone | (313) 826-4136 |
| Relationship to student | Uncle |
| Emergency Medical Treatment | By checking the box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking the box, I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking the box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking the box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking the box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Tutoring (school year only), Mentoring, Counseling referral, Family resources |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | No, my school doesn't have that program |
| What is the annual income of your family? | 43000 |
| How many dependents are in your family? | 2 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | No |
| Please explain any extenuating circumstances related to your financial need? (100 words or less) | I'm single mom household who cares for not only my two children but my niece and nephew on a fixed income. The home we lived in needs plumbing and foundation repairs and mold remediation. My niece and nephew still live there and I have to still help with repairs. To better our situation I had to rent a place which puts a strain on available income. |
| How did you find out about The Yunion's Summer Camp? | |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Kameshea Amos |
| Add Your Signature Here | 69f252bf09e112.72064395.png |
| Child's Name (Printed) | Landon Amos |
| Have Your Child Sign His/Her Signature Here | 69f252bf15dd24.56787732.png |
| 2026 Keys2Life Performing Arts Camp | 2026 Keys2Life Performing Arts Camp, $0.00, 1 |
| Date | 2026-04-29 |
AYDEN EVANS-MARTIN
Keys to Life Performing Arts Summer Camp · April 28, 2026
| Child Name | AYDEN, EVANS-MARTIN |
| Age | 12 |
| Date of Birth | 2013-10-20 |
| T-Shirt Size (Adult Unisex) | XXL |
| Grade Level this Fall? | 8TH |
| School/District | PAUL ROBESON MALCOLM X ACADEMY/ DPSCD |
| Name of School | PRMX |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | NO |
| Height | 5 "7" |
| Weight | 180 |
| Sex | Male |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 16915 LINWOOD ST., DETROIT, Michigan, 48221, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother |
| Who Does the Student Live With? (Check All That Apply) | Mother |
| Are siblings applying to a Yunion camp? | No, they are not applying for a Yunion Camp. |
| Primary Language Other Than English | N/A |
| Is your child a returning Keys 2 Life or SWAG program participant? | Yes |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Please indicate student’s area of interest. We would like for you to check all applicable. | Acting, Music Production, Digital Media |
| Name of Parent/Guardian Completing This Form | MICHELLE, EVANS |
| Email Address of Parent/Guardian Completing This Form | mevans@detroitatwork.com |
| Your Preferred Method Of Communication | |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 445-9064 |
| Mother/Legal Guardian | MICHELLE, EVANS |
| Mother's Address | 16915 LINWOOD ST., DETROIT, Michigan, 48221, United States |
| Mother's DOB | 1978-10-05 |
| Mothers Home Number | (313) 861-0033 |
| Mothers Work Number | (313) 788-7143 |
| Mothers Mobile Number | (313) 445-9064 |
| Mother's Email | mevans@detroitatwork.com |
| Authorized for pick up? | Yes |
| 1. Your Child’s Strengths | Leadership potential, Creativity, Athletic ability, Compassion for others, Determination, Curiosity / enjoys learning, Strong personality / confidence, Good sense of humor, Helpful at home |
| What are you hoping your child gains from KEYS Performing Arts Camp (Check all that apply) | Positive male mentorship |
| Preferred Hospital for Emergency Treatment | ANY DMC OR CHILDREN'S HOSPITAL |
| Name | MICHAEL EVANS |
| Phone | (313) 401-5589 |
| Additional Phone Number | (313) 861-0033 |
| Relationship to student | GRANDFATHER |
| Name | MICHELLE EVANS |
| Phone | (313) 445-9064 |
| Additional Phone Number | (313) 788-7143 |
| Relationship to student | MOTHER |
| Name | KEANAN MARTIN |
| Phone | (313) 287-7622 |
| Relationship to student | FATHER |
| Emergency Medical Treatment | By checking the box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking the box, I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking the box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking the box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking the box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 30000 |
| How many dependents are in your family? | 1 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | No |
| How did you find out about The Yunion's Summer Camp? | MY SONS SCHOOL |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | MICHELLE EVANS |
| Add Your Signature Here | 69f0f16c8f3f82.28839238.png |
| Child's Name (Printed) | AYDEN EVANS-MARTIN |
| Have Your Child Sign His/Her Signature Here | 69f0f16c9b3f46.97448030.png |
| 2026 Keys2Life Performing Arts Camp | 2026 Keys2Life Performing Arts Camp, $0.00, 1 |
| Date | 2026-04-28 |
Jaedyn Pitts
Keys to Life Performing Arts Summer Camp · April 28, 2026
| Child Name | Jaedyn, Pitts |
| Age | 10 |
| Date of Birth | 2015-08-20 |
| T-Shirt Size (Adult Unisex) | XS |
| Grade Level this Fall? | 6 |
| School/District | Oakland |
| Name of School | EAST |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | NA |
| Height | 5 |
| Sex | Female |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 22799 Floral St, Farmington, Michigan, 48336, United States |
| County in Which Child Resides | Oakland County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother, Father |
| Who Does the Student Live With? (Check All That Apply) | Mother, Father |
| Number of Siblings in the Home | 1 |
| Are siblings applying to a Yunion camp? | Yes, they are applying for the Keys Performing Arts Camp. |
| Is your child a returning Keys 2 Life or SWAG program participant? | No |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Please indicate student’s area of interest. We would like for you to check all applicable. | Acting, Theater |
| Name of Parent/Guardian Completing This Form | Jazzmin, Pitts |
| Email Address of Parent/Guardian Completing This Form | jazzminvpitts@gmail.com |
| Your Preferred Method Of Communication | |
| Cell Phone Number of Parent/Guardian Completing This Form | (248) 832-7694 |
| Father/Legal Guardian | Donald, Campbell |
| Father's Address | 26165 Norfolk st, Inkster, Michigan, 48141, United States |
| Father's DOB | 1990-10-01 |
| Father's Home Number | (313) 523-1831 |
| Father's Email | donaldcampbell159@yahoo.com |
| Authorized for pick up? | Yes |
| Mother/Legal Guardian | Jazzmin, Pitts |
| Mother's Address | 22799 Floral St, Farmington, Michigan, 48336, United States |
| Mother's DOB | 1989-01-27 |
| Mothers Home Number | (248) 832-7694 |
| Mothers Mobile Number | (248) 832-7694 |
| Mother's Email | jazzminvpitts@gmail.com |
| Authorized for pick up? | Yes |
| Emergency Medical Treatment | By checking the box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking the box, I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking the box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking the box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking the box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Not needed at this time |
| May one of our team members contact you with more information about our support services? | No |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 63000 |
| How many dependents are in your family? | 2 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | Yes |
| How did you find out about The Yunion's Summer Camp? | Someone referred me |
| Name of Person/Recruiter who Referred You | Arabia Little |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Jazzmin Pitts |
| Add Your Signature Here | 69f0cf0cefe785.49158937.png |
| Child's Name (Printed) | Jaedyn Pitts |
| Have Your Child Sign His/Her Signature Here | 69f0cf0d1452a2.23807263.png |
| 2026 Keys2Life Performing Arts Camp | 2026 Keys2Life Performing Arts Camp, $0.00, 1 |
| Date | 2026-04-28 |
Aiden Turner
Keys to Life Performing Arts Summer Camp · April 26, 2026
| Child Name | Aiden, Turner |
| Age | 12 |
| Date of Birth | 2013-08-04 |
| Grade Level this Fall? | 8 |
| School/District | Clague Middle School |
| Name of School | Clague Middle School |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | No |
| Height | 5 |
| Weight | 125 |
| Sex | Male |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 3745 Green Brier Boulevard, Ann Arbor, Michigan, 48105, United States |
| County in Which Child Resides | Washtenaw County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother, Father |
| Who Does the Student Live With? (Check All That Apply) | Mother |
| Are siblings applying to a Yunion camp? | No, they are not applying for a Yunion Camp. |
| Is your child a returning Keys 2 Life or SWAG program participant? | Yes |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Please indicate student’s area of interest. We would like for you to check all applicable. | Music Production, Digital Media |
| Name of Parent/Guardian Completing This Form | April, Turner |
| Email Address of Parent/Guardian Completing This Form | aprilturner21@yahoo.com |
| Your Preferred Method Of Communication | |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 412-5305 |
| Father/Legal Guardian | Teshomb, Fore |
| Father's Address | N/a, N/a, Michigan, 48228, United States |
| Father's DOB | 1978-07-28 |
| Father's Mobile Number | (313) 229-1512 |
| Authorized for pick up? | Yes |
| Mother/Legal Guardian | April, Turner |
| Mother's Address | 3745 Green Brier Boulevard, Ann Arbor, Michigan, 48105, United States |
| Mother's DOB | 1984-04-01 |
| Mothers Mobile Number | (313) 412-5305 |
| Mother's Email | aprilturner21@yahoo.com |
| Authorized for pick up? | Yes |
| Emergency Medical Treatment | By checking the box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking the box, I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking the box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking the box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking the box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Tutoring (school year only), Mentoring |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| How many dependents are in your family? | 2 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | No |
| How did you find out about The Yunion's Summer Camp? | Returning |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | April Turner |
| Add Your Signature Here | 69edbe94cd6cd1.70523078.png |
| Child's Name (Printed) | Aiden Turner |
| Have Your Child Sign His/Her Signature Here | 69edbe94d8dbc8.84598784.png |
| 2026 Keys2Life Performing Arts Camp | 2026 Keys2Life Performing Arts Camp, $0.00, 1 |
| Date | 2026-04-26 |
Riyah Coleman
Keys to Life Performing Arts Summer Camp · April 25, 2026
| Child Name | Riyah, Coleman |
| Age | 11 |
| Date of Birth | 2014-07-23 |
| Grade Level this Fall? | 7 |
| School/District | 7 |
| Name of School | OW Best |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | no |
| Height | 5'0 |
| Weight | 100 |
| Sex | Female |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 18970 McCormick, Detroit, Michigan, 48224, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother |
| Who Does the Student Live With? (Check All That Apply) | Mother |
| Are siblings applying to a Yunion camp? | No, they are not applying for a Yunion Camp. |
| Is your child a returning Keys 2 Life or SWAG program participant? | No |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Please indicate student’s area of interest. We would like for you to check all applicable. | Acting, Dance, Theater, Digital Media |
| Name of Parent/Guardian Completing This Form | Stacey, Coleman |
| Email Address of Parent/Guardian Completing This Form | scoleman230@gmail.com |
| Your Preferred Method Of Communication | |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 970-3026 |
| Mother/Legal Guardian | Stacey, Coleman |
| Mother's Address | 18970 McCormick, Detroit, Michigan, 48224, United States |
| Mother's DOB | 1982-03-09 |
| Mothers Home Number | (313) 970-3026 |
| Mothers Mobile Number | (313) 970-3026 |
| Mother's Email | scoleman230@gmail.com |
| Authorized for pick up? | Yes |
| 1. Your Child’s Strengths | Compassion for others, Determination, Strong personality / confidence, Good sense of humor, Helpful at home |
| How would you describe your child most of the time? | Calm and easygoing, Sensitive / emotional, Quiet or reserved |
| What are you hoping your child gains from KEYS Performing Arts Camp (Check all that apply) | Increased confidence, Leadership skills |
| Preferred Hospital for Emergency Treatment | Childrens |
| Medical Conditions (check all that apply) | None |
| If medication must be administered during program hours, a medication authorization form must be on file. Parent Initials: | 69ecdc4e219dd1.97934976.png |
| Name | Patricia Houston |
| Phone | (313) 610-8944 |
| Relationship to student | grandmother |
| Emergency Medical Treatment | By checking the box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking the box, I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking the box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking the box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking the box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Not needed at this time |
| May one of our team members contact you with more information about our support services? | No |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 60000 |
| How many dependents are in your family? | 5 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | No |
| How did you find out about The Yunion's Summer Camp? | Someone referred me |
| Name of Person/Recruiter who Referred You | Tiffany Hudson |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Stacey Coleman |
| Add Your Signature Here | 69ecdce1178e31.00050670.png |
| Child's Name (Printed) | Riyah Coleman |
| Have Your Child Sign His/Her Signature Here | 69ecdce1217ea3.66241849.png |
| 2026 Keys2Life Performing Arts Camp | 2026 Keys2Life Performing Arts Camp, $0.00, 1 |
| Date | 2026-04-25 |
Whitney Page
Keys to Life Performing Arts Summer Camp · April 25, 2026
| Child Name | Whitney, Page |
| Age | 13 |
| Date of Birth | 2013-02-17 |
| Grade Level this Fall? | 8 |
| School/District | Mips |
| Name of School | Michigan international prep |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | No |
| Height | 5ft 2 |
| Weight | 125 |
| Sex | Female |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 834 Sherbourne st, Inkster, Michigan, 48141, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother, Father, Step-Mother |
| Who Does the Student Live With? (Check All That Apply) | Mother, Father, Step-Mother |
| Number of Siblings in the Home | 1 |
| Are siblings applying to a Yunion camp? | No, they are not applying for a Yunion Camp. |
| Is your child a returning Keys 2 Life or SWAG program participant? | No |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Please indicate student’s area of interest. We would like for you to check all applicable. | Acting, Dance, Theater, Music Production, Digital Media |
| Name of Parent/Guardian Completing This Form | Wilmonie, Page |
| Email Address of Parent/Guardian Completing This Form | wilmonie@gmail.com |
| Your Preferred Method Of Communication | Text |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 506-2008 |
| Father/Legal Guardian | Wilmonie, Page |
| Father's Address | 834 Sherbourne, Inkster, Michigan, 48141, United States |
| Father's DOB | 1975-10-08 |
| Father's Mobile Number | (313) 506-2008 |
| Father's Email | wilmonie@gmail.com |
| Authorized for pick up? | Yes |
| Mother/Legal Guardian | Tami, PAGE |
| Mother's Address | 1601 Robert Bradly Drive, Detroit, Michigan, 48207, United States |
| Mother's DOB | 1975-01-25 |
| Mothers Mobile Number | (313) 407-2767 |
| Mother's Email | tamikiapage@gmail.com |
| Authorized for pick up? | Yes |
| Step-Mother | Stacey, Page |
| Step-Mother's Address | 834 Sherbourne st, Inkster, Michigan, 48141, United States |
| Step-Mother's Phone Number | (734) 787-8437 |
| Step-Mother's email address | stacey.page705@gmail.com |
| Authorized for pick up? | Yes |
| 1. Your Child’s Strengths | Leadership potential, Creativity, Compassion for others, Determination, Curiosity / enjoys learning, Strong personality / confidence, Good sense of humor, Helpful at home |
| How would you describe your child most of the time? | Calm and easygoing, Energetic / high activity level, Independent, Quiet or reserved |
| What are you hoping your child gains from KEYS Performing Arts Camp (Check all that apply) | Increased confidence, Stronger faith or spiritual foundation, Academic motivation |
| Preferred Hospital for Emergency Treatment | Henry Ford |
| Medical Conditions (check all that apply) | Allergies |
| Food Allergies | Tree nuts and seafood |
| Allergic to Bees? | No |
| Name | Wilmonie Page |
| Phone | (313) 506-2008 |
| Relationship to student | Father |
| Name | Tami Page |
| Phone | (313) 407-2767 |
| Relationship to student | Mother |
| Name | Stacey Page |
| Phone | (734) 787-8437 |
| Relationship to student | Step mother |
| Emergency Medical Treatment | By checking the box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking the box, I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking the box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking the box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking the box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Mentoring |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | No, my school doesn't have that program |
| What is the annual income of your family? | 34000 |
| How many dependents are in your family? | 4 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | No |
| How did you find out about The Yunion's Summer Camp? | Someone referred me |
| Name of Person/Recruiter who Referred You | Tanaya Hackney |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Wilmonie Page |
| Add Your Signature Here | 69ec17a6b490a2.59042518.png |
| Child's Name (Printed) | Whitney Page |
| Have Your Child Sign His/Her Signature Here | 69ec17a6bfc464.19580743.png |
| 2026 Keys2Life Performing Arts Camp | 2026 Keys2Life Performing Arts Camp, $0.00, 1 |
| Date | 2026-04-24 |
Corde Brize
Keys to Life Performing Arts Summer Camp · April 23, 2026
| Child Name | Corde, Brize |
| Age | 12 |
| Date of Birth | 2013-09-01 |
| Grade Level this Fall? | 8th |
| School/District | Oak park |
| Name of School | Oak service learning academy l |
| Education Type | IEP |
| Does your Child need any additional support? Please specify in comment box below. | Just need extra focus he has had adhd medication but is no longer on it. He will be soon. |
| Height | 5'7 |
| Weight | 145 |
| Sex | Male |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 17095 Dorset Avenue, SOUTHFIELD, Michigan, 48075, United States |
| County in Which Child Resides | Oakland County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother, Step-Father |
| Who Does the Student Live With? (Check All That Apply) | Mother, Step-Father, Other |
| Who Does the Student Live With? | Grandpa |
| Number of Siblings in the Home | 1 |
| Are siblings applying to a Yunion camp? | No, they are not applying for a Yunion Camp. |
| Primary Language Other Than English | N/A |
| Is your child a returning Keys 2 Life or SWAG program participant? | No |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Please indicate student’s area of interest. We would like for you to check all applicable. | Dance, Music Production, Digital Media |
| Name of Parent/Guardian Completing This Form | Jasmine, Brize |
| Email Address of Parent/Guardian Completing This Form | jbrize30@gmail.com |
| Your Preferred Method Of Communication | |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 918-7639 |
| Mother/Legal Guardian | Jasmine, Brize |
| Mother's Address | 17095 Dorset Avenue, SOUTHFIELD, Michigan, 48075, United States |
| Mother's DOB | 1992-01-30 |
| Mothers Home Number | (313) 918-7639 |
| Mothers Work Number | (586) 335-1295 |
| Mothers Mobile Number | (313) 918-7639 |
| Mother's Email | jbrize30@gmail.com |
| Authorized for pick up? | Yes |
| Step-Father | McKinley, Foster |
| Step-Father's Address | 17095 Dorset Avenue, SOUTHFIELD, Michigan, 48075, United States |
| Step-Father's Phone Number | (313) 918-2820 |
| Step-Father's email address | jbrize30@gmail.com |
| Authorized for pick up? | Yes |
| Emergency Medical Treatment | By checking the box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking the box, I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking the box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking the box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking the box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Tutoring (school year only), Mentoring, Counseling referral, Behavioral support |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 18000 |
| How many dependents are in your family? | 2 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | No |
| Please explain any extenuating circumstances related to your financial need? (100 words or less) | I just need a little assistance as in we just had a lot of car repairs. We are in the process of moving. Due to health issues with the stepfather there is only one income for a while. |
| How did you find out about The Yunion's Summer Camp? | Other school fliers |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Jasmine Brize |
| Add Your Signature Here | 69ea32dc2245a9.28527281.png |
| Child's Name (Printed) | Corde Brize |
| Have Your Child Sign His/Her Signature Here | 69ea32dc2e9371.61295691.png |
| 2026 Keys2Life Performing Arts Camp | 2026 Keys2Life Performing Arts Camp, $0.00, 1 |
| Date | 2026-04-23 |
Kylee Jenkins
Keys to Life Performing Arts Summer Camp · April 23, 2026
| Child Name | Kylee, Jenkins |
| Age | 13 |
| Date of Birth | 2012-12-27 |
| Grade Level this Fall? | 8th |
| School/District | Detroit Public School |
| Name of School | Palmer Park Preparatory School |
| Education Type | IEP |
| Does your Child need any additional support? Please specify in comment box below. | Encouragement to participate |
| Height | 59" |
| Weight | 98 |
| Sex | Female |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 13800 Vassar Ave, Detroit, Michigan, 48235, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother |
| Who Does the Student Live With? (Check All That Apply) | Mother |
| Are siblings applying to a Yunion camp? | Yes, they are applying for the Keys Performing Arts Camp. |
| Is your child a returning Keys 2 Life or SWAG program participant? | No |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Please indicate student’s area of interest. We would like for you to check all applicable. | Acting, Dance, Theater |
| Name of Parent/Guardian Completing This Form | Dana, McDade |
| Email Address of Parent/Guardian Completing This Form | danapat88@gmail.com |
| Your Preferred Method Of Communication | Text |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 673-7730 |
| Mother/Legal Guardian | Dana, McDade |
| Mother's Address | 13800 Vassar Ave, Detroit, Michigan, 48235, United States |
| Mother's DOB | 2012-12-27 |
| Mothers Mobile Number | (313) 673-7730 |
| Mother's Email | danapat88@gmail.com |
| Authorized for pick up? | Yes |
| 1. Your Child’s Strengths | Leadership potential, Creativity, Athletic ability |
| 2. Areas Where Your Child May Need Support | Sometimes struggles to follow instructions at home |
| School Engagement (Check all that apply) | Struggles with school attendance, Struggles to stay focused in class |
| How would you describe your child most of the time? | Energetic / high activity level |
| What are you hoping your child gains from KEYS Performing Arts Camp (Check all that apply) | Leadership skills, Stronger faith or spiritual foundation, Better decision making, Academic motivation |
| What concerns you most about your child right now? | Confidence and how she feels about herself and identity. |
| What kind of future do you hope for your child? | I want my child to be successful now and in the future. |
| Preferred Hospital for Emergency Treatment | Children's Hospital |
| Medical Conditions (check all that apply) | Asthma |
| Name | Minar Douse |
| Phone | (313) 523-3329 |
| Relationship to student | Father |
| Name | Vicki Atkins |
| Phone | (248) 821-3460 |
| Relationship to student | Grandmother |
| Name | Erica Stewart |
| Phone | (313) 748-3413 |
| Relationship to student | Aunt |
| Emergency Medical Treatment | By checking the box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking the box, I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking the box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking the box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking the box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Mentoring, Counseling referral, Behavioral support |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 50000 |
| How many dependents are in your family? | 1 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | No |
| Please explain any extenuating circumstances related to your financial need? (100 words or less) | Inflation does not allow for extra curricular and my daughter needs and deserves to be engaged in positive activities. |
| How did you find out about The Yunion's Summer Camp? | |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Dana McDade |
| Add Your Signature Here | 69e9efbf5157e2.90878137.png |
| Child's Name (Printed) | Kylee Jenkins |
| Have Your Child Sign His/Her Signature Here | 69e9efbf5a5a07.84895848.png |
| 2026 Keys2Life Performing Arts Camp | 2026 Keys2Life Performing Arts Camp, $0.00, 1 |
| Date | 2026-04-23 |
Khaiden Donaldson
Keys to Life Performing Arts Summer Camp · April 22, 2026
| Child Name | Khaiden, Donaldson |
| Age | 13 |
| Date of Birth | 2012-08-01 |
| Grade Level this Fall? | 9th |
| School/District | Detroit |
| Name of School | University Prep Math and Science Middle School |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | No |
| Height | 5'3 |
| Weight | 115 |
| Sex | Male |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 17232 Fielding, Detroit, Michigan, 48219, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother |
| Who Does the Student Live With? (Check All That Apply) | Mother |
| Number of Siblings in the Home | 1 |
| Are siblings applying to a Yunion camp? | No, they are not applying for a Yunion Camp. |
| Primary Language Other Than English | N/a |
| Is your child a returning Keys 2 Life or SWAG program participant? | Yes |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Please indicate student’s area of interest. We would like for you to check all applicable. | Acting, Theater, Digital Media |
| Name of Parent/Guardian Completing This Form | Ju'elle, Donaldson |
| Email Address of Parent/Guardian Completing This Form | jmdon89@gmail.com |
| Your Preferred Method Of Communication | |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 703-6618 |
| Mother/Legal Guardian | Ju'elle, Donaldson |
| Mother's Address | 17232 Fielding, DETROIT, Michigan, 48219, United States |
| Mother's DOB | 1989-09-30 |
| Mothers Mobile Number | (313) 703-6618 |
| Mother's Email | jmdon89@gmail.com |
| Authorized for pick up? | Yes |
| 1. Your Child’s Strengths | Creativity, Determination, Curiosity / enjoys learning, Good sense of humor |
| Conflict with Others (Check all that apply) | Has been involved in bullying (either as the aggressor or target) |
| Has your child ever (Check all that apply): | Been suspended from school |
| How would you describe your child most of the time? | Calm and easygoing, Energetic / high activity level |
| What are you hoping your child gains from KEYS Performing Arts Camp (Check all that apply) | More discipline, Increased confidence, Positive male mentorship, Leadership skills, Stronger faith or spiritual foundation, Better decision making, Academic motivation |
| What concerns you most about your child right now? | Struggles with social interactions with peers. Badly need positive male mentorship as he hasn't had his father around since 1st grade. Definitely could use more confidence. |
| What kind of future do you hope for your child? | I hope he can succeed in all the things he's always talking about he wants to do. I'm hoping he improves his focusing skills so he can achieve that. I would like for him to be more independent and grow in self care. |
| Preferred Hospital for Emergency Treatment | Providence Hospital |
| Medical Conditions (check all that apply) | None |
| Name | Mark Jackson |
| Phone | (313) 310-0429 |
| Relationship to student | Grandfather |
| Emergency Medical Treatment | By checking the box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking the box, I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking the box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking the box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking the box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Mentoring, Counseling referral |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 14000 |
| How many dependents are in your family? | 2 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | No |
| How did you find out about The Yunion's Summer Camp? | Summer Discovery |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Ju'elle Donaldson |
| Add Your Signature Here | 69e94aa82260f1.56566708.png |
| Child's Name (Printed) | Khaiden Donaldson |
| Have Your Child Sign His/Her Signature Here | 69e94aa82e10e9.59096373.png |
| 2026 Keys2Life Performing Arts Camp | 2026 Keys2Life Performing Arts Camp, $0.00, 1 |
| Date | 2026-04-22 |
Jamari Peterson
Keys to Life Performing Arts Summer Camp · April 22, 2026
| Child Name | Jamari, Peterson |
| Age | 13 |
| Date of Birth | 2013-05-05 |
| Grade Level this Fall? | 8 |
| School/District | Wayne county |
| Name of School | Daas |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | No |
| Height | 5’5 |
| Weight | 105 |
| Sex | Male |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 762 Huntley ln, Troy, Michigan, 48085, United States |
| County in Which Child Resides | Oakland County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother, Father |
| Who Does the Student Live With? (Check All That Apply) | Mother |
| Number of Siblings in the Home | 1 |
| Are siblings applying to a Yunion camp? | No, they are not applying for a Yunion Camp. |
| Is your child a returning Keys 2 Life or SWAG program participant? | No |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Please indicate student’s area of interest. We would like for you to check all applicable. | Acting, Music Production, Digital Media |
| Name of Parent/Guardian Completing This Form | Kimbreya, Hicks |
| Email Address of Parent/Guardian Completing This Form | petersonjamari@yahoo.com |
| Your Preferred Method Of Communication | Text |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 333-5468 |
| Father/Legal Guardian | Javaughn, Peterson |
| Father's Address | 2681 clairmount st, Detroit, Michigan, 48206, United States |
| Father's DOB | 1993-02-14 |
| Father's Home Number | (412) 452-7457 |
| Authorized for pick up? | Yes |
| Mother/Legal Guardian | Kimbreya, Hicks |
| Mother's Address | 762 Huntley ln, Troy, Michigan, 48085, United States |
| Mother's DOB | 1992-01-10 |
| Mothers Home Number | (313) 333-5468 |
| Mother's Email | petersonjamari@yahoo.com |
| Authorized for pick up? | Yes |
| Emergency Medical Treatment | By checking the box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking the box, I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking the box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking the box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking the box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Tutoring (school year only), Mentoring, Counseling referral |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 70000 |
| How many dependents are in your family? | 3 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | No |
| Please explain any extenuating circumstances related to your financial need? (100 words or less) | I’m a single parent of 2 I spend most of my money on bills and food I do not receive any assistance from the state at the time except for insurance for me and my kids and my son is really interested in the program I need any assistance I can get financially to get him in the program if possible |
| How did you find out about The Yunion's Summer Camp? | School |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Kimbreya Hicks |
| Add Your Signature Here | 69e93f60be6678.97770204.png |
| Child's Name (Printed) | Jamari Peterson |
| Have Your Child Sign His/Her Signature Here | 69e93f60c9bb19.18496987.png |
| 2026 Keys2Life Performing Arts Camp | 2026 Keys2Life Performing Arts Camp, $0.00, 1 |
| Date | 2026-04-22 |
Levi Andrews
Keys to Life Performing Arts Summer Camp · April 20, 2026
| Child Name | Levi, Andrews |
| Age | 11 |
| Date of Birth | 2014-10-16 |
| Grade Level this Fall? | 7 |
| School/District | Oak Park |
| Name of School | Oak Park Middle School |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | N/A |
| Height | 4'11" |
| Weight | 93 |
| Sex | Male |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 24600 Manistee Street, Oak Park, Michigan, 48237, United States |
| County in Which Child Resides | Oakland County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother, Father |
| Who Does the Student Live With? (Check All That Apply) | Mother, Father |
| Number of Siblings in the Home | 3 |
| Are siblings applying to a Yunion camp? | Yes, they are applying for the Keys Performing Arts Camp. |
| Is your child a returning Keys 2 Life or SWAG program participant? | No |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Please indicate student’s area of interest. We would like for you to check all applicable. | Acting, Dance, Theater, Music Production, Digital Media |
| Name of Parent/Guardian Completing This Form | Allyson, Andrews |
| Email Address of Parent/Guardian Completing This Form | allysondandrews@gmail.com |
| Your Preferred Method Of Communication | |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 888-1444 |
| Father/Legal Guardian | Brandon, Andrews |
| Father's Address | 24600 Manistee Street, Oak Park, Michigan, 48237, United States |
| Father's DOB | 1990-08-29 |
| Father's Mobile Number | (313) 920-7028 |
| Father's Email | brandontandrews90@gmail.com |
| Authorized for pick up? | Yes |
| Mother/Legal Guardian | Allyson, Andrews |
| Mother's Address | 24600 Manistee Street, Oak Park, Michigan, 48237, United States |
| Mother's DOB | 1992-10-02 |
| Mothers Mobile Number | (313) 888-1444 |
| Mother's Email | allysondandrews@gmail.com |
| Authorized for pick up? | Yes |
| Emergency Medical Treatment | By checking the box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking the box, I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking the box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking the box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking the box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Mentoring |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 80000 |
| How many dependents are in your family? | 4 |
| Are you a single-income family?* | No |
| Does the child for whom you are applying receive child support?* | No |
| How did you find out about The Yunion's Summer Camp? | Someone referred me |
| Name of Person/Recruiter who Referred You | Tanaya Hackney |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Allyson Andrews |
| Add Your Signature Here | 69e6ad1b474d92.56803693.png |
| Child's Name (Printed) | Levi Andrews |
| Have Your Child Sign His/Her Signature Here | 69e6ad1b5221a1.24823159.png |
| 2026 Keys2Life Performing Arts Camp | 2026 Keys2Life Performing Arts Camp, $0.00, 1 |
| Date | 2026-04-20 |
Brandon Andrews
Keys to Life Performing Arts Summer Camp · April 20, 2026
| Child Name | Brandon, Andrews |
| Age | 12 |
| Date of Birth | 2013-06-13 |
| Grade Level this Fall? | 8 |
| School/District | Oak Park |
| Name of School | Oak Park Middle School |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | N/A |
| Height | 5'3" |
| Weight | 97 |
| Sex | Male |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 24600 Manistee Street, Oak Park, Michigan, 48237, United States |
| County in Which Child Resides | Oakland County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother, Father |
| Who Does the Student Live With? (Check All That Apply) | Mother, Father |
| Number of Siblings in the Home | 3 |
| Are siblings applying to a Yunion camp? | Yes, they are applying for the Keys Performing Arts Camp. |
| Is your child a returning Keys 2 Life or SWAG program participant? | No |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Please indicate student’s area of interest. We would like for you to check all applicable. | Acting, Dance, Theater, Music Production, Digital Media |
| Name of Parent/Guardian Completing This Form | Allyson, Andrews |
| Email Address of Parent/Guardian Completing This Form | allysondandrews@gmail.com |
| Your Preferred Method Of Communication | |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 888-1444 |
| Father/Legal Guardian | Brandon, Andrews |
| Father's Address | 24600 Manistee Street, Oak Park, Michigan, 48237, United States |
| Father's DOB | 1990-08-29 |
| Father's Mobile Number | (313) 920-7028 |
| Father's Email | brandontandrews90@gmail.com |
| Authorized for pick up? | Yes |
| Mother/Legal Guardian | Allyson, Andrews |
| Mother's Address | 24600 Manistee Street, Oak Park, Michigan, 48237, United States |
| Mother's DOB | 1992-10-02 |
| Mothers Mobile Number | (313) 888-1444 |
| Mother's Email | allysondandrews@gmail.com |
| Authorized for pick up? | Yes |
| Emergency Medical Treatment | By checking the box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking the box, I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking the box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking the box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking the box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Mentoring |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 80000 |
| How many dependents are in your family? | 4 |
| Are you a single-income family?* | No |
| Does the child for whom you are applying receive child support?* | No |
| How did you find out about The Yunion's Summer Camp? | Someone referred me |
| Name of Person/Recruiter who Referred You | Tanaya Hackney |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Allyson Andrews |
| Add Your Signature Here | 69e6ab23892302.14087638.png |
| Child's Name (Printed) | Brandon Andrews Jr. |
| Have Your Child Sign His/Her Signature Here | 69e6ab239705c9.63566131.png |
| 2026 Keys2Life Performing Arts Camp | 2026 Keys2Life Performing Arts Camp, $0.00, 1 |
| Date | 2026-04-20 |
Marcel Reid
Keys to Life Performing Arts Summer Camp · April 20, 2026
| Child Name | Marcel, Reid |
| Age | 13 |
| Date of Birth | 2013-01-23 |
| Grade Level this Fall? | 8th |
| School/District | Southfield (NHA) |
| Name of School | Laurus Academy |
| Education Type | 504 |
| Does your Child need any additional support? Please specify in comment box below. | none |
| Height | 5"6 |
| Weight | 122 |
| Sex | Male |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 23105 Providence Dr Apt 415, Southfield, Michigan, 48075, United States |
| County in Which Child Resides | Oakland County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother |
| Who Does the Student Live With? (Check All That Apply) | Mother |
| Are siblings applying to a Yunion camp? | Yes, they are applying for the Keys Performing Arts Camp. |
| Is your child a returning Keys 2 Life or SWAG program participant? | Yes |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Please indicate student’s area of interest. We would like for you to check all applicable. | Acting, Theater, Music Production, Digital Media |
| Name of Parent/Guardian Completing This Form | Veronica, Scott |
| Email Address of Parent/Guardian Completing This Form | veronica.scott92@yahoo.com |
| Your Preferred Method Of Communication | |
| Cell Phone Number of Parent/Guardian Completing This Form | (734) 560-0637 |
| Mother/Legal Guardian | Veronica, Scott |
| Mother's Address | 23105 Providence Dr Apt 415, Southfield, Michigan, 48075, United States |
| Mother's DOB | 1992-09-18 |
| Mothers Home Number | (734) 560-0637 |
| Mothers Mobile Number | (734) 560-0637 |
| Mother's Email | veronica.scott92@yahoo.com |
| Authorized for pick up? | Yes |
| Emergency Medical Treatment | By checking the box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking the box, I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking the box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking the box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking the box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Mentoring, Behavioral support |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 56000 |
| How many dependents are in your family? | 1 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | No |
| How did you find out about The Yunion's Summer Camp? | my son attends The Cave |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Veronica Scott |
| Add Your Signature Here | 69e69c657ea1f1.37934122.png |
| Child's Name (Printed) | Marcel Reid |
| Have Your Child Sign His/Her Signature Here | 69e69c65894c56.42472281.png |
| 2026 Keys2Life Performing Arts Camp | 2026 Keys2Life Performing Arts Camp, $0.00, 1 |
| Date | 2026-04-20 |
Akeem Crowder
Keys to Life Performing Arts Summer Camp · April 19, 2026
| Child Name | Akeem, Crowder |
| Age | 13 |
| Date of Birth | 2013-03-21 |
| Grade Level this Fall? | 8th |
| School/District | DPS |
| Name of School | Detroit Leadership Academy |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | No |
| Height | 5'3 |
| Weight | 140 |
| Sex | Male |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 7660 Vaughan Street, DETROIT, Michigan, 48228, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother |
| Who Does the Student Live With? (Check All That Apply) | Mother |
| Number of Siblings in the Home | 1 |
| Are siblings applying to a Yunion camp? | No, they are not applying for a Yunion Camp. |
| Is your child a returning Keys 2 Life or SWAG program participant? | No |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Please indicate student’s area of interest. We would like for you to check all applicable. | Acting, Theater, Music Production, Digital Media |
| Name of Parent/Guardian Completing This Form | Asia, Crowder |
| Email Address of Parent/Guardian Completing This Form | crowder.asia@gmail.com |
| Your Preferred Method Of Communication | Text |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 334-9159 |
| Mother/Legal Guardian | Asia, Crowder |
| Mother's Address | 7660 Vaughan Street, DETROIT, Michigan, 48228, United States |
| Mother's DOB | 1991-08-11 |
| Mothers Mobile Number | (313) 334-9159 |
| Mother's Email | crowder.asia@gmail.com |
| Authorized for pick up? | Yes |
| 1. Your Child’s Strengths | Leadership potential, Athletic ability, Determination, Curiosity / enjoys learning, Strong personality / confidence |
| 2. Areas Where Your Child May Need Support | Sometimes struggles to follow instructions at home, Becomes frustrated or upset when corrected |
| Emotional Regulation / Anger (Check all that apply) | Has difficulty controlling anger or frustration, Reacts strongly to conflict or correction, Sometimes shuts down or withdraws when upset |
| Conflict with Others (Check all that apply) | Has frequent arguments with siblings, peers, or adults |
| Curfew / Home Expectations | Sometimes struggles to follow curfew or home rules |
| Has your child ever (Check all that apply): | Been suspended from school |
| How would you describe your child most of the time? | Energetic / high activity level, Sensitive / emotional, Independent, Strong-willed |
| What are you hoping your child gains from KEYS Performing Arts Camp (Check all that apply) | More discipline, Greater respect for authority, Better anger management, Positive male mentorship, Stronger faith or spiritual foundation, Better decision making |
| What concerns you most about your child right now? | Overall his interactions with women are poor. He gets into with women a lot and tend to have something extra to say when being told what to so by a woman. |
| What kind of future do you hope for your child? | I hope for a successful young man to rise and is able to communicate well with others even while in disagreements. |
| Preferred Hospital for Emergency Treatment | Childrens Hospital |
| Medical Conditions (check all that apply) | Allergies, Asthma |
| Food Allergies | Shrimp |
| Allergic to Bees? | No |
| If medication must be administered during program hours, a medication authorization form must be on file. Parent Initials: | 69e54c93ec8585.13480835.png |
| Additional medical or behavioral information staff should know: | He has an epi pin and an inhaler. |
| Name | Antoine Crowder |
| Phone | (248) 818-3546 |
| Relationship to student | Uncle |
| Name | Molissa Scott |
| Phone | (586) 334-4510 |
| Relationship to student | Grandmother |
| Emergency Medical Treatment | By checking the box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking the box, I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking the box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking the box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking the box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Tutoring (school year only), Mentoring, Counseling referral |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 30000 |
| How many dependents are in your family? | 2 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | No |
| Please explain any extenuating circumstances related to your financial need? (100 words or less) | I am on a fixed income at this time since I got hurt from work. |
| How did you find out about The Yunion's Summer Camp? | Someone referred me |
| Name of Person/Recruiter who Referred You | Antoine Crowder |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Asia Crowder |
| Add Your Signature Here | 69e54d4194d5e5.26402833.png |
| Child's Name (Printed) | Akeem Crowder |
| Have Your Child Sign His/Her Signature Here | 69e54d419f5e32.37762993.png |
| 2026 Keys2Life Performing Arts Camp | 2026 Keys2Life Performing Arts Camp, $0.00, 1 |
| Date | 2026-04-19 |
Maison Corley
Keys to Life Performing Arts Summer Camp · April 18, 2026
| Child Name | Maison, Corley |
| Age | 11 |
| Date of Birth | 2014-06-17 |
| Grade Level this Fall? | 7 |
| School/District | Pasteur |
| Name of School | Pasteur |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | No |
| Height | 4’10” |
| Weight | 70 |
| Sex | Male |
| Eye Color | Brown |
| Ethnicity | Indigenous American |
| Student Address | 19809 San Juan, Detroit, Michigan, 48221, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother, Father |
| Who Does the Student Live With? (Check All That Apply) | Father |
| Number of Siblings in the Home | 1 |
| Are siblings applying to a Yunion camp? | No, they are not applying for a Yunion Camp. |
| Is your child a returning Keys 2 Life or SWAG program participant? | No |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Please indicate student’s area of interest. We would like for you to check all applicable. | Acting, Digital Media |
| Name of Parent/Guardian Completing This Form | Martise, Corley |
| Email Address of Parent/Guardian Completing This Form | mocjr1@gmail.com |
| Your Preferred Method Of Communication | Phone Call |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 826-5689 |
| Father/Legal Guardian | Martise, Corley |
| Father's Address | 19809 San Juan, Detroit, Michigan, 48221, United States |
| Father's DOB | 1978-10-07 |
| Father's Email | mocjr1@gmail.com |
| Authorized for pick up? | Yes |
| Mother/Legal Guardian | Erica, Pope |
| Mother's Address | 19809 San Juan, Detroit, Michigan, 48221, United States |
| Mother's DOB | 1985-02-05 |
| Mothers Mobile Number | (502) 801-3633 |
| Mother's Email | ms.pope25@gmail.com |
| Authorized for pick up? | Yes |
| 1. Your Child’s Strengths | Leadership potential, Creativity, Athletic ability, Curiosity / enjoys learning, Strong personality / confidence, Good sense of humor |
| 2. Areas Where Your Child May Need Support | Sometimes struggles to follow instructions at school |
| Emotional Regulation / Anger (Check all that apply) | Sometimes shuts down or withdraws when upset |
| Has your child ever (Check all that apply): | Been suspended from school |
| How would you describe your child most of the time? | Energetic / high activity level, Independent, Strong-willed |
| What are you hoping your child gains from KEYS Performing Arts Camp (Check all that apply) | Increased confidence, Positive male mentorship, Leadership skills |
| What concerns you most about your child right now? | N/A |
| What kind of future do you hope for your child? | Bright |
| Preferred Hospital for Emergency Treatment | U of M |
| Medical Conditions (check all that apply) | None |
| If medication must be administered during program hours, a medication authorization form must be on file. Parent Initials: | 69e3ba06cb3805.53521905.png |
| Name | Martise Corley |
| Phone | (313) 826-5689 |
| Relationship to student | Father |
| Emergency Medical Treatment | By checking the box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking the box, I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking the box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking the box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking the box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Mentoring |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 40 |
| How many dependents are in your family? | 2 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | No |
| Please explain any extenuating circumstances related to your financial need? (100 words or less) | Part time Amazon employee full time father of 2 boys |
| How did you find out about The Yunion's Summer Camp? | Older son attended a few years back |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Martise Corley |
| Add Your Signature Here | 69e3bb2cf0dce2.57126164.png |
| Child's Name (Printed) | Maison Corley |
| Have Your Child Sign His/Her Signature Here | 69e3bb2d0959c2.88062372.png |
| 2026 Keys2Life Performing Arts Camp | 2026 Keys2Life Performing Arts Camp, $0.00, 1 |
| Date | 2026-04-18 |
Amir Taylor
Keys to Life Performing Arts Summer Camp · April 18, 2026
| Child Name | Amir, Taylor |
| Age | 11 |
| Date of Birth | 2014-06-01 |
| Grade Level this Fall? | 7th |
| School/District | wayne |
| Name of School | UPA -SM Middle |
| Education Type | IEP |
| Does your Child need any additional support? Please specify in comment box below. | n/a |
| Height | 5' |
| Weight | 118 |
| Sex | Male |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 14174 Rossini Dr., Detroit, Michigan, 48205, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother, Father |
| Who Does the Student Live With? (Check All That Apply) | Mother |
| Number of Siblings in the Home | 3 |
| Are siblings applying to a Yunion camp? | Yes, they are applying for the Keys Performing Arts Camp. |
| Is your child a returning Keys 2 Life or SWAG program participant? | Yes |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Please indicate student’s area of interest. We would like for you to check all applicable. | Acting, Dance, Theater, Music Production, Digital Media |
| Name of Parent/Guardian Completing This Form | Alisia, Taylor |
| Email Address of Parent/Guardian Completing This Form | alisia518@yahoo.com |
| Your Preferred Method Of Communication | Text |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 613-3400 |
| Father/Legal Guardian | Alex, Taylor |
| Father's Address | 23038 Northline Rd, Taylor, Michigan, 48180, United States |
| Father's Email | wtayloralex@gmail.com |
| Authorized for pick up? | Yes |
| Mother/Legal Guardian | Alisia, Taylor |
| Mother's Address | 14174 Rossini Dr., Detroit, Michigan, 48205, United States |
| Mother's DOB | 1980-05-18 |
| Mothers Mobile Number | (313) 613-3400 |
| Mother's Email | alisia518@yahoo.com |
| Authorized for pick up? | Yes |
| 1. Your Child’s Strengths | Leadership potential, Creativity, Athletic ability, Compassion for others, Determination, Curiosity / enjoys learning, Strong personality / confidence, Good sense of humor, Helpful at home |
| How would you describe your child most of the time? | Calm and easygoing, Energetic / high activity level, Sensitive / emotional, Independent, Strong-willed, Quiet or reserved |
| What are you hoping your child gains from KEYS Performing Arts Camp (Check all that apply) | More discipline, Greater respect for authority, Better anger management, Increased confidence, Positive male mentorship, Leadership skills, Stronger faith or spiritual foundation, Better decision making, Academic motivation |
| Preferred Hospital for Emergency Treatment | Henry Ford Health System |
| Medical Conditions (check all that apply) | None |
| If medication must be administered during program hours, a medication authorization form must be on file. Parent Initials: | 69e32d331ca3b4.04410347.png |
| Name | Alisia Taylor |
| Phone | (313) 613-3400 |
| Relationship to student | Mother |
| Emergency Medical Treatment | By checking the box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking the box, I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking the box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking the box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking the box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Tutoring (school year only), Mentoring, Counseling referral, Behavioral support |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 78000 |
| How many dependents are in your family? | 5 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | Yes |
| How did you find out about The Yunion's Summer Camp? | Other Previous member |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Alisia Taylor |
| Add Your Signature Here | 69e32dbf58d436.32681305.png |
| Child's Name (Printed) | Amir Taylor |
| Have Your Child Sign His/Her Signature Here | 69e32dbf62d758.38863593.png |
| 2026 Keys2Life Performing Arts Camp | 2026 Keys2Life Performing Arts Camp, $0.00, 1 |
| Date | 2026-04-18 |
Ariel Taylor
Keys to Life Performing Arts Summer Camp · April 18, 2026
| Child Name | Ariel, Taylor |
| Age | 13 |
| Date of Birth | 2012-09-21 |
| Grade Level this Fall? | 8th |
| School/District | Wayne |
| Name of School | UPA - Science & Math |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | n/a |
| Height | 5'1 |
| Weight | 120 |
| Sex | Female |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 14174 Rossini Dr., Detroit, Michigan, 48205, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother, Father |
| Who Does the Student Live With? (Check All That Apply) | Mother |
| Number of Siblings in the Home | 3 |
| Are siblings applying to a Yunion camp? | Yes, they are applying for the Keys Performing Arts Camp. |
| Is your child a returning Keys 2 Life or SWAG program participant? | Yes |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Please indicate student’s area of interest. We would like for you to check all applicable. | Acting, Dance, Theater, Music Production, Digital Media |
| Name of Parent/Guardian Completing This Form | Alisia, Taylor |
| Email Address of Parent/Guardian Completing This Form | alisia518@yahoo.com |
| Your Preferred Method Of Communication | Text |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 613-3400 |
| Father/Legal Guardian | Alex, Taylor |
| Father's Address | 23038 Northline Rd, Taylor, Michigan, 48180, United States |
| Father's DOB | 1983-07-29 |
| Father's Email | wtayloralex@gmail.com |
| Authorized for pick up? | Yes |
| Mother/Legal Guardian | Alisia, Taylor |
| Mother's Address | 14174 Rossini Dr., Detroit, Michigan, 48205, United States |
| Mother's DOB | 1980-05-18 |
| Mothers Mobile Number | (313) 613-3400 |
| Mother's Email | alisia518@yahoo.com |
| Authorized for pick up? | Yes |
| 1. Your Child’s Strengths | Leadership potential, Creativity, Athletic ability, Compassion for others, Determination, Curiosity / enjoys learning, Strong personality / confidence, Good sense of humor, Helpful at home |
| How would you describe your child most of the time? | Calm and easygoing, Energetic / high activity level, Sensitive / emotional, Independent, Strong-willed, Quiet or reserved |
| What are you hoping your child gains from KEYS Performing Arts Camp (Check all that apply) | More discipline, Greater respect for authority, Better anger management, Increased confidence, Positive male mentorship, Leadership skills, Stronger faith or spiritual foundation, Better decision making, Academic motivation |
| Medical Conditions (check all that apply) | None |
| Name | Alisia Taylor |
| Phone | (313) 613-3400 |
| Relationship to student | Mother |
| Name | Alisia Taylor |
| Phone | (313) 613-3400 |
| Relationship to student | Mother |
| Name | Alisia Taylor |
| Phone | (313) 613-3400 |
| Relationship to student | Mom |
| Emergency Medical Treatment | By checking the box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking the box, I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking the box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking the box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking the box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Not needed at this time |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 78000 |
| How many dependents are in your family? | 5 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | Yes |
| How did you find out about The Yunion's Summer Camp? | Other Previous member |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Alisia Taylor |
| Add Your Signature Here | 69e307c653d301.53493399.png |
| Child's Name (Printed) | Alivia Taylor |
| Have Your Child Sign His/Her Signature Here | 69e307c65f7486.83837109.png |
| 2026 Keys2Life Performing Arts Camp | 2026 Keys2Life Performing Arts Camp, $0.00, 1 |
| Date | 2026-04-17 |
Zariyah Jones
Keys to Life Performing Arts Summer Camp · April 17, 2026
| Child Name | Zariyah, Jones |
| Age | 11 |
| Date of Birth | 2014-09-24 |
| Grade Level this Fall? | 6 |
| School/District | Wayne |
| Name of School | UPA ET Elementary |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | NA |
| Height | 50 |
| Weight | 135 |
| Sex | Female |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 10821 Whitehill St, Detroit, Michigan, 48224-2456, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother, Father |
| Who Does the Student Live With? (Check All That Apply) | Mother |
| Number of Siblings in the Home | 3 |
| Are siblings applying to a Yunion camp? | Yes, they are applying for the Level Up Workforce & Leadership Development Camp. |
| Is your child a returning Keys 2 Life or SWAG program participant? | Yes |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Please indicate student’s area of interest. We would like for you to check all applicable. | Acting, Dance, Theater |
| Name of Parent/Guardian Completing This Form | Chantele, Willis |
| Email Address of Parent/Guardian Completing This Form | chantele.willis@uprepschools.com |
| Your Preferred Method Of Communication | Text |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 671-0032 |
| Father/Legal Guardian | Ryan, Jones |
| Father's Address | 21167 Martinique Dr, Macomb, Michigan, 48044, United States |
| Father's DOB | 1984-05-09 |
| Authorized for pick up? | Yes |
| Mother/Legal Guardian | Chantele, Willis |
| Mother's Address | 10821 Whitehill St, Detroit, Michigan, 48224-2456, United States |
| Mother's DOB | 1988-09-07 |
| Mothers Mobile Number | (313) 671-0032 |
| Mother's Email | chantele.willis@uprepschools.com |
| Authorized for pick up? | Yes |
| 1. Your Child’s Strengths | Leadership potential, Creativity, Compassion for others, Curiosity / enjoys learning |
| 2. Areas Where Your Child May Need Support | Sometimes struggles to follow instructions at school |
| Emotional Regulation / Anger (Check all that apply) | Sometimes shuts down or withdraws when upset |
| School Engagement (Check all that apply) | Struggles to stay focused in class |
| How would you describe your child most of the time? | Sensitive / emotional |
| What are you hoping your child gains from KEYS Performing Arts Camp (Check all that apply) | Increased confidence, Academic motivation |
| What concerns you most about your child right now? | NA |
| What kind of future do you hope for your child? | Healthy, Happy, and Wealthy |
| Preferred Hospital for Emergency Treatment | Closest |
| Medical Conditions (check all that apply) | None |
| If medication must be administered during program hours, a medication authorization form must be on file. Parent Initials: | 69e279c5356014.74475796.png |
| Name | Chantele Willis |
| Phone | (313) 671-0032 |
| Relationship to student | Mom |
| Emergency Medical Treatment | By checking the box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking the box, I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking the box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking the box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking the box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 50000 |
| How many dependents are in your family? | 4 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | No |
| How did you find out about The Yunion's Summer Camp? | |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Chantele Willis |
| Add Your Signature Here | 69e27a6ed4f5d7.46453019.png |
| Child's Name (Printed) | Zariyah Jones |
| Have Your Child Sign His/Her Signature Here | 69e27a6ede9a57.61296485.png |
| 2026 Keys2Life Performing Arts Camp | 2026 Keys2Life Performing Arts Camp, $0.00, 1 |
| Date | 2026-04-17 |
Jeremiah Howard
Keys to Life Performing Arts Summer Camp · April 17, 2026
| Child Name | Jeremiah, Howard |
| Age | 13 |
| Date of Birth | 2012-12-14 |
| Grade Level this Fall? | 8th |
| School/District | L'Anse Creuse |
| Name of School | L'Anse Creuse Middle School-South |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | N/A |
| Height | 5'7" |
| Weight | 120 |
| Sex | Male |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 28252 Hillview St, Roseville, Michigan, 48066, United States |
| County in Which Child Resides | Macomb County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother, Step-Father |
| Who Does the Student Live With? (Check All That Apply) | Mother, Step-Father |
| Are siblings applying to a Yunion camp? | No, they are not applying for a Yunion Camp. |
| Primary Language Other Than English | N/A |
| Is your child a returning Keys 2 Life or SWAG program participant? | Yes |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Please indicate student’s area of interest. We would like for you to check all applicable. | Digital Media |
| Name of Parent/Guardian Completing This Form | Kendra, Wade |
| Email Address of Parent/Guardian Completing This Form | k.wade91@yahoo.com |
| Your Preferred Method Of Communication | |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 283-0919 |
| Mother/Legal Guardian | Kendra, Wade |
| Mother's Address | 28252 Hillview St, Roseville, Michigan, 48066, United States |
| Mother's DOB | 1991-05-27 |
| Mothers Mobile Number | (313) 283-0919 |
| Mother's Email | k.wade91@yahoo.com |
| Authorized for pick up? | Yes |
| Step-Father | David, Coleman |
| Step-Father's Address | 28252 Hillview St, Roseville, Michigan, 48066, United States |
| Step-Father's Phone Number | (586) 459-8017 |
| Authorized for pick up? | Yes |
| Emergency Medical Treatment | By checking the box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking the box, I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking the box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking the box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking the box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Tutoring (school year only), Mentoring, Counseling referral, Behavioral support |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 50000 |
| How many dependents are in your family? | 3 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | No |
| How did you find out about The Yunion's Summer Camp? | Summer Discovery |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Kendra Wade |
| Add Your Signature Here | 69e21482d71619.06703966.png |
| Child's Name (Printed) | Jeremiah Howard |
| Have Your Child Sign His/Her Signature Here | 69e21482ed5f98.70031175.png |
| 2026 Keys2Life Performing Arts Camp | 2026 Keys2Life Performing Arts Camp, $0.00, 1 |
| Date | 2026-04-17 |
Harper Rice
Keys to Life Performing Arts Summer Camp · April 17, 2026
| Child Name | Harper, Rice |
| Age | 11 |
| Date of Birth | 2014-11-30 |
| Grade Level this Fall? | 6 |
| School/District | Dpscd |
| Name of School | Bates |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | Na |
| Height | 5 |
| Weight | 115 |
| Sex | Male |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 18222 Muirland Street, Detroit, Michigan 48221, DETROIT, Michigan, 48221, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother, Father |
| Who Does the Student Live With? (Check All That Apply) | Mother, Father, Step-Mother, Step-Father |
| Number of Siblings in the Home | 2 |
| Are siblings applying to a Yunion camp? | No, they are not applying for a Yunion Camp. |
| Is your child a returning Keys 2 Life or SWAG program participant? | No |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Please indicate student’s area of interest. We would like for you to check all applicable. | Acting, Theater, Music Production, Digital Media |
| Name of Parent/Guardian Completing This Form | Margrit, Allen |
| Email Address of Parent/Guardian Completing This Form | margritallen@gmail.com |
| Your Preferred Method Of Communication | |
| Cell Phone Number of Parent/Guardian Completing This Form | (248) 205-9948 |
| Father/Legal Guardian | Ricky, Rice |
| Father's Address | Rmrice75@gmail.com, 1413 Longfellow, Michigan, 48202, United States |
| Father's DOB | 1975-05-19 |
| Father's Home Number | (248) 497-9431 |
| Authorized for pick up? | Yes |
| Mother/Legal Guardian | Margrit, Allen |
| Mother's Address | 18222 Muirland Street, Detroit, Michigan 48221, DETROIT, Michigan, 48221, United States |
| Mother's DOB | 1978-08-02 |
| Mothers Home Number | (248) 205-9948 |
| Mothers Mobile Number | (248) 205-9948 |
| Mother's Email | margritallen@gmail.com |
| Authorized for pick up? | Yes |
| 1. Your Child’s Strengths | Leadership potential, Strong personality / confidence, Good sense of humor |
| 2. Areas Where Your Child May Need Support | Sometimes struggles to follow instructions at home, Sometimes struggles to follow instructions at school, Becomes frustrated or upset when corrected |
| Emotional Regulation / Anger (Check all that apply) | Reacts strongly to conflict or correction |
| Conflict with Others (Check all that apply) | Has frequent arguments with siblings, peers, or adults |
| School Engagement (Check all that apply) | Struggles to stay focused in class |
| How would you describe your child most of the time? | Energetic / high activity level, Sensitive / emotional, Independent, Strong-willed |
| What are you hoping your child gains from KEYS Performing Arts Camp (Check all that apply) | More discipline, Greater respect for authority, Increased confidence, Positive male mentorship, Better decision making, Academic motivation |
| What concerns you most about your child right now? | Harper prefers to do the opposite of what he is told and has a rationale for it. He likes to debate directions. |
| What kind of future do you hope for your child? | I hope Harper will be positive, kind, and a leader. I also want my son to be teachable while also having critical thinking skills. |
| If medication must be administered during program hours, a medication authorization form must be on file. Parent Initials: | 69e2138a2720b8.52902783.png |
| Name | Margrit Allen |
| Phone | (248) 205-9948 |
| Relationship to student | Mom |
| Name | Howard Thomas |
| Phone | (313) 690-0554 |
| Relationship to student | Stepdad |
| Emergency Medical Treatment | By checking the box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking the box, I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking the box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking the box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking the box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Tutoring (school year only), Counseling referral, Behavioral support |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| How many dependents are in your family? | 1 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | No |
| Please explain any extenuating circumstances related to your financial need? (100 words or less) | My job was recently eliminated and I am searching for employment |
| How did you find out about The Yunion's Summer Camp? | Cave |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Margrit Allen |
| Add Your Signature Here | 69e21427d10069.63686025.png |
| Child's Name (Printed) | Harper Rice |
| Have Your Child Sign His/Her Signature Here | 69e21427dae2b5.70337046.png |
| 2026 Keys2Life Performing Arts Camp | 2026 Keys2Life Performing Arts Camp, $0.00, 1 |
| Date | 2026-04-17 |
Cristión Matthews
Keys to Life Performing Arts Summer Camp · April 17, 2026
| Child Name | Cristión, Matthews |
| Age | 11 |
| Date of Birth | 2015-02-11 |
| Grade Level this Fall? | 6 |
| School/District | Pontiac |
| Name of School | J. Mackenzie |
| Education Type | Homeschool |
| Does your Child need any additional support? Please specify in comment box below. | Math improvement |
| Height | 4’10” |
| Weight | 89 |
| Sex | Male |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 122 Seville Blvd, Pontiac, Michigan, 48340, United States |
| County in Which Child Resides | Oakland County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother |
| Who Does the Student Live With? (Check All That Apply) | Mother |
| Is your child a returning Keys 2 Life or SWAG program participant? | No |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Please indicate student’s area of interest. We would like for you to check all applicable. | Acting, Theater, Music Production, Digital Media |
| Name of Parent/Guardian Completing This Form | Kendra, Matthews |
| Email Address of Parent/Guardian Completing This Form | kendra1513@gmail.com |
| Your Preferred Method Of Communication | |
| Cell Phone Number of Parent/Guardian Completing This Form | (248) 781-5874 |
| Mother/Legal Guardian | Kendra, Matthews |
| Mother's Address | 122 seville blvd, Pontiac, Michigan, 48340, United States |
| Mother's DOB | 1977-11-13 |
| Mothers Work Number | (248) 393-1004 |
| Mothers Mobile Number | (248) 781-5874 |
| Mother's Email | kendra1513@gmail.com |
| Authorized for pick up? | Yes |
| Emergency Medical Treatment | By checking the box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking the box, I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking the box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking the box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking the box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Mentoring |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | No, my school doesn't have that program |
| What is the annual income of your family? | 11000 |
| How many dependents are in your family? | 1 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | No |
| Please explain any extenuating circumstances related to your financial need? (100 words or less) | Currently living with relative while searching for a full-time position |
| How did you find out about The Yunion's Summer Camp? | YUNION mailing list |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | kendra matthews |
| Add Your Signature Here | 69e19b77ddd4d1.80168025.png |
| Child's Name (Printed) | Cristión Matthews |
| Have Your Child Sign His/Her Signature Here | 69e19b77eaedf8.27339413.png |
| 2026 Keys2Life Performing Arts Camp | 2026 Keys2Life Performing Arts Camp, $0.00, 1 |
| Date | 2026-04-16 |
Ava Navarro
Keys to Life Performing Arts Summer Camp · April 16, 2026
| Child Name | Ava, Navarro |
| Age | 10 |
| Date of Birth | 2015-06-04 |
| Grade Level this Fall? | 5th |
| School/District | Roseville |
| Name of School | Reach academy |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | No |
| Height | 4 |
| Weight | 9 |
| Sex | Female |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 5056 Devonshire rd, Detroit, Michigan, 48224, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother, Father |
| Who Does the Student Live With? (Check All That Apply) | Mother |
| Number of Siblings in the Home | 2 |
| Are siblings applying to a Yunion camp? | Yes, they are applying for the Keys Performing Arts Camp. |
| Primary Language Other Than English | Yes |
| Is your child a returning Keys 2 Life or SWAG program participant? | No |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Please indicate student’s area of interest. We would like for you to check all applicable. | Acting, Dance, Theater |
| Name of Parent/Guardian Completing This Form | Tiara, Rouse |
| Email Address of Parent/Guardian Completing This Form | tiararouse@yahoo.com |
| Your Preferred Method Of Communication | Text |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 736-7534 |
| Father/Legal Guardian | Silvio, Navarro |
| Father's Address | 11085 worden st, Detroit, Michigan, 48224, United States |
| Father's DOB | 1989-08-04 |
| Father's Mobile Number | (248) 773-1642 |
| Authorized for pick up? | Yes |
| Mother/Legal Guardian | Tiara, Rouse |
| Mother's Address | 5056 Devonshire re, Detroit, Michigan, 48224, United States |
| Mother's DOB | 1988-03-13 |
| Mothers Mobile Number | (313) 736-7534 |
| Mother's Email | tiararouse@yahoo.com |
| Authorized for pick up? | Yes |
| 1. Your Child’s Strengths | Leadership potential, Creativity, Athletic ability, Compassion for others, Determination, Curiosity / enjoys learning, Strong personality / confidence, Good sense of humor, Helpful at home |
| Emotional Regulation / Anger (Check all that apply) | Sometimes shuts down or withdraws when upset |
| How would you describe your child most of the time? | Calm and easygoing, Energetic / high activity level, Sensitive / emotional, Independent, Strong-willed |
| What are you hoping your child gains from KEYS Performing Arts Camp (Check all that apply) | Increased confidence, Academic motivation |
| What concerns you most about your child right now? | Opening up more. Social anxiety and to express her feelings when upset |
| What kind of future do you hope for your child? | She’s a great person and very smart and athletic. I want her to own at whatever it is she loves to do |
| Preferred Hospital for Emergency Treatment | St. John |
| Medical Conditions (check all that apply) | None |
| If medication must be administered during program hours, a medication authorization form must be on file. Parent Initials: | 69e14c72af7610.53286877.png |
| Name | Tiara rouse |
| Phone | (313) 736-7534 |
| Additional Phone Number | (218) 773-1642 |
| Relationship to student | Mother |
| Name | Silvio |
| Phone | (248) 773-1642 |
| Relationship to student | Father |
| Emergency Medical Treatment | By checking the box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking the box, I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking the box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking the box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking the box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Tutoring (school year only), Mentoring, Behavioral support |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 8700 |
| How many dependents are in your family? | 2 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | Yes |
| Please explain any extenuating circumstances related to your financial need? (100 words or less) | Low income. Need assistance |
| How did you find out about The Yunion's Summer Camp? | Summer Discovery |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Tiara rouse |
| Add Your Signature Here | 69e14d31f17859.21485166.png |
| Child's Name (Printed) | Ava Navarro |
| Have Your Child Sign His/Her Signature Here | 69e14d32071112.59009731.png |
| 2026 Keys2Life Performing Arts Camp | 2026 Keys2Life Performing Arts Camp, $0.00, 1 |
| Date | 2026-04-16 |
Londyn McGee
Keys to Life Performing Arts Summer Camp · April 16, 2026
| Child Name | Londyn, McGee |
| Age | 13 |
| Date of Birth | 2013-01-30 |
| Grade Level this Fall? | 9th Grade |
| School/District | Southfield |
| Name of School | Southfield High A&T |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | no |
| Height | 5"1 |
| Weight | 100 |
| Sex | Female |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 17371 Gateway Circle, Southfield, Michigan, 48075, United States |
| County in Which Child Resides | Oakland County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother |
| Who Does the Student Live With? (Check All That Apply) | Mother |
| Number of Siblings in the Home | 1 |
| Are siblings applying to a Yunion camp? | No, they are not applying for a Yunion Camp. |
| Is your child a returning Keys 2 Life or SWAG program participant? | Yes |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Please indicate student’s area of interest. We would like for you to check all applicable. | Dance, Theater, Music Production |
| Name of Parent/Guardian Completing This Form | Kristana, Parker |
| Email Address of Parent/Guardian Completing This Form | pnikki29@gmail.com |
| Your Preferred Method Of Communication | Text |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 646-1995 |
| Mother/Legal Guardian | Kristana, Parker |
| Mother's Address | 17371 GATEWAY CIRCLE, SOUTHFIELD, Michigan, 48075, United States |
| Mother's DOB | 1979-01-05 |
| Mothers Home Number | (313) 646-1995 |
| Mothers Mobile Number | (313) 646-1995 |
| Mother's Email | pnikki29@gmail.com |
| Authorized for pick up? | Yes |
| Emergency Medical Treatment | By checking the box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking the box, I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking the box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking the box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking the box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 28000 |
| How many dependents are in your family? | 2 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | No |
| How did you find out about The Yunion's Summer Camp? | Was part of the program last year |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Kristana Parker |
| Add Your Signature Here | 69e0f65ee8cac7.53886406.png |
| Child's Name (Printed) | Londyn McGee |
| Have Your Child Sign His/Her Signature Here | 69e0f65f00cf83.79149507.png |
| 2026 Keys2Life Performing Arts Camp | 2026 Keys2Life Performing Arts Camp, $0.00, 1 |
| Date | 2026-04-16 |
Raylan Royal
Keys to Life Performing Arts Summer Camp · April 16, 2026
| Child Name | Raylan, Royal |
| Age | 12 |
| Date of Birth | 2013-05-20 |
| Grade Level this Fall? | 8 |
| School/District | Sterling Heights |
| Name of School | grissom |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | no |
| Height | 5'5 |
| Weight | 170 |
| Sex | Male |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 20523 Danbury st, Detroit, Michigan, 48203, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother, Step-Father |
| Who Does the Student Live With? (Check All That Apply) | Mother, Step-Father |
| Number of Siblings in the Home | 1 |
| Are siblings applying to a Yunion camp? | Yes, they are applying for the Level Up Workforce & Leadership Development Camp. |
| Is your child a returning Keys 2 Life or SWAG program participant? | Yes |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Please indicate student’s area of interest. We would like for you to check all applicable. | Music Production, Digital Media |
| Name of Parent/Guardian Completing This Form | Stephanie, Greenlaw |
| Email Address of Parent/Guardian Completing This Form | ms.sbonner@yahoo.com |
| Your Preferred Method Of Communication | Text |
| Cell Phone Number of Parent/Guardian Completing This Form | (248) 752-4784 |
| Mother/Legal Guardian | Stephanie, Greenlaw |
| Mother's Address | 20523 Danbury st, Detroit, Michigan, 48203, United States |
| Mother's DOB | 1983-08-23 |
| Mothers Home Number | (248) 752-4784 |
| Mothers Mobile Number | (248) 752-4784 |
| Mother's Email | ms.sbonner@yahoo.com |
| Authorized for pick up? | Yes |
| Step-Father | Kyle, Greenlaw |
| Step-Father's Address | 20523 Danbury st, Detroit, Michigan, 48203, United States |
| Step-Father's Phone Number | (248) 763-4776 |
| Step-Father's email address | kyleugreenlaw2@gmail.com |
| Authorized for pick up? | Yes |
| 1. Your Child’s Strengths | Leadership potential, Compassion for others, Determination, Curiosity / enjoys learning, Strong personality / confidence, Helpful at home |
| Emotional Regulation / Anger (Check all that apply) | Sometimes shuts down or withdraws when upset |
| How would you describe your child most of the time? | Calm and easygoing, Independent, Quiet or reserved |
| What are you hoping your child gains from KEYS Performing Arts Camp (Check all that apply) | More discipline, Increased confidence, Positive male mentorship, Leadership skills, Stronger faith or spiritual foundation, Better decision making |
| Preferred Hospital for Emergency Treatment | closest |
| Medical Conditions (check all that apply) | None |
| Name | Stephanie Greenlaw |
| Phone | (248) 752-4784 |
| Relationship to student | Mother |
| Name | Kyle Greenlaw |
| Phone | (248) 763-4776 |
| Relationship to student | Step-dad |
| Emergency Medical Treatment | By checking the box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking the box, I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking the box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking the box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking the box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 40000 |
| How many dependents are in your family? | 3 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | No |
| How did you find out about The Yunion's Summer Camp? | Someone referred me |
| Name of Person/Recruiter who Referred You | Previous teacher |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Stephanie Greenlaw |
| Add Your Signature Here | 69e0d22f7b1779.74397301.png |
| Child's Name (Printed) | Raylan Royal |
| Have Your Child Sign His/Her Signature Here | 69e0d22f884d54.95108460.png |
| 2026 Keys2Life Performing Arts Camp | 2026 Keys2Life Performing Arts Camp, $0.00, 1 |
| Date | 2026-04-16 |
Lacey Walker
Keys to Life Performing Arts Summer Camp · April 15, 2026
| Child Name | Lacey, Walker |
| Age | 13 |
| Date of Birth | 2013-03-04 |
| Grade Level this Fall? | 8th |
| School/District | Wayne county |
| Name of School | Greenfield Union |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | No |
| Height | 5,6 |
| Weight | 162 |
| Sex | Female |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 14403 E state fair, Detroit, Michigan, 48205, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother |
| Who Does the Student Live With? (Check All That Apply) | Mother |
| Are siblings applying to a Yunion camp? | No, they are not applying for a Yunion Camp. |
| Primary Language Other Than English | English |
| Is your child a returning Keys 2 Life or SWAG program participant? | No |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Please indicate student’s area of interest. We would like for you to check all applicable. | Acting, Dance, Theater, Music Production, Digital Media |
| Name of Parent/Guardian Completing This Form | Donshay, Williams |
| Email Address of Parent/Guardian Completing This Form | shay.williams08@yahoo.com |
| Your Preferred Method Of Communication | Text |
| Cell Phone Number of Parent/Guardian Completing This Form | (586) 945-4091 |
| Mother/Legal Guardian | Donshay, Williams |
| Mother's Address | 14403 E state fair, Detroit, Michigan, 48205, United States |
| Mother's DOB | 1991-06-28 |
| Mothers Work Number | (313) 521-5230 |
| Mothers Mobile Number | (586) 945-4091 |
| Mother's Email | shay.williams08@yahoo.com |
| Authorized for pick up? | Yes |
| 1. Your Child’s Strengths | Leadership potential, Creativity, Compassion for others, Helpful at home, Other strengths |
| Other strengths: | Literally an overall great child(only child), she’s very outgoing extremely intelligent and sweet as can be. She’s currently a straight a student really need help with scholarship as I am a single mom and she also would like to do more activities with more children. |
| 2. Areas Where Your Child May Need Support | Other |
| Other | Honestly, none |
| Emotional Regulation / Anger (Check all that apply) | Other |
| Other | Never heard her raise her voice |
| Conflict with Others (Check all that apply) | Other |
| Other | Never had conflict with other children or been suspended from school. She has a great behavioral track record |
| School Engagement (Check all that apply) | Other |
| Other | Very active in school straight a student runs track on the side |
| Leaving Home Without Permission (Check all that apply) | Other |
| Other | Never left home or experienced runaway |
| How would you describe your child most of the time? | Calm and easygoing, Independent |
| What are you hoping your child gains from KEYS Performing Arts Camp (Check all that apply) | Leadership skills, Stronger faith or spiritual foundation, Academic motivation |
| What concerns you most about your child right now? | Lack of activities with other children due to my work schedule, also connection with girls, her age looking for fun things to do around our city. |
| What kind of future do you hope for your child? | I hope my child grows up feeling safe, loved, and confident in who they are. I want her to have the freedom to explore her passions, make mistakes, and learn from them without fear. I hope she become kind, respectful, and strong someone who treats others with compassion but also know her own worth. More than anything, I want her to live a life that makes her genuinely happy, surrounded by peace, purpose, and people who truly care about her! |
| Preferred Hospital for Emergency Treatment | St. John |
| Medical Conditions (check all that apply) | None |
| If medication must be administered during program hours, a medication authorization form must be on file. Parent Initials: | 69dfbd1caf05b2.97780901.png |
| Additional medical or behavioral information staff should know: | I promise you won’t be disappointed ❤️ |
| Name | Donshay |
| Phone | (586) 945-4091 |
| Additional Phone Number | (313) 571-5230 |
| Relationship to student | Mom |
| Name | Toiylnn Williams |
| Phone | (313) 600-0146 |
| Relationship to student | Grandma |
| Emergency Medical Treatment | By checking the box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking the box, I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking the box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking the box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking the box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Tutoring (school year only), Family resources |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 31000 |
| How many dependents are in your family? | 1 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | No |
| Please explain any extenuating circumstances related to your financial need? (100 words or less) | Father incarcerated Mississippi |
| How did you find out about The Yunion's Summer Camp? | Someone referred me |
| Name of Person/Recruiter who Referred You | Brittney/Dayana |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Donshay Williams |
| Add Your Signature Here | 69dfbdcaee88c4.96693813.png |
| Child's Name (Printed) | Lacey Walker |
| Have Your Child Sign His/Her Signature Here | 69dfbdcb04e7e8.12546408.png |
| 2026 Keys2Life Performing Arts Camp | 2026 Keys2Life Performing Arts Camp, $0.00, 1 |
| Date | 2026-04-15 |
Jace Holt
Keys to Life Performing Arts Summer Camp · April 15, 2026
| Child Name | Jace, Holt |
| Age | 11 |
| Date of Birth | 2014-10-05 |
| Grade Level this Fall? | 6 |
| School/District | Cornerstone |
| Name of School | Adam’s young middle school |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | Emotional support and motivation |
| Height | 5ft |
| Weight | 165 |
| Sex | Female |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 15320 auburn, Detroit, Michigan, 48221, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother |
| Who Does the Student Live With? (Check All That Apply) | Mother |
| Number of Siblings in the Home | 1 |
| Are siblings applying to a Yunion camp? | Yes, they are applying for the Level Up Workforce & Leadership Development Camp. |
| Primary Language Other Than English | English |
| Is your child a returning Keys 2 Life or SWAG program participant? | No |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Please indicate student’s area of interest. We would like for you to check all applicable. | Acting, Dance, Theater, Music Production, Digital Media |
| Name of Parent/Guardian Completing This Form | Candise, Holt |
| Email Address of Parent/Guardian Completing This Form | crookmichelle431@gmail.com |
| Your Preferred Method Of Communication | |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 930-0633 |
| Mother/Legal Guardian | Candise, Holt |
| Mother's Address | 15320 auburn, Detroit, Michigan, 48223, United States |
| Mother's DOB | 1987-06-12 |
| Mothers Home Number | (313) 930-0633 |
| Mothers Work Number | (313) 930-0633 |
| Mothers Mobile Number | (313) 930-0633 |
| Mother's Email | crookmichelle431@gmail.com |
| Authorized for pick up? | Yes |
| 1. Your Child’s Strengths | Leadership potential, Creativity, Athletic ability, Compassion for others, Determination, Curiosity / enjoys learning, Strong personality / confidence, Good sense of humor, Helpful at home, Other strengths |
| Other strengths: | She’s very good at writing |
| 2. Areas Where Your Child May Need Support | Sometimes struggles to follow instructions at home, Becomes frustrated or upset when corrected |
| Emotional Regulation / Anger (Check all that apply) | Reacts strongly to conflict or correction, Sometimes shuts down or withdraws when upset |
| Conflict with Others (Check all that apply) | Has been involved in bullying (either as the aggressor or target) |
| School Engagement (Check all that apply) | Has experienced disciplinary action at school, Has received school suspension(s) |
| Has your child ever (Check all that apply): | Been suspended from school |
| How would you describe your child most of the time? | Energetic / high activity level, Sensitive / emotional, Independent |
| What are you hoping your child gains from KEYS Performing Arts Camp (Check all that apply) | More discipline, Greater respect for authority, Better anger management, Increased confidence, Positive male mentorship, Leadership skills, Stronger faith or spiritual foundation, Better decision making, Academic motivation |
| What concerns you most about your child right now? | My child is dealing with her moms cancer diagnosis Jace is very attached I noticed she would get sent home on purpose to be with mom and she has daddy issues he’s there but not how she needs him and she is upset about him keeping promises |
| What kind of future do you hope for your child? | I hope to see Jace more confident in herself and strengthen her talents in singing and dancing and she’s good with her grades but struggling in math and I want her to not care if she’s not included rejections hurt her terribly I also want her to be ok with her dark skin I want her to know she’s beautiful like she is |
| Preferred Hospital for Emergency Treatment | Providence in Southfield |
| Medical Conditions (check all that apply) | Asthma |
| If medication must be administered during program hours, a medication authorization form must be on file. Parent Initials: | 69df9c220026c4.30244506.png |
| Name | Michelle crook |
| Phone | (313) 930-0633 |
| Additional Phone Number | (313) 819-8809 |
| Relationship to student | Grandmother |
| Name | Michelle |
| Phone | (313) 930-0633 |
| Additional Phone Number | (313) 930-0633 |
| Relationship to student | Auntie |
| Name | JOI holt |
| Phone | (313) 819-8809 |
| Emergency Medical Treatment | By checking the box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking the box, I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking the box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking the box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking the box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Tutoring (school year only), Mentoring, Counseling referral, Behavioral support, Family resources |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 20000 |
| How many dependents are in your family? | 2 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | Yes |
| Please explain any extenuating circumstances related to your financial need? (100 words or less) | I’m and food service worker partime and I only work up until June and I’m unemployed until school returns |
| How did you find out about The Yunion's Summer Camp? | Charisse Bailey/ mahogany jones |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Candise holt |
| Add Your Signature Here | 69df9dd059abd7.80888160.png |
| Child's Name (Printed) | Jace holt |
| Have Your Child Sign His/Her Signature Here | 69df9dd0647b76.44317094.png |
| 2026 Keys2Life Performing Arts Camp | 2026 Keys2Life Performing Arts Camp, $0.00, 1 |
| Date | 2026-04-15 |
Seven Anthony
Keys to Life Performing Arts Summer Camp · April 15, 2026
| Child Name | Seven, Anthony |
| Age | 10 |
| Date of Birth | 2015-07-06 |
| Grade Level this Fall? | 5 |
| School/District | Detroit |
| Name of School | Online |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | No |
| Height | 5 |
| Sex | Male |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 23570 radclift, Oak Park, Michigan, 48237, United States |
| County in Which Child Resides | Oakland County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother, Father |
| Who Does the Student Live With? (Check All That Apply) | Father |
| Number of Siblings in the Home | 3 |
| Are siblings applying to a Yunion camp? | Yes, they are applying for the Keys Performing Arts Camp. |
| Is your child a returning Keys 2 Life or SWAG program participant? | No |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Please indicate student’s area of interest. We would like for you to check all applicable. | Acting, Dance, Theater, Digital Media |
| Name of Parent/Guardian Completing This Form | Chauncey, Anthony |
| Email Address of Parent/Guardian Completing This Form | chauncey.ann89@gmail.com |
| Your Preferred Method Of Communication | |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 633-3354 |
| Father/Legal Guardian | Kyree, Anthont |
| Father's Address | 19970 Wyoming, Detroit, Michigan, 48221, United States |
| Father's DOB | 1984-08-23 |
| Authorized for pick up? | Yes |
| Mother/Legal Guardian | Chauncey, Anthony |
| Mother's Address | 23570 Radclift St, Oak Park, Michigan, 48237, United States |
| Mother's DOB | 1989-11-19 |
| Mothers Mobile Number | (313) 633-3354 |
| Mother's Email | chauncey.ann89@gmail.com |
| Authorized for pick up? | Yes |
| Emergency Medical Treatment | By checking the box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking the box, I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking the box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking the box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking the box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Mentoring, Counseling referral |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 10000 |
| How many dependents are in your family? | 5 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | No |
| How did you find out about The Yunion's Summer Camp? | Other son attended last year |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Chauncey Anthony |
| Add Your Signature Here | 69df0a49e977a4.19310049.png |
| Child's Name (Printed) | Seven Anthony |
| Have Your Child Sign His/Her Signature Here | 69df0a4a002371.21321600.png |
| 2026 Keys2Life Performing Arts Camp | 2026 Keys2Life Performing Arts Camp, $0.00, 1 |
| Date | 2026-04-14 |
Azure Anthony
Keys to Life Performing Arts Summer Camp · April 15, 2026
| Child Name | Azure, Anthony |
| Age | 12 |
| Date of Birth | 2013-08-05 |
| Grade Level this Fall? | 6 |
| School/District | Oak Park |
| Name of School | Online |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | No |
| Height | 5 |
| Weight | 1 |
| Sex | Male |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 23570 radclift, Oak Park, Michigan, 23570 Radclift, United States |
| County in Which Child Resides | Oakland County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother, Father |
| Who Does the Student Live With? (Check All That Apply) | Father |
| Number of Siblings in the Home | 4 |
| Are siblings applying to a Yunion camp? | Yes, they are applying for the Keys Performing Arts Camp. |
| Is your child a returning Keys 2 Life or SWAG program participant? | Yes |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Please indicate student’s area of interest. We would like for you to check all applicable. | Acting, Theater, Music Production |
| Name of Parent/Guardian Completing This Form | Chauncey, Anthony |
| Email Address of Parent/Guardian Completing This Form | chauncey.ann89@gmail.com |
| Your Preferred Method Of Communication | |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 633-3354 |
| Father/Legal Guardian | Kyree, Anthony |
| Father's Address | 19970 Wyoming, Detroit, Michigan, 48221, United States |
| Father's DOB | 1984-08-23 |
| Authorized for pick up? | Yes |
| Mother/Legal Guardian | Chauncey, Anthony |
| Mother's Address | 23570 Radclift St, Oak Park, Michigan, 48237, United States |
| Mother's DOB | 1989-11-19 |
| Mothers Mobile Number | (313) 633-3354 |
| Mother's Email | chauncey.ann89@gmail.com |
| Authorized for pick up? | Yes |
| Emergency Medical Treatment | By checking the box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking the box, I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking the box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking the box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking the box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Mentoring, Counseling referral, Behavioral support |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 10000 |
| How many dependents are in your family? | 5 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | No |
| Please explain any extenuating circumstances related to your financial need? (100 words or less) | Currently caring full time for my father and unable to work. |
| How did you find out about The Yunion's Summer Camp? | Attended last year |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Chauncey Anthony |
| Add Your Signature Here | 69df08e0d9d222.12541341.png |
| Child's Name (Printed) | Azure Anthony |
| Have Your Child Sign His/Her Signature Here | 69df08e0e4fb01.65277795.png |
| 2026 Keys2Life Performing Arts Camp | 2026 Keys2Life Performing Arts Camp, $0.00, 1 |
| Date | 2026-04-14 |
Xzavier Oliver
Keys to Life Performing Arts Summer Camp · April 14, 2026
| Child Name | Xzavier, Oliver |
| Age | 11 |
| Date of Birth | 2014-05-28 |
| Grade Level this Fall? | 7 |
| School/District | Fitzgerald |
| Name of School | Chatterton middle school |
| Education Type | 504 |
| Does your Child need any additional support? Please specify in comment box below. | No |
| Height | 5-1 |
| Weight | 110 |
| Sex | Male |
| Eye Color | Hazel |
| Ethnicity | African American |
| Student Address | 20540 old homestead, Harper Woods, Michigan, 48225, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother |
| Who Does the Student Live With? (Check All That Apply) | Mother |
| Number of Siblings in the Home | 2 |
| Are siblings applying to a Yunion camp? | No, they are not applying for a Yunion Camp. |
| Primary Language Other Than English | N/a |
| Is your child a returning Keys 2 Life or SWAG program participant? | No |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Please indicate student’s area of interest. We would like for you to check all applicable. | Acting, Theater, Music Production, Digital Media |
| Name of Parent/Guardian Completing This Form | Wanda, Dukes |
| Email Address of Parent/Guardian Completing This Form | Dukeswanda@gmail.com |
| Your Preferred Method Of Communication | Text |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 682-2533 |
| Mother/Legal Guardian | Wanda, Dukes |
| Mother's Address | 20540 old homestead, Harper Woods, Michigan, 48225, United States |
| Mother's DOB | 1977-12-21 |
| Mothers Mobile Number | (313) 682-2533 |
| Mother's Email | dukeswanda@gmail.com |
| Authorized for pick up? | Yes |
| 1. Your Child’s Strengths | Leadership potential, Creativity, Compassion for others, Determination, Curiosity / enjoys learning, Good sense of humor, Helpful at home |
| 2. Areas Where Your Child May Need Support | Sometimes struggles to follow instructions at home, Other |
| Other | He has ADHD, so he gets frustrated when he tries to do his best and it doesn’t work out right. |
| Emotional Regulation / Anger (Check all that apply) | Other |
| Other | Great kid, just get down on himself. |
| School Engagement (Check all that apply) | Struggles to stay focused in class |
| How would you describe your child most of the time? | Energetic / high activity level, Sensitive / emotional, Strong-willed |
| What are you hoping your child gains from KEYS Performing Arts Camp (Check all that apply) | Increased confidence, Positive male mentorship, Leadership skills, Stronger faith or spiritual foundation, Better decision making, Academic motivation |
| What concerns you most about your child right now? | his confidence |
| What kind of future do you hope for your child? | One day, be a great leader with confidence in what he does or stands for. |
| Preferred Hospital for Emergency Treatment | Henry Ford Hospital |
| Medical Conditions (check all that apply) | None |
| If medication must be administered during program hours, a medication authorization form must be on file. Parent Initials: | 69de0eb0e53129.46562737.png |
| Name | Peggy nance |
| Phone | (313) 424-9667 |
| Relationship to student | Grandmother |
| Name | Delphine nance |
| Relationship to student | Auntie |
| Name | Kyal Oliver |
| Relationship to student | Father |
| Emergency Medical Treatment | By checking the box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking the box, I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking the box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking the box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking the box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Tutoring (school year only), Mentoring |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 20000 |
| How many dependents are in your family? | 2 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | Yes |
| Please explain any extenuating circumstances related to your financial need? (100 words or less) | I lost my job |
| How did you find out about The Yunion's Summer Camp? | |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Wanda dukes |
| Add Your Signature Here | 69de104226d3a9.14589510.png |
| Child's Name (Printed) | Xzavier oliver |
| Have Your Child Sign His/Her Signature Here | 69de1042332103.12848857.png |
| 2026 Keys2Life Performing Arts Camp | 2026 Keys2Life Performing Arts Camp, $0.00, 1 |
| Date | 2026-04-14 |
Kaya Webb
Keys to Life Performing Arts Summer Camp · April 14, 2026
| Child Name | Kaya, Webb |
| Age | 11 |
| Date of Birth | 2014-07-11 |
| Grade Level this Fall? | 7th |
| School/District | South Redford |
| Name of School | Pierce Middle School |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | No |
| Height | 5'4" |
| Weight | 105 |
| Sex | Female |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 24547 Orangelawn, Redford, Michigan, 48239, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother, Father |
| Who Does the Student Live With? (Check All That Apply) | Mother |
| Number of Siblings in the Home | 3 |
| Are siblings applying to a Yunion camp? | Yes, they are applying for the Keys Performing Arts Camp. |
| Is your child a returning Keys 2 Life or SWAG program participant? | Yes |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Please indicate student’s area of interest. We would like for you to check all applicable. | Acting |
| Name of Parent/Guardian Completing This Form | Patricia, Quaglia |
| Email Address of Parent/Guardian Completing This Form | patty.quaglia@yahoo.com |
| Your Preferred Method Of Communication | Text |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 422-5644 |
| Father/Legal Guardian | Maurice, Webb |
| Father's Address | 20920 Keeler, Detroit, Michigan, 48223, United States |
| Father's DOB | 1978-05-26 |
| Father's Mobile Number | (720) 334-7882 |
| Father's Email | patty.quaglia@yahoo.com |
| Authorized for pick up? | Yes |
| Mother/Legal Guardian | Patricia, Quaglia |
| Mother's Address | 24547 Orangelawn, Redford, Michigan, 48239, United States |
| Mother's DOB | 1977-06-17 |
| Mothers Mobile Number | (313) 422-5644 |
| Mother's Email | patty.quaglia@yahoo.com |
| Authorized for pick up? | Yes |
| 1. Your Child’s Strengths | Leadership potential, Creativity, Athletic ability, Compassion for others, Determination, Curiosity / enjoys learning, Strong personality / confidence |
| 2. Areas Where Your Child May Need Support | Sometimes struggles to follow instructions at home, Becomes frustrated or upset when corrected |
| Emotional Regulation / Anger (Check all that apply) | Has difficulty controlling anger or frustration, Reacts strongly to conflict or correction, Sometimes shuts down or withdraws when upset |
| Conflict with Others (Check all that apply) | Has frequent arguments with siblings, peers, or adults |
| How would you describe your child most of the time? | Calm and easygoing, Sensitive / emotional, Strong-willed |
| What are you hoping your child gains from KEYS Performing Arts Camp (Check all that apply) | More discipline, Greater respect for authority, Better anger management, Increased confidence, Leadership skills, Better decision making |
| What concerns you most about your child right now? | She stays on her technology too much and when I limit it or take it away she gets upset and withdraws. She gets angry when people tease her or keep nagging or saying the same thing over and over again. |
| What kind of future do you hope for your child? | I want her to know who she is, to increase her spiritual awareness, be more confident and know her purpose. |
| Preferred Hospital for Emergency Treatment | Providence Southfield |
| If medication must be administered during program hours, a medication authorization form must be on file. Parent Initials: | 69dd913853a1a7.76905489.png |
| Name | Anna Quaglia |
| Phone | (313) 727-3016 |
| Relationship to student | grandmother |
| Emergency Medical Treatment | By checking the box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking the box, I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking the box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking the box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking the box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Mentoring, Family resources |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 26000 |
| How many dependents are in your family? | 3 |
| Are you a single-income family?* | No |
| Does the child for whom you are applying receive child support?* | No |
| Please explain any extenuating circumstances related to your financial need? (100 words or less) | I split bill with my mother who we live with. By the time I pay out everything, put a little away and get them what they need, I don't have much left over. A scholarship to the fine program would help us drastically. |
| How did you find out about The Yunion's Summer Camp? | Summer Discovery |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Patricia Quaglia |
| Add Your Signature Here | 69dd9207608f44.94886192.png |
| Child's Name (Printed) | Kaya Webb |
| Have Your Child Sign His/Her Signature Here | 69dd9207699742.57359316.png |
| 2026 Keys2Life Performing Arts Camp | 2026 Keys2Life Performing Arts Camp, $0.00, 1 |
| Date | 2026-04-13 |
Maurice Webb
Keys to Life Performing Arts Summer Camp · April 14, 2026
| Child Name | Maurice, Webb |
| Age | 13 |
| Date of Birth | 2013-03-25 |
| Grade Level this Fall? | 8th |
| School/District | South Redford |
| Name of School | Pierce Middle School |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | No |
| Height | 5'2" |
| Weight | 100 |
| Sex | Male |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 24547 Orangelawn, Redford, Michigan, 48239, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother, Father |
| Who Does the Student Live With? (Check All That Apply) | Mother |
| Number of Siblings in the Home | 3 |
| Are siblings applying to a Yunion camp? | Yes, they are applying for the Keys Performing Arts Camp. |
| Is your child a returning Keys 2 Life or SWAG program participant? | Yes |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Please indicate student’s area of interest. We would like for you to check all applicable. | Music Production |
| Name of Parent/Guardian Completing This Form | Patricia, Quaglia |
| Email Address of Parent/Guardian Completing This Form | patty.quaglia@yahoo.com |
| Your Preferred Method Of Communication | Text |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 422-5644 |
| Father/Legal Guardian | Maurice, Webb |
| Father's Address | 20920 Keeler, Detroit, Michigan, 48223, United States |
| Father's DOB | 1978-05-26 |
| Father's Mobile Number | (720) 334-7882 |
| Father's Email | mauricew5bb@gmail.com |
| Authorized for pick up? | Yes |
| Mother/Legal Guardian | Patricia, Quaglia |
| Mother's Address | 24547 Orangelawn, Redford, Michigan, 48239, United States |
| Mother's DOB | 1977-06-17 |
| Mothers Mobile Number | (313) 422-5644 |
| Mother's Email | patty.quaglia@yahoo.com |
| Authorized for pick up? | Yes |
| 1. Your Child’s Strengths | Leadership potential, Creativity, Athletic ability, Compassion for others, Determination, Strong personality / confidence, Good sense of humor |
| 2. Areas Where Your Child May Need Support | Sometimes struggles to follow instructions at home, Sometimes struggles to follow instructions at school, Becomes frustrated or upset when corrected |
| Emotional Regulation / Anger (Check all that apply) | Has difficulty controlling anger or frustration |
| Conflict with Others (Check all that apply) | Has frequent arguments with siblings, peers, or adults |
| School Engagement (Check all that apply) | Struggles to stay focused in class |
| Curfew / Home Expectations | Sometimes struggles to follow curfew or home rules |
| Has your child ever (Check all that apply): | Been suspended from school |
| How would you describe your child most of the time? | Energetic / high activity level, Strong-willed |
| What are you hoping your child gains from KEYS Performing Arts Camp (Check all that apply) | More discipline, Greater respect for authority, Better anger management, Increased confidence, Positive male mentorship, Leadership skills, Better decision making |
| What concerns you most about your child right now? | He goes back and forth with me after I make a decision. He tries to convince me to do things he wants even after I say no. |
| What kind of future do you hope for your child? | I want him to maximize his gifts and talents. I was him to be spiritually aware and know his purpose on earth. |
| Preferred Hospital for Emergency Treatment | Providence Southfield |
| Medical Conditions (check all that apply) | None |
| If medication must be administered during program hours, a medication authorization form must be on file. Parent Initials: | 69dd8c9ef0d467.80187613.png |
| Name | Anna Quaglia |
| Phone | (313) 727-3016 |
| Relationship to student | grandmother |
| Emergency Medical Treatment | By checking the box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking the box, I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking the box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking the box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking the box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Mentoring, Family resources |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 26000 |
| How many dependents are in your family? | 3 |
| Are you a single-income family?* | No |
| Does the child for whom you are applying receive child support?* | No |
| Please explain any extenuating circumstances related to your financial need? (100 words or less) | I split bill with my mother who we live with. By the time I pay out everything, put a little away and get them what they need, I don't have much left over. |
| How did you find out about The Yunion's Summer Camp? | Summer Discovery |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Patricia Quaglia |
| Add Your Signature Here | 69dd8f9de95176.99874768.png |
| Child's Name (Printed) | Maurice Webb |
| Have Your Child Sign His/Her Signature Here | 69dd8fc0139250.42721204.png |
| 2026 Keys2Life Performing Arts Camp | 2026 Keys2Life Performing Arts Camp, $0.00, 1 |
| Date | 2026-04-13 |
Kennedie Garrett
Keys to Life Performing Arts Summer Camp · April 13, 2026
| Child Name | Kennedie, Garrett |
| Age | 13 |
| Date of Birth | 2012-01-26 |
| Grade Level this Fall? | 9 |
| School/District | Centerline Public School |
| Name of School | Wolfe Middle School |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | no |
| Height | 5'1 |
| Weight | 120 |
| Sex | Female |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 7020 orchard Avenue, Warren, Michigan, 48091, United States |
| County in Which Child Resides | Macomb County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother |
| Who Does the Student Live With? (Check All That Apply) | Mother |
| Number of Siblings in the Home | 3 |
| Are siblings applying to a Yunion camp? | Yes, they are applying for the Keys Performing Arts Camp. |
| Is your child a returning Keys 2 Life or SWAG program participant? | Yes |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Please indicate student’s area of interest. We would like for you to check all applicable. | Theater, Digital Media |
| Name of Parent/Guardian Completing This Form | Whitley, Buchanon |
| Email Address of Parent/Guardian Completing This Form | email2whitley@gmail.com |
| Your Preferred Method Of Communication | Text |
| Cell Phone Number of Parent/Guardian Completing This Form | (248) 200-8811 |
| Mother/Legal Guardian | Whitley, Buchanon |
| Mother's Address | 7020 orchard Avenue, Warren, Michigan, 48091, United States |
| Mother's DOB | 1988-09-22 |
| Mothers Home Number | (248) 200-8811 |
| Mothers Mobile Number | (248) 200-8811 |
| Mother's Email | email2whitley@gmail.com |
| Authorized for pick up? | Yes |
| Emergency Medical Treatment | By checking the box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking the box, I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking the box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking the box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking the box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Not needed at this time |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 35700 |
| How many dependents are in your family? | 5 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | No |
| Please explain any extenuating circumstances related to your financial need? (100 words or less) | Kennedie's father passed away at the end of the year and I can't afford to pay for camp but she really enjoyed this program. |
| How did you find out about The Yunion's Summer Camp? | repeat camper |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Whitley Buchanon |
| Add Your Signature Here | 69dd82d89bb833.95249399.png |
| Child's Name (Printed) | Kennedie Garrett |
| Have Your Child Sign His/Her Signature Here | 69dd82d8a92b92.57028993.png |
| 2026 Keys2Life Performing Arts Camp | 2026 Keys2Life Performing Arts Camp, $0.00, 1 |
| Date | 2026-04-13 |
Aiden Lipsey
Keys to Life Performing Arts Summer Camp · April 13, 2026
| Child Name | Aiden, Lipsey |
| Age | 11 |
| Date of Birth | 2014-12-08 |
| Grade Level this Fall? | 6 |
| School/District | Detroit Public School |
| Name of School | Bates Academy |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | No |
| Height | 4ft |
| Weight | 100 |
| Sex | Male |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 9708 Cornell Street, Taylor, Michigan, 48180, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother, Father |
| Who Does the Student Live With? (Check All That Apply) | Mother |
| Is your child a returning Keys 2 Life or SWAG program participant? | No |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Please indicate student’s area of interest. We would like for you to check all applicable. | Music Production, Digital Media |
| Name of Parent/Guardian Completing This Form | Lakeisha, Lipsey |
| Email Address of Parent/Guardian Completing This Form | lipsey425@hotmail.com |
| Your Preferred Method Of Communication | Text |
| Cell Phone Number of Parent/Guardian Completing This Form | (248) 812-6817 |
| Father/Legal Guardian | Bryan, Lipsey |
| Father's Address | 862 Lincoln, Wyandotte, Michigan, 48180, United States |
| Father's DOB | 1981-07-04 |
| Father's Home Number | (313) 694-5474 |
| Father's Mobile Number | (313) 694-5474 |
| Authorized for pick up? | Yes |
| Mother/Legal Guardian | Lakeisha, Lipsey |
| Mother's Address | 9708 Cornell Street, Taylor, Michigan, 48180, United States |
| Mother's DOB | 1981-04-10 |
| Mothers Home Number | (248) 812-6817 |
| Mothers Mobile Number | (248) 812-6817 |
| Mother's Email | lipsey425@hotmail.com |
| Authorized for pick up? | Yes |
| 1. Your Child’s Strengths | Leadership potential, Good sense of humor |
| 2. Areas Where Your Child May Need Support | Other |
| Other | Sometimes very shy |
| Emotional Regulation / Anger (Check all that apply) | Sometimes shuts down or withdraws when upset |
| How would you describe your child most of the time? | Calm and easygoing, Strong-willed |
| What are you hoping your child gains from KEYS Performing Arts Camp (Check all that apply) | Better anger management, Increased confidence, Positive male mentorship, Leadership skills, Stronger faith or spiritual foundation |
| What concerns you most about your child right now? | Shyness and not being bold enough |
| What kind of future do you hope for your child? | I plan on my child become a strong leader in the future. |
| Preferred Hospital for Emergency Treatment | Nearest |
| Medical Conditions (check all that apply) | Allergies, Asthma, Requires Epi-Pen |
| Food Allergies | All nuts |
| Allergic to Bees? | No |
| If medication must be administered during program hours, a medication authorization form must be on file. Parent Initials: | 69dd71d4737909.80343146.png |
| Name | Zariah Sams |
| Phone | (313) 782-7674 |
| Relationship to student | Sister |
| Name | Henry Harris |
| Phone | (313) 550-8718 |
| Relationship to student | Grandpa |
| Name | Donna Harris |
| Phone | (313) 492-5302 |
| Relationship to student | Cousin |
| Emergency Medical Treatment | By checking the box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking the box, I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking the box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking the box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking the box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Tutoring (school year only), Mentoring |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 35000 |
| How many dependents are in your family? | 1 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | No |
| Please explain any extenuating circumstances related to your financial need? (100 words or less) | Hello, we're currently behind on bills and debt. My child is in need of having something production and safe to do this summer while I work toward financial needs being meet for the household. |
| How did you find out about The Yunion's Summer Camp? | Someone referred me |
| Name of Person/Recruiter who Referred You | Jela |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Lakeisha Lipsey |
| Add Your Signature Here | 69dd736cef0239.69740342.png |
| Child's Name (Printed) | Aiden Lipsey |
| Have Your Child Sign His/Her Signature Here | 69dd736d0620c8.60395949.png |
| 2026 Keys2Life Performing Arts Camp | 2026 Keys2Life Performing Arts Camp, $0.00, 1 |
| Date | 2026-04-13 |
Ronald Richardson III
Keys to Life Performing Arts Summer Camp · April 13, 2026
| Child Name | Ronald, Richardson III |
| Age | 12 |
| Date of Birth | 2013-07-22 |
| Grade Level this Fall? | 8th |
| School/District | DPSCD |
| Name of School | Burton International Academy |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | No |
| Height | 5'0" |
| Weight | 90lbs |
| Sex | Male |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 4962 28th St, Detroit, Michigan, 48210, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother, Father |
| Who Does the Student Live With? (Check All That Apply) | Mother, Father |
| Number of Siblings in the Home | 8 |
| Are siblings applying to a Yunion camp? | Yes, they are applying for the Keys Performing Arts Camp. |
| Is your child a returning Keys 2 Life or SWAG program participant? | Yes |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Please indicate student’s area of interest. We would like for you to check all applicable. | Acting, Dance, Theater |
| Name of Parent/Guardian Completing This Form | Mildred, Richardson |
| Email Address of Parent/Guardian Completing This Form | millyrich88@yahoo.com |
| Your Preferred Method Of Communication | Text |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 932-8685 |
| Father/Legal Guardian | Ronald, Richardson Jr |
| Father's Address | 4406 Oakcrest Dr, Lansing, Michigan, 48917, United States |
| Father's DOB | 1987-01-16 |
| Father's Home Number | (313) 854-5574 |
| Father's Email | Ronrichjr87@yahoo.com |
| Authorized for pick up? | Yes |
| Mother/Legal Guardian | Mildred, Richardson |
| Mother's Address | 4962 28th St, Detroit, Michigan, 48210, United States |
| Mother's DOB | 1988-10-27 |
| Mothers Home Number | (313) 932-8685 |
| Mother's Email | millyrich88@yahoo.com |
| Authorized for pick up? | Yes |
| 1. Your Child’s Strengths | Leadership potential, Creativity, Athletic ability, Compassion for others, Determination, Curiosity / enjoys learning, Strong personality / confidence, Good sense of humor, Helpful at home |
| 2. Areas Where Your Child May Need Support | Sometimes struggles to follow instructions at home, Sometimes struggles to follow instructions at school |
| Emotional Regulation / Anger (Check all that apply) | Reacts strongly to conflict or correction, Sometimes shuts down or withdraws when upset |
| Conflict with Others (Check all that apply) | Has been involved in bullying (either as the aggressor or target) |
| School Engagement (Check all that apply) | Struggles to stay focused in class |
| Has your child ever (Check all that apply): | Been suspended from school |
| How would you describe your child most of the time? | Energetic / high activity level, Independent, Strong-willed |
| What are you hoping your child gains from KEYS Performing Arts Camp (Check all that apply) | Increased confidence, Leadership skills, Better decision making, Academic motivation |
| What concerns you most about your child right now? | Ronald is a strong willed, unique individual. |
| What kind of future do you hope for your child? | A happy future. |
| Preferred Hospital for Emergency Treatment | Children's Hospital |
| Medical Conditions (check all that apply) | None |
| If medication must be administered during program hours, a medication authorization form must be on file. Parent Initials: | 69dd702123fd64.56174063.png |
| Name | Mildred Richardson |
| Phone | (313) 932-8685 |
| Relationship to student | Mother |
| Name | Ronald Richardson Jr |
| Phone | (313) 854-5574 |
| Relationship to student | Father |
| Name | Mildred Robbins |
| Phone | (313) 685-2015 |
| Relationship to student | Grandmother |
| Emergency Medical Treatment | By checking the box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking the box, I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking the box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking the box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking the box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Tutoring (school year only), Mentoring |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 80000 |
| How many dependents are in your family? | 9 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | No |
| How did you find out about The Yunion's Summer Camp? | Someone referred me |
| Name of Person/Recruiter who Referred You | Mya Williams |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Mildred Richardson |
| Add Your Signature Here | 69dd70f81f0be3.84311600.png |
| Child's Name (Printed) | Ronald Richardson III |
| Have Your Child Sign His/Her Signature Here | 69dd70f82944c5.34540296.png |
| 2026 Keys2Life Performing Arts Camp | 2026 Keys2Life Performing Arts Camp, $0.00, 1 |
| Date | 2026-04-13 |
Aniya Porter
Keys to Life Performing Arts Summer Camp · April 13, 2026
| Child Name | Aniya, Porter |
| Age | 13 |
| Date of Birth | 2012-09-22 |
| Grade Level this Fall? | 8th |
| School/District | Wayne |
| Name of School | Upsm |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | No |
| Height | 5,2 |
| Weight | 139 |
| Sex | Female |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 20244 archer, Detroit, Michigan, 48219, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother |
| Who Does the Student Live With? (Check All That Apply) | Mother |
| Number of Siblings in the Home | 1 |
| Are siblings applying to a Yunion camp? | No, they are not applying for a Yunion Camp. |
| Is your child a returning Keys 2 Life or SWAG program participant? | Yes |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Please indicate student’s area of interest. We would like for you to check all applicable. | Acting, Dance, Theater, Music Production, Digital Media |
| Name of Parent/Guardian Completing This Form | Jela, Morris |
| Email Address of Parent/Guardian Completing This Form | jelamorris@gmail.com |
| Your Preferred Method Of Communication | |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 333-3727 |
| Mother/Legal Guardian | Jela, Morris |
| Mother's Address | 20244 archer, Detroit, Michigan, 48219, United States |
| Mother's DOB | 1993-10-22 |
| Mothers Home Number | (313) 333-3727 |
| Mother's Email | jelamorris@gmail.com |
| Authorized for pick up? | Yes |
| 1. Your Child’s Strengths | Leadership potential, Creativity, Determination, Strong personality / confidence, Good sense of humor, Helpful at home |
| 2. Areas Where Your Child May Need Support | Becomes frustrated or upset when corrected |
| How would you describe your child most of the time? | Calm and easygoing, Independent |
| What are you hoping your child gains from KEYS Performing Arts Camp (Check all that apply) | Academic motivation |
| What concerns you most about your child right now? | Using her voice I she likes creative writing needs a push |
| What kind of future do you hope for your child? | A future of financial freedom |
| Medical Conditions (check all that apply) | None |
| If medication must be administered during program hours, a medication authorization form must be on file. Parent Initials: | 69dd6e1bc7ffa7.40758368.png |
| Name | Donna Harris Morris |
| Phone | (313) 492-5302 |
| Relationship to student | Grandmother |
| Emergency Medical Treatment | By checking the box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking the box, I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking the box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking the box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking the box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Tutoring (school year only), Mentoring, Counseling referral, Family resources |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 40000 |
| How many dependents are in your family? | 2 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | No |
| Please explain any extenuating circumstances related to your financial need? (100 words or less) | Housing resources jobs that are looking for graphic designers marketing advisors |
| How did you find out about The Yunion's Summer Camp? | Someone referred me |
| Name of Person/Recruiter who Referred You | Harris |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Jela Morris |
| Add Your Signature Here | 69dd6ea26ec717.57216897.png |
| Child's Name (Printed) | Aniya Porter |
| Have Your Child Sign His/Her Signature Here | 69dd6ea2792e03.71109417.png |
| 2026 Keys2Life Performing Arts Camp | 2026 Keys2Life Performing Arts Camp, $0.00, 1 |
| Date | 2026-04-13 |
Tyrel Toney
Keys to Life Performing Arts Summer Camp · April 13, 2026
| Child Name | Tyrel, Toney |
| Age | 13 |
| Date of Birth | 2013-03-20 |
| Grade Level this Fall? | 8 |
| School/District | Southfield Public School |
| Name of School | Birney |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | No |
| Height | 5’6 |
| Weight | 120 |
| Sex | Male |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 20521 Winston, Detroit, Michigan, 48219, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother, Father |
| Who Does the Student Live With? (Check All That Apply) | Other |
| Who Does the Student Live With? | Grandmother |
| Number of Siblings in the Home | 1 |
| Are siblings applying to a Yunion camp? | Yes, they are applying for the Keys Performing Arts Camp. |
| Is your child a returning Keys 2 Life or SWAG program participant? | Yes |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Please indicate student’s area of interest. We would like for you to check all applicable. | Music Production |
| Name of Parent/Guardian Completing This Form | Renee, Toney |
| Email Address of Parent/Guardian Completing This Form | renarich70@gmail.com |
| Your Preferred Method Of Communication | Text |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 655-1500 |
| Father/Legal Guardian | Anthony, Toney |
| Father's Address | 20521 Winston, Detroit, Michigan, 48219, United States |
| Father's DOB | 1967-09-15 |
| Father's Home Number | (248) 818-3117 |
| Father's Work Number | (248) 818-3117 |
| Father's Mobile Number | (313) 655-1500 |
| Father's Email | renarich70@gmail.com |
| Authorized for pick up? | Yes |
| Mother/Legal Guardian | Renee, Toney |
| Mother's Address | 20521 Winston, Detroit, Michigan, 48219, United States |
| Mother's DOB | 1971-07-26 |
| Mothers Home Number | (313) 655-1500 |
| Mothers Work Number | (313) 655-1500 |
| Mothers Mobile Number | (313) 655-1500 |
| Mother's Email | renarich70@gmail.com |
| Authorized for pick up? | Yes |
| 1. Your Child’s Strengths | Leadership potential, Creativity, Compassion for others, Determination, Curiosity / enjoys learning, Strong personality / confidence, Good sense of humor, Helpful at home |
| 2. Areas Where Your Child May Need Support | Sometimes struggles to follow instructions at home, Sometimes struggles to follow instructions at school |
| Emotional Regulation / Anger (Check all that apply) | Sometimes shuts down or withdraws when upset |
| Conflict with Others (Check all that apply) | Has been involved in bullying (either as the aggressor or target) |
| School Engagement (Check all that apply) | Struggles to stay focused in class |
| How would you describe your child most of the time? | Calm and easygoing, Energetic / high activity level |
| What are you hoping your child gains from KEYS Performing Arts Camp (Check all that apply) | More discipline, Greater respect for authority, Increased confidence, Positive male mentorship, Leadership skills, Stronger faith or spiritual foundation, Better decision making, Academic motivation |
| What concerns you most about your child right now? | Right now I’m most concerned about my son being a responsible young man, that is serious about his education. |
| What kind of future do you hope for your child? | I hope my child is a productive part of society. I hope he graduates from high school and pursues higher education in the form of a college degree or trade school of his choice. |
| Preferred Hospital for Emergency Treatment | Providence |
| Medical Conditions (check all that apply) | Asthma |
| If medication must be administered during program hours, a medication authorization form must be on file. Parent Initials: | 69dd61a0515193.91524861.png |
| Name | Diane Simpson |
| Phone | (248) 757-5750 |
| Additional Phone Number | (313) 655-1500 |
| Relationship to student | Grandmother |
| Name | Renee Toney |
| Phone | (313) 655-1500 |
| Additional Phone Number | (248) 818-3117 |
| Relationship to student | Mother |
| Name | Anthony Toney |
| Phone | (248) 818-3117 |
| Additional Phone Number | (313) 655-1500 |
| Relationship to student | Father |
| Emergency Medical Treatment | By checking the box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking the box, I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking the box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking the box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking the box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Tutoring (school year only), Mentoring, Family resources |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 50000 |
| How many dependents are in your family? | 5 |
| Are you a single-income family?* | No |
| Does the child for whom you are applying receive child support?* | No |
| How did you find out about The Yunion's Summer Camp? | My children attended last year. |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Tangarenee Toney |
| Add Your Signature Here | 69dd6293185713.72688169.png |
| Child's Name (Printed) | Tyrel Toney |
| Have Your Child Sign His/Her Signature Here | 69dd629323cf34.31136634.png |
| 2026 Keys2Life Performing Arts Camp | 2026 Keys2Life Performing Arts Camp, $0.00, 1 |
| Date | 2026-04-13 |
Christian Keeler
Keys to Life Performing Arts Summer Camp · April 13, 2026
| Child Name | Christian, Keeler |
| Age | 13 |
| Date of Birth | 2012-08-10 |
| Grade Level this Fall? | 9 |
| School/District | University Prep |
| Name of School | University Prep Art & Science |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | No |
| Height | 5’0 |
| Weight | 110 |
| Sex | Male |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 17156 Eddon St, Melvindale, Michigan, 48122, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother, Step-Father |
| Who Does the Student Live With? (Check All That Apply) | Mother, Step-Father |
| Number of Siblings in the Home | 1 |
| Are siblings applying to a Yunion camp? | No, they are not applying for a Yunion Camp. |
| Primary Language Other Than English | No |
| Is your child a returning Keys 2 Life or SWAG program participant? | Yes |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Please indicate student’s area of interest. We would like for you to check all applicable. | Music Production, Digital Media |
| Name of Parent/Guardian Completing This Form | Rolanda, Edwards |
| Email Address of Parent/Guardian Completing This Form | rolanda.blanchard@gmail.com |
| Your Preferred Method Of Communication | |
| Cell Phone Number of Parent/Guardian Completing This Form | (248) 455-9062 |
| Mother/Legal Guardian | Rolanda, Edwards |
| Mother's Address | 17156 Eddon St, Melvindale, Michigan, 48122, United States |
| Mother's DOB | 1993-08-28 |
| Mothers Mobile Number | (248) 455-9062 |
| Mother's Email | rolanda.blanchard@gmail.com |
| Authorized for pick up? | Yes |
| Step-Father | Cedrick, Edwards |
| Step-Father's Address | 17156 Eddon St, Melvindale, Michigan, 48122, United States |
| Step-Father's Phone Number | (248) 571-3855 |
| Authorized for pick up? | Yes |
| 1. Your Child’s Strengths | Leadership potential, Creativity, Compassion for others, Curiosity / enjoys learning, Strong personality / confidence, Good sense of humor, Helpful at home |
| 2. Areas Where Your Child May Need Support | Sometimes struggles to follow instructions at home, Sometimes struggles to follow instructions at school, Becomes frustrated or upset when corrected |
| Emotional Regulation / Anger (Check all that apply) | Has difficulty controlling anger or frustration, Sometimes shuts down or withdraws when upset |
| School Engagement (Check all that apply) | Struggles to stay focused in class, Has experienced disciplinary action at school |
| Has your child ever (Check all that apply): | Been suspended from school |
| How would you describe your child most of the time? | Energetic / high activity level, Sensitive / emotional |
| What are you hoping your child gains from KEYS Performing Arts Camp (Check all that apply) | More discipline, Greater respect for authority, Better anger management, Increased confidence, Positive male mentorship, Leadership skills, Stronger faith or spiritual foundation, Better decision making, Academic motivation |
| What concerns you most about your child right now? | Staying motivated in school…. Negative influence |
| What kind of future do you hope for your child? | A bright future where he continues to grow confident in himself, improve social skills among peers, and just making a positive impact |
| Preferred Hospital for Emergency Treatment | Henry Ford |
| Medical Conditions (check all that apply) | None |
| If medication must be administered during program hours, a medication authorization form must be on file. Parent Initials: | 69dd5f465cb628.14721418.png |
| Name | Sherry Lowe |
| Phone | (313) 686-1175 |
| Relationship to student | Grandmother |
| Emergency Medical Treatment | By checking the box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking the box, I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking the box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking the box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking the box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Tutoring (school year only), Mentoring, Behavioral support |
| May one of our team members contact you with more information about our support services? | No |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 97000 |
| How many dependents are in your family? | 2 |
| Are you a single-income family?* | No |
| Does the child for whom you are applying receive child support?* | No |
| How did you find out about The Yunion's Summer Camp? | Former camp goer |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Rolanda Edwards |
| Add Your Signature Here | 69dd61ad25f133.59342405.png |
| Child's Name (Printed) | Christian Keeler |
| Have Your Child Sign His/Her Signature Here | 69dd61ad3166c6.66117154.png |
| 2026 Keys2Life Performing Arts Camp | 2026 Keys2Life Performing Arts Camp, $0.00, 1 |
| Date | 2026-04-13 |
Gabby Buford
Keys to Life Performing Arts Summer Camp · April 13, 2026
| Child Name | Gabby, Buford |
| Age | 13 |
| Date of Birth | 2012-11-17 |
| Grade Level this Fall? | 9 |
| School/District | Southfield |
| Name of School | University High School |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | No |
| Height | 5 |
| Weight | 110 |
| Sex | Female |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 26300 Meadowbrook Way, Lathrup Village, Michigan, 48076, United States |
| County in Which Child Resides | Oakland County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother, Father |
| Who Does the Student Live With? (Check All That Apply) | Mother, Father |
| Number of Siblings in the Home | 2 |
| Are siblings applying to a Yunion camp? | No, they are not applying for a Yunion Camp. |
| Is your child a returning Keys 2 Life or SWAG program participant? | Yes |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Please indicate student’s area of interest. We would like for you to check all applicable. | Dance |
| Name of Parent/Guardian Completing This Form | Keith, Buford |
| Email Address of Parent/Guardian Completing This Form | keith.buford@gmail.com |
| Your Preferred Method Of Communication | |
| Cell Phone Number of Parent/Guardian Completing This Form | (248) 752-0698 |
| Father/Legal Guardian | Keith, Buford |
| Father's Address | 26300 Meadowbrook Way, Lathrup Village, Michigan, 48076, United States |
| Father's Home Number | (248) 752-0698 |
| Authorized for pick up? | Yes |
| Mother/Legal Guardian | Veleda, Sterling |
| Mother's Address | 26300 Meadowbrook Way, Lathrup Village, Michigan, 48076, United States |
| Mother's Email | veleda.sterling@gmail.com |
| Authorized for pick up? | Yes |
| Emergency Medical Treatment | By checking the box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking the box, I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking the box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking the box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking the box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Not needed at this time |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 100000 |
| How many dependents are in your family? | 3 |
| Are you a single-income family?* | No |
| Does the child for whom you are applying receive child support?* | No |
| How did you find out about The Yunion's Summer Camp? | Someone referred me |
| Name of Person/Recruiter who Referred You | Jason Wilson |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Keith Buford |
| Add Your Signature Here | 69dd5131a3b689.42609743.png |
| Child's Name (Printed) | Gabby Buford |
| Have Your Child Sign His/Her Signature Here | 69dd5131aef7c1.75184765.png |
| 2026 Keys2Life Performing Arts Camp | 2026 Keys2Life Performing Arts Camp, $0.00, 1 |
| Date | 2026-04-13 |
Jaiden Townsend
Keys to Life Performing Arts Summer Camp · April 13, 2026
| Child Name | Jaiden, Townsend |
| Age | 12 |
| Date of Birth | 2013-07-07 |
| Grade Level this Fall? | 8th |
| School/District | Romulus |
| Name of School | Romulus middle school |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | N/A |
| Height | 5’6 |
| Weight | 101 |
| Sex | Male |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 29015 riveroak dr, Romulus, Michigan, 48174, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother |
| Who Does the Student Live With? (Check All That Apply) | Mother |
| Is your child a returning Keys 2 Life or SWAG program participant? | Yes |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Please indicate student’s area of interest. We would like for you to check all applicable. | Acting, Music Production, Digital Media |
| Name of Parent/Guardian Completing This Form | Alyssa, Landcaster |
| Email Address of Parent/Guardian Completing This Form | ally.callmeav@gmail.com |
| Your Preferred Method Of Communication | Text |
| Cell Phone Number of Parent/Guardian Completing This Form | (734) 833-8228 |
| Mother/Legal Guardian | Alyssa, Landcaster |
| Mother's Address | 29015 Riveroak Dr, Romulus, Michigan, 48174, United States |
| Mother's DOB | 1990-10-11 |
| Mothers Home Number | (734) 833-8228 |
| Mothers Work Number | (734) 833-8228 |
| Mothers Mobile Number | (734) 833-8228 |
| Mother's Email | ally.callmeav@gmail.com |
| Authorized for pick up? | Yes |
| 1. Your Child’s Strengths | Leadership potential, Creativity, Compassion for others, Curiosity / enjoys learning, Good sense of humor, Helpful at home |
| How would you describe your child most of the time? | Calm and easygoing, Sensitive / emotional, Quiet or reserved |
| What are you hoping your child gains from KEYS Performing Arts Camp (Check all that apply) | Increased confidence, Positive male mentorship, Leadership skills, Stronger faith or spiritual foundation, Academic motivation |
| What concerns you most about your child right now? | Honestly I think Jaiden is a really good kid. He’s smart and kind and shows genuine passion and enjoyment for life. He doesn’t struggle with anger and comes from a pretty good home but he lacks drive and ambition for someone who wants to do such big things. He’s an only child and I think that plays a part in him just not knowing how to “get started” as a kid. I try to set an example of getting to it, and he’s always first to see and cheer me on but he just doesn’t push for greatness for himself |
| What kind of future do you hope for your child? | A one of true joy, and fulfillment personal success. I want him to be educated, strong in his faith, confident in himself and his moral compass. Never looking to any outside influence for personal validation! |
| Preferred Hospital for Emergency Treatment | Beaumont Dearborn |
| Medical Conditions (check all that apply) | None |
| If medication must be administered during program hours, a medication authorization form must be on file. Parent Initials: | 69dd4f229d40c1.39390804.png |
| Name | Cassandra Borders |
| Phone | (313) 929-8907 |
| Relationship to student | Aunt |
| Name | Debra Borders |
| Phone | (313) 587-0670 |
| Relationship to student | Grandmother |
| Name | Andre Landcaster |
| Phone | (313) 598-5955 |
| Relationship to student | Grandfather |
| Emergency Medical Treatment | By checking the box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking the box, I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking the box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking the box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking the box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Not needed at this time |
| May one of our team members contact you with more information about our support services? | No |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 28000 |
| How many dependents are in your family? | 1 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | No |
| Please explain any extenuating circumstances related to your financial need? (100 words or less) | I can’t honestly afford to send him to camp without coming up short somewhere else in those 6 weeks, but I can’t let my son suffer because of it. So however much is available for tuition I’m so thankful for it! |
| How did you find out about The Yunion's Summer Camp? | Someone referred me |
| Name of Person/Recruiter who Referred You | TARIA Pearson |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Alyssa Landcaster |
| Add Your Signature Here | 69dd5055165808.63278097.png |
| Child's Name (Printed) | Jaiden Townsend |
| Have Your Child Sign His/Her Signature Here | 69dd5055201570.80822329.png |
| 2026 Keys2Life Performing Arts Camp | 2026 Keys2Life Performing Arts Camp, $0.00, 1 |
| Date | 2026-04-13 |
Dayonna Banks
Keys to Life Performing Arts Summer Camp · April 13, 2026
| Child Name | Dayonna, Banks |
| Age | 12 |
| Date of Birth | 2013-10-26 |
| Grade Level this Fall? | 8 |
| School/District | Warren Woods |
| Name of School | Warren Woods Middle School |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | None |
| Height | 5 |
| Weight | 5.5 |
| Sex | Female |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 15838 Flanagan St, Rosevill, Michigan, 48066, United States |
| County in Which Child Resides | Macomb County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother, Father |
| Who Does the Student Live With? (Check All That Apply) | Mother |
| Number of Siblings in the Home | 1 |
| Are siblings applying to a Yunion camp? | No, they are not applying for a Yunion Camp. |
| Is your child a returning Keys 2 Life or SWAG program participant? | Yes |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Please indicate student’s area of interest. We would like for you to check all applicable. | Acting, Dance |
| Name of Parent/Guardian Completing This Form | Brittney, DuBose |
| Email Address of Parent/Guardian Completing This Form | dubanksfamily@gmail.com |
| Your Preferred Method Of Communication | |
| Cell Phone Number of Parent/Guardian Completing This Form | (248) 993-6227 |
| Father/Legal Guardian | Isaac, Banks |
| Father's Address | 7112 Triumph Ln, Perrysburg, Ohio, 43551, United States |
| Father's DOB | 1987-08-02 |
| Father's Mobile Number | (248) 837-0147 |
| Authorized for pick up? | Yes |
| Mother/Legal Guardian | Brittney, DuBose |
| Mother's Address | 15838 Flanagan St, Roseville, Michigan, 48066, United States |
| Mother's DOB | 1988-05-24 |
| Mothers Work Number | (313) 596-0212 |
| Mothers Mobile Number | (248) 993-6227 |
| Mother's Email | dubanksfamily@gmail.com |
| Authorized for pick up? | Yes |
| Emergency Medical Treatment | By checking the box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking the box, I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking the box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking the box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking the box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Mentoring |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 45000 |
| How many dependents are in your family? | 2 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | Yes |
| Please explain any extenuating circumstances related to your financial need? (100 words or less) | Parents divorced and trying to bounce back financially. Father is out of state so we tend to have difficulty with juggling schedules in the house to keep her in extracurricular activities to maintain an active childhood |
| How did you find out about The Yunion's Summer Camp? | Google Search |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Brittney DuBose |
| Add Your Signature Here | 69dd4cc50acc54.67911111.png |
| Child's Name (Printed) | Dayonna Banks |
| Have Your Child Sign His/Her Signature Here | 69dd4cc5152a27.33949956.png |
| 2026 Keys2Life Performing Arts Camp | 2026 Keys2Life Performing Arts Camp, $0.00, 1 |
| Date | 2026-04-13 |
London Loving
Keys to Life Performing Arts Summer Camp · April 13, 2026
| Child Name | London, Loving |
| Age | 12 |
| Date of Birth | 2014-04-24 |
| Grade Level this Fall? | 7 |
| School/District | Centerline |
| Name of School | Centerline preparatory Academy |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | No |
| Height | 5”3 |
| Weight | 122 |
| Sex | Female |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 11385, Detroit, Michigan, 48224, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother, Father |
| Who Does the Student Live With? (Check All That Apply) | Mother |
| Are siblings applying to a Yunion camp? | No, they are not applying for a Yunion Camp. |
| Primary Language Other Than English | English |
| Is your child a returning Keys 2 Life or SWAG program participant? | No |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Please indicate student’s area of interest. We would like for you to check all applicable. | Acting, Dance, Theater, Music Production |
| Name of Parent/Guardian Completing This Form | Tawanna, Burns |
| Email Address of Parent/Guardian Completing This Form | tawannaburns@ymail.com |
| Your Preferred Method Of Communication | Phone Call |
| Cell Phone Number of Parent/Guardian Completing This Form | (586) 854-2704 |
| Father/Legal Guardian | Leroy, Loving |
| Father's Address | 18565 Indiana Street, Detroit, Michigan, 48205, United States |
| Father's DOB | 1967-08-09 |
| Father's Mobile Number | (313) 304-3663 |
| Father's Email | biggame10@gmail.com |
| Authorized for pick up? | Yes |
| Mother/Legal Guardian | Tawanna, Burns |
| Mother's Address | 11385 McKinney St, Detroit, Michigan, 48224, United States |
| Mother's DOB | 1978-08-12 |
| Mothers Mobile Number | (586) 854-2704 |
| Mother's Email | tawannaburns@ymail.com |
| Authorized for pick up? | Yes |
| 1. Your Child’s Strengths | Leadership potential, Compassion for others, Determination, Strong personality / confidence, Good sense of humor |
| 2. Areas Where Your Child May Need Support | Sometimes struggles to follow instructions at home, Becomes frustrated or upset when corrected |
| Emotional Regulation / Anger (Check all that apply) | Sometimes shuts down or withdraws when upset |
| Conflict with Others (Check all that apply) | Has frequent arguments with siblings, peers, or adults |
| School Engagement (Check all that apply) | Struggles to stay focused in class |
| Curfew / Home Expectations | Sometimes struggles to follow curfew or home rules |
| How would you describe your child most of the time? | Calm and easygoing, Energetic / high activity level, Sensitive / emotional, Independent, Strong-willed, Quiet or reserved |
| What are you hoping your child gains from KEYS Performing Arts Camp (Check all that apply) | More discipline, Greater respect for authority, Better anger management, Increased confidence, Leadership skills, Stronger faith or spiritual foundation, Better decision making, Academic motivation |
| What concerns you most about your child right now? | Concerns that she has no interactions with kids her age all of her sisters are older and brothers are grown she also has a problem with staying focused sometimes especially for school grades were slipping but now getting better doesn’t like chores keeping up with her room clothes appearance |
| What kind of future do you hope for your child? | I hope that she grows into a fun loving smart financially inclined woman where she doesn’t have to worry bout life’s struggles like me . I want her to pursue her dreams into the performing arts industry in a positive career and help others and stay away from peer pressure and negative energy |
| Preferred Hospital for Emergency Treatment | Children’s Hospital Detroit |
| Medical Conditions (check all that apply) | Allergies |
| Food Allergies | Cheese |
| Allergic to Bees? | No |
| If medication must be administered during program hours, a medication authorization form must be on file. Parent Initials: | 69dc76169469c4.76892049.png |
| Name | Tawanna Burns |
| Phone | (586) 854-2704 |
| Relationship to student | Mom |
| Emergency Medical Treatment | By checking the box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking the box, I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking the box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking the box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking the box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Tutoring (school year only), Counseling referral |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 700 |
| How many dependents are in your family? | 2 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | No |
| Please explain any extenuating circumstances related to your financial need? (100 words or less) | I’m in college and have a small business selling women clothing I have recently lost my husband and trying to rebuild my life |
| How did you find out about The Yunion's Summer Camp? | Google Search |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Tawanna Burns |
| Add Your Signature Here | 69dc778bc07b95.01984359.png |
| Child's Name (Printed) | London Loving |
| Have Your Child Sign His/Her Signature Here | 69dc778bcc14f5.58911516.png |
| 2026 Keys2Life Performing Arts Camp | 2026 Keys2Life Performing Arts Camp, $0.00, 1 |
| Date | 2026-04-13 |
Destini-Paul Lawson
Keys to Life Performing Arts Summer Camp · April 12, 2026
| Child Name | Destini-Paul, Lawson |
| Age | 13 |
| Date of Birth | 2012-08-24 |
| Grade Level this Fall? | 9th |
| School/District | Detroit |
| Name of School | David Ellison Academy |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | None |
| Height | 5'6 |
| Weight | 95lbs |
| Sex | Female |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 16750 Edinborough Road, Detroit, Michigan, 48219, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother |
| Who Does the Student Live With? (Check All That Apply) | Mother |
| Number of Siblings in the Home | 1 |
| Are siblings applying to a Yunion camp? | Yes, they are applying for the Keys Performing Arts Camp. |
| Is your child a returning Keys 2 Life or SWAG program participant? | Yes |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Please indicate student’s area of interest. We would like for you to check all applicable. | Digital Media |
| Name of Parent/Guardian Completing This Form | NaKisha, Kimble |
| Email Address of Parent/Guardian Completing This Form | nakisha326@gmail.com |
| Your Preferred Method Of Communication | Text |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 408-8660 |
| Mother/Legal Guardian | NaKisha, Kimble |
| Mother's Address | 16750 Edinborough Road, Detroit, Michigan, 48219, United States |
| Mother's DOB | 1980-03-26 |
| Mothers Home Number | (313) 408-8660 |
| Mothers Mobile Number | (313) 408-8660 |
| Mother's Email | nakisha326@gmail.com |
| Authorized for pick up? | Yes |
| 1. Your Child’s Strengths | Leadership potential, Creativity, Athletic ability, Compassion for others, Determination, Curiosity / enjoys learning, Helpful at home |
| How would you describe your child most of the time? | Calm and easygoing, Independent, Strong-willed, Quiet or reserved |
| What are you hoping your child gains from KEYS Performing Arts Camp (Check all that apply) | Increased confidence |
| What concerns you most about your child right now? | N/A |
| What kind of future do you hope for your child? | Successful |
| Medical Conditions (check all that apply) | None |
| If medication must be administered during program hours, a medication authorization form must be on file. Parent Initials: | 69dc144e18f9d2.04490903.png |
| Name | Valerie Day |
| Phone | (313) 704-6678 |
| Relationship to student | Cousin |
| Name | Wanda Keys |
| Phone | (313) 683-6083 |
| Relationship to student | Aunt |
| Emergency Medical Treatment | By checking the box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking the box, I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking the box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking the box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking the box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 121000 |
| How many dependents are in your family? | 3 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | No |
| Please explain any extenuating circumstances related to your financial need? (100 words or less) | Single mother with 2 teenagers |
| How did you find out about The Yunion's Summer Camp? | |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Nakisha Kimble |
| Add Your Signature Here | 69dc1589af6019.65241207.png |
| Child's Name (Printed) | Destini-Paul Lawson |
| Have Your Child Sign His/Her Signature Here | 69dc1589bb8090.16261296.png |
| 2026 Keys2Life Performing Arts Camp | 2026 Keys2Life Performing Arts Camp, $0.00, 1 |
| Date | 2026-04-12 |
Joi Brown
Keys to Life Performing Arts Summer Camp · April 12, 2026
| Child Name | Joi, Brown |
| Age | 11 |
| Date of Birth | 2015-02-01 |
| Grade Level this Fall? | 6th |
| School/District | LPS |
| Name of School | Harmon |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | Help build self confidence |
| Height | 4,11 |
| Weight | 96 |
| Sex | Female |
| Eye Color | Hazel |
| Ethnicity | African American |
| Student Address | 18565 forest, Eastpointe, Michigan, 48021, United States |
| County in Which Child Resides | Macomb County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother, Father |
| Who Does the Student Live With? (Check All That Apply) | Mother |
| Number of Siblings in the Home | 3 |
| Are siblings applying to a Yunion camp? | No, they are not applying for a Yunion Camp. |
| Is your child a returning Keys 2 Life or SWAG program participant? | Yes |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Please indicate student’s area of interest. We would like for you to check all applicable. | Acting, Dance, Theater, Music Production, Digital Media |
| Name of Parent/Guardian Completing This Form | Tiffany, Hudson |
| Email Address of Parent/Guardian Completing This Form | tiffany_hudson@msn.com |
| Your Preferred Method Of Communication | Text |
| Cell Phone Number of Parent/Guardian Completing This Form | (586) 571-4343 |
| Father/Legal Guardian | Joseph, Brown |
| Father's Address | 25570 curie, Warren, Michigan, 48071, United States |
| Father's DOB | 1971-08-06 |
| Authorized for pick up? | Yes |
| Mother/Legal Guardian | Tiffany, Hudson |
| Mother's Address | 18565 Forest, Eastpointe, Michigan, 48021, United States |
| Mother's DOB | 1982-10-03 |
| Mothers Mobile Number | (586) 571-4343 |
| Mother's Email | tiffany_Hudson@msn.com |
| Authorized for pick up? | Yes |
| Emergency Medical Treatment | By checking the box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking the box, I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking the box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking the box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking the box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Tutoring (school year only), Mentoring, Counseling referral, Behavioral support, Family resources |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 12000 |
| How many dependents are in your family? | 3 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | No |
| Please explain any extenuating circumstances related to your financial need? (100 words or less) | Single parent family home unable to work due to sickness. Social security recipient |
| How did you find out about The Yunion's Summer Camp? | Child attended last year |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Tiffany Hudson |
| Add Your Signature Here | 69db7983463890.09989337.png |
| Child's Name (Printed) | Joi Brown |
| Have Your Child Sign His/Her Signature Here | 69db7983570114.83059795.png |
| 2026 Keys2Life Performing Arts Camp | 2026 Keys2Life Performing Arts Camp, $0.00, 1 |
| Date | 2026-04-12 |
Brielle Rambus
Keys to Life Performing Arts Summer Camp · April 11, 2026
| Child Name | Brielle, Rambus |
| Age | 10 |
| Date of Birth | 2015-10-22 |
| Grade Level this Fall? | 6 |
| School/District | Cornerstone |
| Name of School | Adams Young Middle |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | None |
| Height | 4 ft |
| Weight | 77 pounds |
| Sex | Female |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 20300 Glastonbury Road, Detroit, Michigan, 48219, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother, Father |
| Who Does the Student Live With? (Check All That Apply) | Mother |
| Are siblings applying to a Yunion camp? | No, they are not applying for a Yunion Camp. |
| Is your child a returning Keys 2 Life or SWAG program participant? | No |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Please indicate student’s area of interest. We would like for you to check all applicable. | Acting, Dance, Theater, Music Production, Digital Media |
| Name of Parent/Guardian Completing This Form | Sumara, Rambus |
| Email Address of Parent/Guardian Completing This Form | sumararambus@gmail.com |
| Your Preferred Method Of Communication | Phone Call |
| Cell Phone Number of Parent/Guardian Completing This Form | (947) 282-3064 |
| Father/Legal Guardian | Henry, Coach |
| Father's Address | 20535 Glastonbury Rd, Detroit, Michigan, 48219, United States |
| Father's DOB | 1979-01-13 |
| Father's Mobile Number | (313) 439-3304 |
| Father's Email | henrycoach01@gmail.com |
| Authorized for pick up? | Yes |
| Mother/Legal Guardian | Sumara, Rambus |
| Mother's Address | 20300 Glastonbury Rd, Detroit, Michigan, 48219, United States |
| Mother's DOB | 1977-11-23 |
| Mothers Mobile Number | (947) 282-3064 |
| Mother's Email | sumararambus@gmail.com |
| Authorized for pick up? | Yes |
| 1. Your Child’s Strengths | Leadership potential, Creativity, Athletic ability, Compassion for others, Determination, Curiosity / enjoys learning, Strong personality / confidence, Good sense of humor, Helpful at home |
| 2. Areas Where Your Child May Need Support | Sometimes struggles to follow instructions at home |
| Conflict with Others (Check all that apply) | Has been involved in bullying (either as the aggressor or target) |
| How would you describe your child most of the time? | Calm and easygoing, Sensitive / emotional, Independent, Strong-willed, Quiet or reserved |
| What are you hoping your child gains from KEYS Performing Arts Camp (Check all that apply) | Increased confidence, Leadership skills, Stronger faith or spiritual foundation |
| What concerns you most about your child right now? | Transition to puberty! |
| What kind of future do you hope for your child? | Brielle can be and do whatever she wants in life! I can only hope that she makes the right decisions. |
| Preferred Hospital for Emergency Treatment | Corewell |
| Medical Conditions (check all that apply) | None |
| If medication must be administered during program hours, a medication authorization form must be on file. Parent Initials: | 69da37333095c5.49538827.png |
| Additional medical or behavioral information staff should know: | None |
| Name | Naomi Coach |
| Phone | (313) 592-1338 |
| Relationship to student | Grandma |
| Emergency Medical Treatment | By checking the box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking the box, I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking the box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking the box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking the box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Tutoring (school year only), Mentoring |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 85000 |
| How many dependents are in your family? | 1 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | Yes |
| How did you find out about The Yunion's Summer Camp? | My older children attended |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Sumara Rambus |
| Add Your Signature Here | 69da3965ca4818.74979377.png |
| Child's Name (Printed) | Brielle Rambus |
| Have Your Child Sign His/Her Signature Here | 69da3965d493b5.17212826.png |
| 2026 Keys2Life Performing Arts Camp | 2026 Keys2Life Performing Arts Camp, $0.00, 1 |
| Date | 2026-04-11 |
Loghan Carthage
Keys to Life Performing Arts Summer Camp · April 11, 2026
| Child Name | Loghan, Carthage |
| Age | 10 |
| Date of Birth | 2015-10-02 |
| Grade Level this Fall? | 6 |
| School/District | Redford |
| Name of School | David Ellis Academy |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | No |
| Height | 5/4 |
| Weight | 100 |
| Sex | Female |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 14044 PIERCE DR, Redford Charter Township, Michigan, 48239, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother, Father |
| Who Does the Student Live With? (Check All That Apply) | Mother, Father |
| Number of Siblings in the Home | 2 |
| Are siblings applying to a Yunion camp? | No, they are not applying for a Yunion Camp. |
| Primary Language Other Than English | N/a |
| Is your child a returning Keys 2 Life or SWAG program participant? | No |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Please indicate student’s area of interest. We would like for you to check all applicable. | Dance, Music Production |
| Name of Parent/Guardian Completing This Form | LaTasha, Carthage |
| Email Address of Parent/Guardian Completing This Form | latashalynn@gmail.com |
| Your Preferred Method Of Communication | |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 492-6663 |
| Father/Legal Guardian | Ryan, Carthage |
| Father's Address | 14044 PIERCE DR, Redford Charter Township, Michigan, 48239, United States |
| Father's DOB | 1985-02-24 |
| Father's Work Number | (248) 850-6255 |
| Father's Mobile Number | (248) 850-6255 |
| Father's Email | forevercArthage2020@gmail.com |
| Authorized for pick up? | Yes |
| Mother/Legal Guardian | LaTasha, Carthage |
| Mother's Address | 14044 PIERCE DR, Redford Charter Township, Michigan, 48239, United States |
| Mother's DOB | 1979-10-15 |
| Mothers Home Number | (313) 492-6663 |
| Mothers Mobile Number | (313) 492-6663 |
| Mother's Email | latashalynn@gmail.com |
| Authorized for pick up? | Yes |
| 1. Your Child’s Strengths | Leadership potential, Creativity, Athletic ability, Compassion for others, Determination, Curiosity / enjoys learning, Strong personality / confidence |
| Emotional Regulation / Anger (Check all that apply) | Sometimes shuts down or withdraws when upset |
| How would you describe your child most of the time? | Calm and easygoing, Energetic / high activity level, Sensitive / emotional, Independent, Strong-willed |
| What are you hoping your child gains from KEYS Performing Arts Camp (Check all that apply) | More discipline, Increased confidence, Leadership skills, Stronger faith or spiritual foundation, Better decision making, Academic motivation |
| What concerns you most about your child right now? | Just being secure in self |
| What kind of future do you hope for your child? | I pray she develops the inner strength to be bold and trust whoGod has designed her to be |
| Preferred Hospital for Emergency Treatment | Children’s |
| Medical Conditions (check all that apply) | Allergies, Asthma, Requires Epi-Pen |
| Allergic to Bees? | No |
| If medication must be administered during program hours, a medication authorization form must be on file. Parent Initials: | 69d9ae92171ff2.24984454.png |
| Name | LaTasha Carthage |
| Phone | (313) 492-6663 |
| Relationship to student | Mom |
| Name | LaTasha Carthage |
| Phone | (313) 492-6663 |
| Additional Phone Number | (248) 850-6255 |
| Relationship to student | Dad |
| Name | Ryan Carthage |
| Phone | (248) 850-6255 |
| Relationship to student | Dad |
| Emergency Medical Treatment | By checking the box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking the box, I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking the box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking the box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking the box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Tutoring (school year only), Mentoring |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 30000 |
| How many dependents are in your family? | 5 |
| Are you a single-income family?* | No |
| Does the child for whom you are applying receive child support?* | No |
| How did you find out about The Yunion's Summer Camp? | |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | LaTasha Carthage |
| Add Your Signature Here | 69d9af31ef9625.00679070.png |
| Child's Name (Printed) | Loghan Carthage |
| Have Your Child Sign His/Her Signature Here | 69d9af320eb8c5.66395441.png |
| 2026 Keys2Life Performing Arts Camp | 2026 Keys2Life Performing Arts Camp, $0.00, 1 |
| Date | 2026-04-10 |
Eli James
Keys to Life Performing Arts Summer Camp · April 10, 2026
| Child Name | Eli, James |
| Age | 12 |
| Date of Birth | 2013-08-12 |
| Grade Level this Fall? | 8 |
| School/District | Golightly Educational Center/DPSCD |
| Name of School | Golightly Educational Center |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | No |
| Height | 5 |
| Weight | 2 |
| Sex | Male |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 14914 Warwick St, Detroit, Michigan, 48223, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother, Father |
| Who Does the Student Live With? (Check All That Apply) | Mother, Father |
| Number of Siblings in the Home | 1 |
| Are siblings applying to a Yunion camp? | Yes, they are applying for the Keys Performing Arts Camp. |
| Is your child a returning Keys 2 Life or SWAG program participant? | Yes |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Please indicate student’s area of interest. We would like for you to check all applicable. | Acting, Theater, Music Production, Digital Media |
| Name of Parent/Guardian Completing This Form | Tianna, James |
| Email Address of Parent/Guardian Completing This Form | tiannacrosby@yahoo.com |
| Your Preferred Method Of Communication | |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 303-1339 |
| Father/Legal Guardian | Javid, James |
| Father's Address | 14914 Warwick St, Detroit, Michigan, 48223, United States |
| Father's DOB | 1986-04-17 |
| Father's Mobile Number | (313) 434-0158 |
| Father's Email | familyjames04@gmail.com |
| Authorized for pick up? | Yes |
| Mother/Legal Guardian | Tianna, James |
| Mother's Address | 14914 Warwick St, Detroit, Michigan, 48223, United States |
| Mother's DOB | 1985-11-20 |
| Mothers Mobile Number | (313) 303-1339 |
| Mother's Email | familyjames04@gmail.com |
| Authorized for pick up? | Yes |
| 1. Your Child’s Strengths | Creativity, Athletic ability, Compassion for others, Curiosity / enjoys learning, Good sense of humor |
| 2. Areas Where Your Child May Need Support | Sometimes struggles to follow instructions at school |
| Emotional Regulation / Anger (Check all that apply) | Sometimes shuts down or withdraws when upset |
| School Engagement (Check all that apply) | Has received school suspension(s) |
| Has your child ever (Check all that apply): | Been suspended from school |
| How would you describe your child most of the time? | Calm and easygoing, Independent, Quiet or reserved |
| What are you hoping your child gains from KEYS Performing Arts Camp (Check all that apply) | More discipline, Increased confidence, Positive male mentorship, Leadership skills, Stronger faith or spiritual foundation, Better decision making, Academic motivation |
| What concerns you most about your child right now? | That he may have issues with not being a follower. I’d like his confidence in himself and his individuality to increase. |
| What kind of future do you hope for your child? | To be a successful, Responsible entrepreneur and business owner. |
| Medical Conditions (check all that apply) | Allergies |
| Food Allergies | Nuts |
| Allergic to Bees? | No |
| If medication must be administered during program hours, a medication authorization form must be on file. Parent Initials: | 69d9492d3040d5.99578998.png |
| Name | Tianna James |
| Phone | (313) 303-1339 |
| Additional Phone Number | (313) 434-0158 |
| Relationship to student | Mother |
| Name | Javid James |
| Phone | (313) 303-1339 |
| Relationship to student | Father |
| Emergency Medical Treatment | By checking the box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking the box, I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking the box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking the box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking the box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Mentoring, Counseling referral |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 60000 |
| How many dependents are in your family? | 2 |
| Are you a single-income family?* | No |
| Does the child for whom you are applying receive child support?* | No |
| Please explain any extenuating circumstances related to your financial need? (100 words or less) | We are a family of 4 based in Detroit and this economy has been hard on us. Both parents are self employed and all benefits have to be paid out of pocket. |
| How did you find out about The Yunion's Summer Camp? | |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Tianna James |
| Add Your Signature Here | 69d94af78778c4.18390015.png |
| Child's Name (Printed) | Eli James |
| Have Your Child Sign His/Her Signature Here | 69d94af7924158.52613802.png |
| 2026 Keys2Life Performing Arts Camp | 2026 Keys2Life Performing Arts Camp, $0.00, 1 |
| Date | 2026-04-10 |
Layla Cheek
Keys to Life Performing Arts Summer Camp · April 10, 2026
| Child Name | Layla, Cheek |
| Age | 12 |
| Date of Birth | 2013-12-01 |
| Grade Level this Fall? | 7 |
| School/District | Southfield |
| Name of School | University Middle School Academy |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | Food allergies: tree nuts, peanuts, fish |
| Height | 5'2 |
| Weight | 145 |
| Sex | Female |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 22101 Hallcroft Ln, Southfield, Michigan, 48034, United States |
| County in Which Child Resides | Oakland County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother, Father |
| Who Does the Student Live With? (Check All That Apply) | Mother, Father |
| Number of Siblings in the Home | 2 |
| Are siblings applying to a Yunion camp? | No, they are not applying for a Yunion Camp. |
| Is your child a returning Keys 2 Life or SWAG program participant? | No |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Please indicate student’s area of interest. We would like for you to check all applicable. | Dance, Digital Media |
| Name of Parent/Guardian Completing This Form | Jasmine, Cunningham-Cheek |
| Email Address of Parent/Guardian Completing This Form | jaskache24@gmail.com |
| Your Preferred Method Of Communication | Text |
| Cell Phone Number of Parent/Guardian Completing This Form | (248) 514-4888 |
| Father/Legal Guardian | Cliff, Cheek Jr |
| Father's Address | 22101 Hallcroft Ln, Southfield, Michigan, 48034, United States |
| Father's DOB | 1974-02-20 |
| Father's Mobile Number | (269) 352-1836 |
| Authorized for pick up? | Yes |
| Mother/Legal Guardian | Jasmine, Cunningham-Cheek |
| Mother's Address | 22101 Hallcroft Ln, Southfield, Michigan, 48034, United States |
| Mother's DOB | 1975-04-24 |
| Mothers Mobile Number | (248) 514-4888 |
| Mother's Email | jaskache24@gmail.com |
| Authorized for pick up? | Yes |
| Emergency Medical Treatment | By checking the box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking the box, I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking the box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking the box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking the box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Not needed at this time |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | No, my school doesn't have that program |
| What is the annual income of your family? | 150 |
| How many dependents are in your family? | 3 |
| Are you a single-income family?* | No |
| Does the child for whom you are applying receive child support?* | No |
| Please explain any extenuating circumstances related to your financial need? (100 words or less) | Summer camp expenses for our other children; therefore, it would be very helpful to receive a discounted rate. |
| How did you find out about The Yunion's Summer Camp? | Someone referred me |
| Name of Person/Recruiter who Referred You | Daughter's friend |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Jasmine Cunningham |
| Add Your Signature Here | 69d945644ad306.73435952.png |
| Child's Name (Printed) | Layla Cheek |
| Have Your Child Sign His/Her Signature Here | 69d9456456c5a7.86478438.png |
| 2026 Keys2Life Performing Arts Camp | 2026 Keys2Life Performing Arts Camp, $0.00, 1 |
| Date | 2026-04-10 |
Ayden Smith
Keys to Life Performing Arts Summer Camp · April 10, 2026
| Child Name | Ayden, Smith |
| Age | 10 |
| Date of Birth | 2015-09-08 |
| Grade Level this Fall? | 6th |
| School/District | Novi |
| Name of School | Novi Meadows |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | N/A |
| Height | 47 |
| Weight | 100 |
| Sex | Male |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 41800 Manor Park Drive, Apt 69, Novi, Michigan, 48375, United States |
| County in Which Child Resides | Oakland County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother |
| Who Does the Student Live With? (Check All That Apply) | Mother |
| Are siblings applying to a Yunion camp? | No, they are not applying for a Yunion Camp. |
| Is your child a returning Keys 2 Life or SWAG program participant? | No |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Please indicate student’s area of interest. We would like for you to check all applicable. | Acting, Music Production, Digital Media |
| Name of Parent/Guardian Completing This Form | Ochga, Smith |
| Email Address of Parent/Guardian Completing This Form | ochgas@gmail.com |
| Your Preferred Method Of Communication | Text |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 805-5487 |
| Mother/Legal Guardian | Ochga, Smith |
| Mother's Address | 41800 Manor Park Drive, Apt 69, Novi, Michigan, 48375, United States |
| Mother's DOB | 1989-09-21 |
| Mothers Mobile Number | (313) 805-5487 |
| Mother's Email | ochgas@gmail.com |
| Authorized for pick up? | Yes |
| Emergency Medical Treatment | By checking the box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking the box, I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking the box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking the box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking the box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Tutoring (school year only), Mentoring |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 82000 |
| How many dependents are in your family? | 1 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | Yes |
| Please explain any extenuating circumstances related to your financial need? (100 words or less) | I am a single parent household living on a single income. Although my child has court ordered child support, I am not receiving it and receive no assistance financially from my child’s father. I am financially responsible for all of my child’s needs and having access to a financial resources would help to expose my son to all life has to offer. |
| How did you find out about The Yunion's Summer Camp? | Someone referred me |
| Name of Person/Recruiter who Referred You | Carmen Brown |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Ochga Smith |
| Add Your Signature Here | 69d929df11df16.11981419.png |
| Child's Name (Printed) | Ayden Smith |
| Have Your Child Sign His/Her Signature Here | 69d929df2e0206.27869699.png |
| 2026 Keys2Life Performing Arts Camp | 2026 Keys2Life Performing Arts Camp, $0.00, 1 |
| Date | 2026-04-10 |
Rayonna Banks
Keys to Life Performing Arts Summer Camp · April 9, 2026
| Child Name | Rayonna, Banks |
| Age | 12 |
| Date of Birth | 2014-01-09 |
| Grade Level this Fall? | 7 |
| School/District | Detroit |
| Name of School | Uprep math science |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | No |
| Height | 5 |
| Weight | 100 |
| Sex | Female |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 18406 Delaware Ave, Redford Charter Township, Michigan, 48240, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother, Father, Step-Mother |
| Who Does the Student Live With? (Check All That Apply) | Mother, Father |
| Number of Siblings in the Home | 3 |
| Are siblings applying to a Yunion camp? | Yes, they are applying for the Level Up Workforce & Leadership Development Camp. |
| Is your child a returning Keys 2 Life or SWAG program participant? | Yes |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Please indicate student’s area of interest. We would like for you to check all applicable. | Acting, Dance, Theater, Music Production, Digital Media |
| Name of Parent/Guardian Completing This Form | Richard, Cantrell |
| Email Address of Parent/Guardian Completing This Form | mrcantrell2@gmail.com |
| Your Preferred Method Of Communication | |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 761-8103 |
| Father/Legal Guardian | Richard, Cantrell |
| Father's Address | 18406 Delaware Ave, Redford Charter Township, Michigan, 48240, United States |
| Father's DOB | 1986-12-08 |
| Father's Home Number | (313) 761-8103 |
| Father's Mobile Number | (313) 761-8103 |
| Father's Email | mrcantrell2@gmail.com |
| Authorized for pick up? | Yes |
| Mother/Legal Guardian | Loni, Banjs |
| Mother's Address | 11091 Beaconsfield, Detroit, Michigan, 48236, United States |
| Mother's DOB | 1988-04-06 |
| Mothers Mobile Number | (248) 704-1325 |
| Mother's Email | chidoubleby@gmail.com |
| Authorized for pick up? | Yes |
| Step-Mother's Address | United States |
| Authorized for pick up? | Yes |
| 1. Your Child’s Strengths | Leadership potential, Creativity, Compassion for others, Curiosity / enjoys learning, Strong personality / confidence, Good sense of humor, Helpful at home |
| How would you describe your child most of the time? | Energetic / high activity level, Sensitive / emotional, Independent, Strong-willed |
| What are you hoping your child gains from KEYS Performing Arts Camp (Check all that apply) | Increased confidence, Better decision making |
| What kind of future do you hope for your child? | I want my child to explore her creative side. See what her passion is early |
| Medical Conditions (check all that apply) | Asthma |
| If medication must be administered during program hours, a medication authorization form must be on file. Parent Initials: | 69d7f02a04a9d6.71898744.png |
| Name | Aletha cantrell |
| Phone | (313) 632-5015 |
| Relationship to student | Grandmother |
| Emergency Medical Treatment | By checking the box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking the box, I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking the box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking the box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking the box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Tutoring (school year only), Mentoring |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 70000 |
| How many dependents are in your family? | 4 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | Yes |
| How did you find out about The Yunion's Summer Camp? | Other attended previous years |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Richard Cantrell |
| Add Your Signature Here | 69d7f0f738fe90.85109783.png |
| Child's Name (Printed) | Rayonna Banks |
| Have Your Child Sign His/Her Signature Here | 69d7f0f7424a10.09085506.png |
| 2026 Keys2Life Performing Arts Camp | 2026 Keys2Life Performing Arts Camp, $0.00, 1 |
| Date | 2026-04-09 |
Sebastian Johnson
Keys to Life Performing Arts Summer Camp · April 9, 2026
| Child Name | Sebastian, Johnson |
| Age | 11 |
| Date of Birth | 2015-04-07 |
| Grade Level this Fall? | 6th |
| School/District | South Redford |
| Name of School | Pierce Middle School |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | Therapy services. Positive male mentorship. Leadership development |
| Height | 4’11 |
| Weight | 100 |
| Sex | Male |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 8928 robindale, Redford, Michigan, 48239, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother, Father |
| Who Does the Student Live With? (Check All That Apply) | Mother |
| Number of Siblings in the Home | 3 |
| Are siblings applying to a Yunion camp? | Yes, they are applying for the Keys Performing Arts Camp. |
| Is your child a returning Keys 2 Life or SWAG program participant? | Yes |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Please indicate student’s area of interest. We would like for you to check all applicable. | Acting, Theater, Music Production |
| Name of Parent/Guardian Completing This Form | Nakia, Middleton |
| Email Address of Parent/Guardian Completing This Form | nakiamortgagepro@gmail.com |
| Your Preferred Method Of Communication | Phone Call |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 471-1887 |
| Father/Legal Guardian | Christopher, Johnson |
| Father's Address | 8928 Robindale, Redford, Michigan, 48239, United States |
| Authorized for pick up? | Yes |
| Mother/Legal Guardian | Nakia, Middleton |
| Mother's Address | 8928 Robindale, Redford, Michigan, 48239, United States |
| Mother's DOB | 1993-06-02 |
| Mother's Email | nakiamortgagepro@gmail.com |
| Authorized for pick up? | Yes |
| 1. Your Child’s Strengths | Leadership potential, Creativity, Athletic ability, Compassion for others, Strong personality / confidence |
| 2. Areas Where Your Child May Need Support | Sometimes struggles to follow instructions at school |
| How would you describe your child most of the time? | Energetic / high activity level, Sensitive / emotional, Strong-willed |
| What are you hoping your child gains from KEYS Performing Arts Camp (Check all that apply) | More discipline, Greater respect for authority, Better anger management, Increased confidence, Positive male mentorship, Leadership skills, Stronger faith or spiritual foundation, Better decision making, Academic motivation |
| What concerns you most about your child right now? | Sebastian struggles with feeling rejected by his father. He also feels that there’s a lack of masculine support. Because of these circumstances Sebastian gets emotional at times and it hinders his flow. |
| What kind of future do you hope for your child? | I hope that’s a Sebastian continue to evolve as a leader amongst his peers. I hope that’s Sebastian continues to shape his confidence and habits as a young man. |
| Preferred Hospital for Emergency Treatment | Royal oak Beaumont |
| Medical Conditions (check all that apply) | Allergies |
| Food Allergies | N/a |
| Allergic to Bees? | Yes |
| If medication must be administered during program hours, a medication authorization form must be on file. Parent Initials: | 69d7cb5edbb058.88889416.png |
| Name | Monica Middleton |
| Phone | (313) 471-1887 |
| Additional Phone Number | (734) 421-2844 |
| Relationship to student | Grandmother |
| Name | Arleta Rue |
| Phone | (248) 346-3229 |
| Relationship to student | Great Grandmother |
| Emergency Medical Treatment | By checking the box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking the box, I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking the box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking the box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking the box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Tutoring (school year only), Mentoring, Counseling referral, Behavioral support, Family resources |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| How many dependents are in your family? | 4 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | Yes |
| Please explain any extenuating circumstances related to your financial need? (100 words or less) | I am currently experiencing financial hardship as a single mother supporting my children while working to stabilize my income. Unexpected transportation issues and limited financial support have made it difficult to maintain consistent employment and meet daily expenses. I am actively seeking opportunities, improving my skills, and taking steps toward long-term stability, but I need temporary assistance to bridge this gap. This support would help me maintain stability for my household while I continue working toward financial independence. |
| How did you find out about The Yunion's Summer Camp? | Previous participant |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Nakia Middleton |
| Add Your Signature Here | 69d7cbc182a6c6.00924353.png |
| Child's Name (Printed) | Sebastian Johnson |
| Have Your Child Sign His/Her Signature Here | 69d7cbc18e5d16.28698063.png |
| 2026 Keys2Life Performing Arts Camp | 2026 Keys2Life Performing Arts Camp, $0.00, 1 |
| Date | 2026-04-09 |
Paige Elliott
Keys to Life Performing Arts Summer Camp · April 9, 2026
| Child Name | Paige, Elliott |
| Age | 12 |
| Date of Birth | 2013-07-26 |
| Grade Level this Fall? | 8 |
| School/District | University Prep Art and Design |
| Name of School | UPAD Middle |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | no |
| Height | 5 |
| Weight | 6 |
| Sex | Female |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 18989 Snowden, Detroit, Michigan, 48235, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother, Father |
| Who Does the Student Live With? (Check All That Apply) | Mother |
| Number of Siblings in the Home | 3 |
| Are siblings applying to a Yunion camp? | No, they are not applying for a Yunion Camp. |
| Is your child a returning Keys 2 Life or SWAG program participant? | Yes |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Please indicate student’s area of interest. We would like for you to check all applicable. | Dance, Digital Media |
| Name of Parent/Guardian Completing This Form | Marie, Durham |
| Email Address of Parent/Guardian Completing This Form | marie313llc@gmail.com |
| Your Preferred Method Of Communication | |
| Cell Phone Number of Parent/Guardian Completing This Form | (810) 830-8714 |
| Father/Legal Guardian | Diondre, Elliott |
| Father's Address | 3341 W Euclid, Detroit, Michigan, 48206, United States |
| Father's DOB | 1981-01-02 |
| Father's Home Number | (313) 781-1644 |
| Father's Email | diondrejelliott@gmail.com |
| Authorized for pick up? | Yes |
| Mother/Legal Guardian | Marie, Durham |
| Mother's Address | 18989 Snowden, Detroit, Michigan, 48235, United States |
| Mother's DOB | 1981-02-06 |
| Mothers Mobile Number | (810) 830-8714 |
| Mother's Email | marie313llc@gmail.com |
| Authorized for pick up? | Yes |
| 1. Your Child’s Strengths | Leadership potential, Creativity, Compassion for others, Determination, Curiosity / enjoys learning, Strong personality / confidence, Good sense of humor, Helpful at home |
| 2. Areas Where Your Child May Need Support | Sometimes struggles to follow instructions at home, Becomes frustrated or upset when corrected |
| Emotional Regulation / Anger (Check all that apply) | Has difficulty controlling anger or frustration, Reacts strongly to conflict or correction, Sometimes shuts down or withdraws when upset |
| Conflict with Others (Check all that apply) | Has frequent arguments with siblings, peers, or adults |
| School Engagement (Check all that apply) | Struggles to stay focused in class |
| Curfew / Home Expectations | Sometimes struggles to follow curfew or home rules |
| How would you describe your child most of the time? | Calm and easygoing, Sensitive / emotional, Independent, Strong-willed |
| What are you hoping your child gains from KEYS Performing Arts Camp (Check all that apply) | More discipline, Greater respect for authority, Better anger management, Increased confidence, Positive male mentorship, Leadership skills, Stronger faith or spiritual foundation, Better decision making, Academic motivation |
| What kind of future do you hope for your child? | I hope that she is able to become successful, share her gifts and become a God-fearing and productive member of society. |
| Medical Conditions (check all that apply) | None |
| If medication must be administered during program hours, a medication authorization form must be on file. Parent Initials: | 69d7c76f8af204.04654650.png |
| Name | Marie Durham |
| Phone | (810) 830-8714 |
| Relationship to student | Mom |
| Name | Denise Powell |
| Phone | (248) 462-1560 |
| Relationship to student | Grandmother |
| Emergency Medical Treatment | By checking the box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking the box, I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking the box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking the box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking the box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Tutoring (school year only), Mentoring, Behavioral support, Family resources |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | Family Insight Form |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 62000 |
| How many dependents are in your family? | 4 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | No |
| Please explain any extenuating circumstances related to your financial need? (100 words or less) | We are in need of financial assistance in order for her to attend camp. |
| How did you find out about The Yunion's Summer Camp? | Previous year participant |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Marie Durham |
| Add Your Signature Here | 69d7c80600bef1.70333108.png |
| Child's Name (Printed) | Paige Elliott |
| Have Your Child Sign His/Her Signature Here | 69d7c8061010c1.19143919.png |
| 2026 Keys2Life Performing Arts Camp | 2026 Keys2Life Performing Arts Camp, $0.00, 1 |
| Date | 2026-04-09 |
Skylur Addison
Keys to Life Performing Arts Summer Camp · April 9, 2026
| Child Name | Skylur, Addison |
| Age | 13 |
| Date of Birth | 2012-08-22 |
| Grade Level this Fall? | 9th |
| School/District | South Redford |
| Name of School | Thurston |
| Education Type | IEP |
| Does your Child need any additional support? Please specify in comment box below. | Skylur requires some support with reading and math. |
| Height | 4.11 |
| Weight | 150 |
| Sex | Female |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 8928 robindale, Redford, Michigan, 48239, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother |
| Who Does the Student Live With? (Check All That Apply) | Mother |
| Number of Siblings in the Home | 3 |
| Are siblings applying to a Yunion camp? | Yes, they are applying for the Keys Performing Arts Camp. |
| Is your child a returning Keys 2 Life or SWAG program participant? | Yes |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Please indicate student’s area of interest. We would like for you to check all applicable. | Acting, Theater, Music Production |
| Name of Parent/Guardian Completing This Form | Nakia, Middleton |
| Email Address of Parent/Guardian Completing This Form | nakiamortgagepro@gmail.com |
| Your Preferred Method Of Communication | Phone Call |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 400-5445 |
| Mother/Legal Guardian | Nakia, Middleton |
| Mother's Address | 8928 robindale, Redford, Michigan, 48239, United States |
| Mother's DOB | 1993-06-02 |
| Mothers Work Number | (313) 471-1887 |
| Mother's Email | nakiamortgagepro@gmail.com |
| Authorized for pick up? | Yes |
| 1. Your Child’s Strengths | Leadership potential, Creativity, Athletic ability, Compassion for others, Good sense of humor, Helpful at home |
| Emotional Regulation / Anger (Check all that apply) | Sometimes shuts down or withdraws when upset |
| School Engagement (Check all that apply) | Struggles with school attendance |
| How would you describe your child most of the time? | Energetic / high activity level, Independent, Strong-willed |
| What are you hoping your child gains from KEYS Performing Arts Camp (Check all that apply) | Increased confidence, Leadership skills, Stronger faith or spiritual foundation, Better decision making, Academic motivation |
| What concerns you most about your child right now? | Skylur battles with abandonment issues from her father. Sometimes she gets sad and it slows her flow. Therapy services in school have been helpful with the healing process. |
| What kind of future do you hope for your child? | I hope that Skylur continues to develop her confidence so that she can excel more in her studies. |
| Preferred Hospital for Emergency Treatment | Royal Oak Beaumont |
| Medical Conditions (check all that apply) | Allergies, Requires Epi-Pen |
| Food Allergies | Pineapple/citrus fruits |
| Allergic to Bees? | Yes |
| If medication must be administered during program hours, a medication authorization form must be on file. Parent Initials: | 69d7c18e176231.35489920.png |
| Name | Monica Middleton |
| Phone | (313) 471-1887 |
| Additional Phone Number | (734) 421-2844 |
| Relationship to student | Grandmother |
| Name | Arleta Rue |
| Phone | (248) 346-3229 |
| Emergency Medical Treatment | By checking the box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking the box, I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking the box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking the box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking the box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Tutoring (school year only), Mentoring, Counseling referral, Behavioral support, Family resources |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| How many dependents are in your family? | 4 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | Yes |
| Please explain any extenuating circumstances related to your financial need? (100 words or less) | I am currently experiencing financial hardship as a single mother supporting my children while working to stabilize my income. Unexpected transportation issues and limited financial support have made it difficult to maintain consistent employment and meet daily expenses. I am actively seeking opportunities, improving my skills, and taking steps toward long-term stability, but I need temporary assistance to bridge this gap. This support would help me maintain stability for my household while I continue working toward financial independence. |
| How did you find out about The Yunion's Summer Camp? | Previous participants |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Nakia Middleton |
| Add Your Signature Here | 69d7c1fe47b0f6.87774862.png |
| Child's Name (Printed) | Skylur Addison |
| Have Your Child Sign His/Her Signature Here | 69d7c1fe525077.25546841.png |
| 2026 Keys2Life Performing Arts Camp | 2026 Keys2Life Performing Arts Camp, $0.00, 1 |
| Date | 2026-04-09 |
Ronald Lee III
Keys to Life Performing Arts Summer Camp · April 9, 2026
| Child Name | Ronald, Lee III |
| Age | 13 |
| Date of Birth | 2013-04-04 |
| Grade Level this Fall? | 8 |
| School/District | Charter |
| Name of School | Faxon Academy |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | No |
| Height | 5'2 |
| Weight | 100 |
| Sex | Male |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 19813 FREELAND ST, DETROIT, Michigan, 48235, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother, Father |
| Who Does the Student Live With? (Check All That Apply) | Mother, Father |
| Number of Siblings in the Home | 1 |
| Are siblings applying to a Yunion camp? | No, they are not applying for a Yunion Camp. |
| Is your child a returning Keys 2 Life or SWAG program participant? | Yes |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Please indicate student’s area of interest. We would like for you to check all applicable. | Acting, Dance, Theater, Music Production, Digital Media |
| Name of Parent/Guardian Completing This Form | Ronald, Lee Jr. |
| Email Address of Parent/Guardian Completing This Form | ironicleejr@yahoo.com |
| Your Preferred Method Of Communication | |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 549-3531 |
| Father/Legal Guardian | Ronald, Lee Jr. |
| Father's Address | 19813 Freeland, DETROIT, Michigan, 48235, United States |
| Father's DOB | 1979-01-24 |
| Father's Home Number | (313) 416-2114 |
| Father's Work Number | (313) 221-6864 |
| Father's Mobile Number | (313) 549-3531 |
| Father's Email | ironicleejr@yahoo.com |
| Authorized for pick up? | Yes |
| Mother/Legal Guardian | Erica, Lee |
| Mother's Address | 19813 Freeland, Detroit, Michigan, 48235, United States |
| Mother's DOB | 1978-07-05 |
| Mothers Home Number | (313) 416-2114 |
| Mothers Mobile Number | (248) 229-6529 |
| Mother's Email | ericah80@hotmail.com |
| Authorized for pick up? | Yes |
| 1. Your Child’s Strengths | Leadership potential, Creativity, Compassion for others, Curiosity / enjoys learning, Strong personality / confidence, Good sense of humor, Helpful at home |
| 2. Areas Where Your Child May Need Support | Sometimes struggles to follow instructions at home, Becomes frustrated or upset when corrected |
| Emotional Regulation / Anger (Check all that apply) | Sometimes shuts down or withdraws when upset |
| How would you describe your child most of the time? | Calm and easygoing, Energetic / high activity level, Sensitive / emotional, Strong-willed |
| What are you hoping your child gains from KEYS Performing Arts Camp (Check all that apply) | Increased confidence, Leadership skills, Better decision making |
| What concerns you most about your child right now? | Nothing major, typical adolescent stuff. |
| What kind of future do you hope for your child? | A bright one! |
| Preferred Hospital for Emergency Treatment | Henry Ford |
| Medical Conditions (check all that apply) | None |
| Name | Ronald Lee Jr. |
| Phone | (313) 549-3531 |
| Additional Phone Number | (313) 221-6864 |
| Relationship to student | Father |
| Name | Erica Lee |
| Phone | (248) 229-6529 |
| Additional Phone Number | (313) 416-2114 |
| Relationship to student | Mother |
| Emergency Medical Treatment | By checking the box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking the box, I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking the box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking the box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking the box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Mentoring, Family resources |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | No, we don't qualify |
| How many dependents are in your family? | 3 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | No |
| Please explain any extenuating circumstances related to your financial need? (100 words or less) | I left my job February 13th, 2026 |
| How did you find out about The Yunion's Summer Camp? | Someone referred me |
| Name of Person/Recruiter who Referred You | Ronald Lee Jr. |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Ronald Lee Jr. |
| Add Your Signature Here | 69d7bd46a049d6.82662332.png |
| Child's Name (Printed) | Ronald Lee III |
| Have Your Child Sign His/Her Signature Here | 69d7bd46ac5ac1.64401158.png |
| 2026 Keys2Life Performing Arts Camp | 2026 Keys2Life Performing Arts Camp, $0.00, 1 |
| Date | 2026-04-09 |
Chandler Duckett
Keys to Life Performing Arts Summer Camp · April 9, 2026
| Child Name | Chandler, Duckett |
| Age | 13 |
| Date of Birth | 2012-07-26 |
| Grade Level this Fall? | 9th |
| School/District | Detroit |
| Name of School | Detroit Edison Public School |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | Chandler is academically solid she needs help in confidence. |
| Height | 5 |
| Weight | 1 |
| Sex | Female |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 18501 Lancashire Street, DETROIT, Michigan, 48223, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother, Father |
| Who Does the Student Live With? (Check All That Apply) | Mother, Father |
| Number of Siblings in the Home | 2 |
| Are siblings applying to a Yunion camp? | No, they are not applying for a Yunion Camp. |
| Is your child a returning Keys 2 Life or SWAG program participant? | Yes |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Please indicate student’s area of interest. We would like for you to check all applicable. | Acting |
| Name of Parent/Guardian Completing This Form | Erica, Duckett |
| Email Address of Parent/Guardian Completing This Form | ericaduckett3@gmail.com |
| Your Preferred Method Of Communication | Text |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 742-1751 |
| Father/Legal Guardian | Chaz, Duckett |
| Father's Address | 18501 Lancashire St, DETROIT, Michigan, 48223, United States |
| Father's DOB | 1980-11-11 |
| Father's Home Number | (313) 742-1855 |
| Father's Mobile Number | (313) 742-1855 |
| Father's Email | mrduckett313@gmail.com |
| Authorized for pick up? | Yes |
| Mother/Legal Guardian | Erica, Duckett |
| Mother's Address | 18501 Lancashire Street, DETROIT, Michigan, 48223, United States |
| Mother's DOB | 1980-11-11 |
| Mothers Work Number | (313) 490-3020 |
| Mothers Mobile Number | (313) 742-1751 |
| Mother's Email | ericaduckett3@gmail.com |
| Authorized for pick up? | Yes |
| 1. Your Child’s Strengths | Compassion for others, Determination, Strong personality / confidence, Good sense of humor |
| 2. Areas Where Your Child May Need Support | Sometimes struggles to follow instructions at home |
| Emotional Regulation / Anger (Check all that apply) | Sometimes shuts down or withdraws when upset |
| Conflict with Others (Check all that apply) | Has frequent arguments with siblings, peers, or adults |
| How would you describe your child most of the time? | Calm and easygoing, Quiet or reserved |
| What are you hoping your child gains from KEYS Performing Arts Camp (Check all that apply) | Increased confidence, Stronger faith or spiritual foundation |
| What concerns you most about your child right now? | She is very stubborn. Sometimes she seems to want to do the opposite just because. Doesn't really help around the house. |
| What kind of future do you hope for your child? | I hope she's a confident, artistic entrepreneur. |
| Preferred Hospital for Emergency Treatment | Closest |
| Medical Conditions (check all that apply) | None |
| If medication must be administered during program hours, a medication authorization form must be on file. Parent Initials: | 69d6efa3f00647.08898471.png |
| Name | Erica D Duckett |
| Phone | (313) 742-1751 |
| Relationship to student | Mother |
| Name | Christeen Smith |
| Phone | (248) 232-9294 |
| Relationship to student | Aunt |
| Name | Chase Duckett |
| Phone | (313) 742-1885 |
| Relationship to student | Sister |
| Emergency Medical Treatment | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Family Handbook | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Field Trips | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Topical Applications | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Attendance Expectations | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Tutoring (school year only) |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 50000 |
| How many dependents are in your family? | 3 |
| Are you a single-income family?* | No |
| Does the child for whom you are applying receive child support?* | No |
| Please explain any extenuating circumstances related to your financial need? (100 words or less) | We currently have two children in college, which has significantly increased our household expenses. Between tuition, housing, books, and other associated costs, our financial resources are stretched thin. While we are committed to supporting their education, balancing these obligations alongside our regular living expenses has created a financial strain. This situation has made it more challenging to manage unexpected costs and maintain financial stability, which is why additional support would be greatly appreciated at this time. |
| How did you find out about The Yunion's Summer Camp? | Attended last year |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Erica Duckett |
| Add Your Signature Here | 69d6f0e96c1eb7.43418102.png |
| Child's Name (Printed) | Chandler Duckett |
| Have Your Child Sign His/Her Signature Here | 69d6f0e976c8a6.57597511.png |
| 2026 Keys2Life Performing Arts Camp | 2026 Keys2Life Performing Arts Camp, $0.00, 1 |
| Date | 2026-04-08 |
Leasia Johnson
LevelUp Workforce Development Camp · May 29, 2026
| Child Name | Leasia, Johnson |
| Age | 13 |
| Date of Birth | 2012-10-21 |
| T-Shirt Size (Adult Unisex) | Large |
| Grade Level this Fall? | 9the |
| School/District | U prep art and design middle/high |
| Name of School | U prep art and design middle/high |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | N/a |
| Height | 5”8 |
| Weight | 130 |
| Sex | Female |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 2485 Glynn ct, Detroit, Michigan, Mi, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother, Father |
| Who Does the Student Live With? (Check All That Apply) | Mother, Father |
| Number of Siblings in the Home | 2 |
| Are siblings applying to a Yunion camp? | No, they are not applying for a Yunion Camp. |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Name of Parent/Guardian Completing This Form | Atiya, Johnson |
| Email Address of Parent/Guardian Completing This Form | leasiadivinity@gmail.com |
| Your Preferred Method Of Communication | Text |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 623-4264 |
| Father/Legal Guardian | Deangelo, Bradley |
| Father's Address | 2485 Glynn, Detroit, Michigan, 48206, United States |
| Father's DOB | 1973-07-10 |
| Father's Mobile Number | (313) 728-5532 |
| Father's Email | leasiadivinity@gmail.com |
| Authorized to pick up? | Yes |
| Mother/Legal Guardian | Atiya, Johnson |
| Mother's Address | 2485 Glynn, Detroit, Michigan, 48206, United States |
| Mother's DOB | 1991-06-28 |
| Mothers Mobile Number | (313) 623-4264 |
| Mother's Email | leasiadivinity@gmail.com |
| Authorized to pick up? | Yes |
| 1. Your Child’s Strengths | Creativity, Determination, Strong personality / confidence |
| How would you describe your child most of the time? | Calm and easygoing, Independent, Quiet or reserved |
| What are you hoping your child gains from LevelUp Workforce Development (Check all that apply) | Increased confidence, Leadership skills, Better decision making, Academic motivation |
| What concerns you most about your child right now? | Lack of confidence |
| What kind of future do you hope for your child? | A bright well educated one |
| Preferred Hospital for Emergency Treatment | The closest one |
| Medical Conditions (check all that apply) | Asthma |
| If medication must be administered during program hours, a medication authorization form must be on file. Parent Initials: | 6a1a123abaf066.98657010.png |
| Name | Linda johnson |
| Phone Number | (313) 363-9523 |
| Additional Phone Number | (313) 623-4264 |
| Relationship to Student | Grandmother |
| Authorized for pick up? | Yes |
| Emergency Medical Treatment | By checking this box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking this box,I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking this box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking this box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking this box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 25000 |
| How many dependents are in your family? | 5 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | No |
| How did you find out about The Yunion's Summer Camp? | School |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Atiya johnson |
| Add Your Signature Here (Please Sign Legibly) | 6a1a12bf90db53.40614362.png |
| Child's Name (Printed) | Leasia Johnson |
| Have Your Child Sign His/Her Signature Here (Please Sign Legibly) | 6a1a12bf9b18f0.30058900.png |
| 2026 LevelUp Workforce & Leadership Development Camp | 2026 LevelUp Workforce & Leadership Development Camp, $0.00, 1 |
| Date | 2026-05-29 |
ALISSA WOODS
LevelUp Workforce Development Camp · May 29, 2026
| Child Name | ALISSA, WOODS |
| Age | 14 |
| Date of Birth | 2012-01-27 |
| T-Shirt Size (Adult Unisex) | Medium |
| Grade Level this Fall? | 9TH |
| School/District | WESTBLOOMFIELD |
| Name of School | WESTBLOOMFIELD MIDDLE SCHOOL |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | I NEED HELP WITH TUTION IF THERE IS COST INVOVLED |
| Height | 5'7 |
| Weight | 130 |
| Sex | Female |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 4964 Crabapple Court, WEST BLOOMFIELD, Michigan, 48324, United States |
| County in Which Child Resides | Oakland County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother, Father |
| Who Does the Student Live With? (Check All That Apply) | Mother |
| Are siblings applying to a Yunion camp? | Yes, they are applying for the Level Up Workforce & Leadership Development Camp. |
| List name of youth applying for Yunion Camps | ALISSA WOODS |
| Primary Language Other Than English | ENGLISH |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Name of Parent/Guardian Completing This Form | LAMEGO, NELSON |
| Email Address of Parent/Guardian Completing This Form | lamego_nelson@yahoo.com |
| Your Preferred Method Of Communication | |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 221-4395 |
| Father/Legal Guardian | WILLAM, WOODS |
| Father's Address | 4964 Crabapple Court, WEST BLOOMFIELD, Michigan, 48324, United States |
| Father's DOB | 1971-03-03 |
| Father's Home Number | (313) 399-3708 |
| Father's Mobile Number | (313) 399-3708 |
| Father's Email | WOODS03618@GMAIL.COM |
| Authorized to pick up? | Yes |
| Mother/Legal Guardian | LAMEGO, NELSON |
| Mother's Address | 4964 Crabapple Court, WEST BLOOMFIELD, Michigan, 48324, United States |
| Mother's DOB | 2026-09-26 |
| Mothers Home Number | (313) 221-4395 |
| Mothers Work Number | (313) 874-2280 |
| Mothers Mobile Number | (313) 221-4395 |
| Mother's Email | lamego_nelson@yahoo.com |
| Authorized to pick up? | Yes |
| Emergency Medical Treatment | By checking this box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking this box,I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking this box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking this box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking this box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Mentoring, Not needed at this time |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 27000 |
| How many dependents are in your family? | 2 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | No |
| Please explain any extenuating circumstances related to your financial need? (100 words or less) | IM CURRENTLY THE ONLY PERSON THAT IS WORKING MY HUSBAND HAS BEEN OFF OF WORK FOR THE LAST 2 YEARS DUE TO HAVING MEDICAL ISSUES. |
| How did you find out about The Yunion's Summer Camp? | MY CHILD ATTENDED THIS PROGRAM LAST YEAR |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | LAMEGO NELSON |
| Add Your Signature Here (Please Sign Legibly) | 6a19d3e477c805.36924669.png |
| Child's Name (Printed) | ALISSA WOODS |
| Have Your Child Sign His/Her Signature Here (Please Sign Legibly) | 6a19d3e4849204.02029927.png |
| 2026 LevelUp Workforce & Leadership Development Camp | 2026 LevelUp Workforce & Leadership Development Camp, $0.00, 1 |
| Date | 2026-05-29 |
Krista Sheffield
LevelUp Workforce Development Camp · May 28, 2026
| Child Name | Krista, Sheffield |
| Age | 14 |
| Date of Birth | 2011-09-28 |
| T-Shirt Size (Adult Unisex) | Large |
| Grade Level this Fall? | 9th |
| School/District | DPSCD |
| Name of School | John R King |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | no |
| Height | 5'3 |
| Weight | 180 |
| Sex | Female |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 15834 Sussex, Detroit, Michigan, 48227, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother |
| Who Does the Student Live With? (Check All That Apply) | Mother |
| Number of Siblings in the Home | 5 |
| Are siblings applying to a Yunion camp? | No, they are not applying for a Yunion Camp. |
| Are you applying for a scholarship? | No, I will pay the full price |
| Name of Parent/Guardian Completing This Form | Constance, Sheffield |
| Email Address of Parent/Guardian Completing This Form | Constancesheffield24@gmail.com |
| Your Preferred Method Of Communication | |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 673-1860 |
| Mother/Legal Guardian | Constance, Sheffield |
| Mother's Address | 15834 Sussex St, Detroit, Michigan, 48227, United States |
| Mother's DOB | 1982-09-07 |
| Mothers Home Number | (313) 673-1860 |
| Mothers Work Number | (313) 673-1860 |
| Mothers Mobile Number | (313) 673-1860 |
| Mother's Email | Constancesheffield24@gmail.com |
| Authorized to pick up? | Yes |
| 1. Your Child’s Strengths | Leadership potential, Creativity, Helpful at home |
| 2. Areas Where Your Child May Need Support | Sometimes struggles to follow instructions at home |
| Has your child ever (Check all that apply): | Been suspended from school |
| How would you describe your child most of the time? | Sensitive / emotional, Independent, Quiet or reserved |
| What are you hoping your child gains from LevelUp Workforce Development (Check all that apply) | More discipline, Greater respect for authority, Better anger management, Increased confidence, Leadership skills, Stronger faith or spiritual foundation, Better decision making, Academic motivation |
| What concerns you most about your child right now? | nothing |
| What kind of future do you hope for your child? | Great |
| Medical Conditions (check all that apply) | Allergies |
| Food Allergies | no |
| Allergic to Bees? | No |
| If medication must be administered during program hours, a medication authorization form must be on file. Parent Initials: | 6a188673e96c63.39629363.png |
| Additional medical or behavioral information staff should know: | nothing |
| Name | Paul Sheffield |
| Phone Number | (313) 646-8258 |
| Relationship to Student | Grandpa |
| Authorized for pick up? | Yes |
| Emergency Medical Treatment | By checking this box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking this box,I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking this box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking this box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking this box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Not needed at this time |
| May one of our team members contact you with more information about our support services? | No |
| How did you find out about The Yunion's Summer Camp? | |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Constance Sheffield |
| Add Your Signature Here (Please Sign Legibly) | 6a1886ef8fcf59.53732276.png |
| Child's Name (Printed) | Krista Sheffield |
| Have Your Child Sign His/Her Signature Here (Please Sign Legibly) | 6a1886ef99d9b4.66101930.png |
| 2026 LevelUp Workforce & Leadership Development Camp | 2026 LevelUp Workforce & Leadership Development Camp, $0.00, 1 |
| Date | 2026-05-28 |
Amir Dickerson
LevelUp Workforce Development Camp · May 28, 2026
| Child Name | Amir, Dickerson |
| Age | 13 |
| Date of Birth | 2012-09-29 |
| T-Shirt Size (Adult Unisex) | Medium |
| Grade Level this Fall? | 9th |
| School/District | DPSCD |
| Name of School | Bates Academy |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | No |
| Height | 5’5 |
| Weight | 160 |
| Sex | Male |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 18619 Pennington, Detroit, Michigan, 48221, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother, Father |
| Who Does the Student Live With? (Check All That Apply) | Mother, Father |
| Number of Siblings in the Home | 2 |
| Are siblings applying to a Yunion camp? | No, they are not applying for a Yunion Camp. |
| List name of youth applying for Yunion Camps | Amir Dickerson |
| Primary Language Other Than English | No |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Name of Parent/Guardian Completing This Form | Alia, Harvey-Quinn |
| Email Address of Parent/Guardian Completing This Form | aharveyquinn@gmail.com |
| Your Preferred Method Of Communication | Text |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 600-8877 |
| Father/Legal Guardian | Will, Dickerson |
| Father's Address | 9010 West Outer Drive, Detroit, Michigan, 48219, United States |
| Father's DOB | 1975-02-12 |
| Father's Home Number | (313) 595-9934 |
| Father's Mobile Number | (313) 595-9934 |
| Father's Email | aharveyquinn@gmail.com |
| Authorized to pick up? | Yes |
| Mother/Legal Guardian | Alia, Harvey-Quinn |
| Mother's Address | 18619 Pennington Dr, Detroit, Michigan, 48221, United States |
| Mother's DOB | 1982-08-06 |
| Mothers Mobile Number | (313) 600-8877 |
| Mother's Email | aharveyquinn@gmail.com |
| Authorized to pick up? | Yes |
| 1. Your Child’s Strengths | Creativity, Compassion for others, Curiosity / enjoys learning, Strong personality / confidence, Good sense of humor, Other strengths |
| Other strengths: | Debate |
| 2. Areas Where Your Child May Need Support | Becomes frustrated or upset when corrected |
| Emotional Regulation / Anger (Check all that apply) | Has difficulty controlling anger or frustration, Reacts strongly to conflict or correction, Sometimes shuts down or withdraws when upset |
| Conflict with Others (Check all that apply) | Has frequent arguments with siblings, peers, or adults |
| School Engagement (Check all that apply) | Struggles to stay focused in class |
| How would you describe your child most of the time? | Independent, Strong-willed, Quiet or reserved |
| What are you hoping your child gains from LevelUp Workforce Development (Check all that apply) | Better anger management, Increased confidence, Positive male mentorship, Leadership skills |
| What concerns you most about your child right now? | Mindset. Too critical. Too pessimistic. Shuts down opportunities before he explores opportunities. |
| What kind of future do you hope for your child? | He’s creative, loves acting/performance and has a gift for language and critical thinking. I want him to explore his gifts and find joy in them. |
| Preferred Hospital for Emergency Treatment | Providence |
| Medical Conditions (check all that apply) | Allergies |
| Food Allergies | Pescatarian. Does not eat catfish shrimp or chicken. Does eat fish and cheese. |
| Allergic to Bees? | Yes |
| Name | Caprice Quinn |
| Phone Number | (313) 399-1740 |
| Relationship to Student | Grand mother |
| Authorized for pick up? | No |
| Emergency Medical Treatment | By checking this box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking this box,I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking this box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking this box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking this box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Tutoring (school year only), Mentoring |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | No, we don't qualify |
| What is the annual income of your family? | 130000 |
| How many dependents are in your family? | 3 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | No |
| Please explain any extenuating circumstances related to your financial need? (100 words or less) | Single mom, in between jobs |
| How did you find out about The Yunion's Summer Camp? | Someone referred me |
| Name of Person/Recruiter Who Referred You | Antoine Crowder |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Alia Harvey- Quinn |
| Add Your Signature Here (Please Sign Legibly) | 6a185b7f8fc2e2.78208138.png |
| Child's Name (Printed) | Amir Dickerson |
| Have Your Child Sign His/Her Signature Here (Please Sign Legibly) | 6a185b7f9a56b3.97713822.png |
| 2026 LevelUp Workforce & Leadership Development Camp | 2026 LevelUp Workforce & Leadership Development Camp, $0.00, 1 |
| Date | 2026-05-28 |
Taryn Jackson
LevelUp Workforce Development Camp · May 27, 2026
| Child Name | Taryn, Jackson |
| Age | 13 |
| Date of Birth | 2012-08-03 |
| T-Shirt Size (Adult Unisex) | Medium |
| Grade Level this Fall? | 9th |
| School/District | Detroit |
| Name of School | Laurus Academy |
| Education Type | IEP |
| Does your Child need any additional support? Please specify in comment box below. | No |
| Height | 5'5" |
| Weight | 114 |
| Sex | Female |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 14405 Longacre St, Detroit, Michigan, 48227, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother, Father, Guardian |
| Who Does the Student Live With? (Check All That Apply) | Mother |
| Number of Siblings in the Home | 1 |
| Are siblings applying to a Yunion camp? | No, they are not applying for a Yunion Camp. |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Name of Parent/Guardian Completing This Form | Davina, Mosby |
| Email Address of Parent/Guardian Completing This Form | davinamosdef@gmail.com |
| Your Preferred Method Of Communication | Phone Call |
| Cell Phone Number of Parent/Guardian Completing This Form | (586) 217-0692 |
| Father/Legal Guardian | Tarus, Jackson |
| Father's Address | 18260 Monica St, Detroit, Michigan, 48221, United States |
| Father's DOB | 1985-05-06 |
| Father's Home Number | (313) 431-4610 |
| Father's Mobile Number | (313) 431-4610 |
| Father's Email | tarusjackson4740@gmail.com |
| Authorized to pick up? | Yes |
| Mother/Legal Guardian | Davina, Mosby |
| Mother's Address | 14405 Longacre St, Detroit, Michigan, 48227, United States |
| Mother's DOB | 1974-06-27 |
| Mothers Work Number | (586) 217-0692 |
| Mothers Mobile Number | (313) 854-4614 |
| Mother's Email | davinamosdef@gmail.com |
| Authorized to pick up? | Yes |
| 1. Your Child’s Strengths | Creativity, Compassion for others, Good sense of humor, Helpful at home |
| 2. Areas Where Your Child May Need Support | Sometimes struggles to follow instructions at home, Sometimes struggles to follow instructions at school |
| Emotional Regulation / Anger (Check all that apply) | Sometimes shuts down or withdraws when upset |
| Conflict with Others (Check all that apply) | Has been involved in bullying (either as the aggressor or target) |
| School Engagement (Check all that apply) | Struggles with school attendance, Struggles to stay focused in class |
| Exposure to Risk Behaviors (Check all that apply) | Other |
| Other | Has been exposed to drug or alcohol use among family/siblings |
| How would you describe your child most of the time? | Sensitive / emotional, Quiet or reserved |
| What are you hoping your child gains from LevelUp Workforce Development (Check all that apply) | More discipline, Increased confidence, Leadership skills, Stronger faith or spiritual foundation, Better decision making, Academic motivation |
| What concerns you most about your child right now? | My daughter is distracted easily and has a tendency to make errors based on not following directions or not reading instructions. She has an IEP and gets extra assistance at school, but I want her to be more independent and disciplined when doing her school work. |
| What kind of future do you hope for your child? | My daughter hasn't expressed any specific career path interests and needs more guidance in applying herself. |
| Preferred Hospital for Emergency Treatment | Children's Hospital |
| Medical Conditions (check all that apply) | Vision Impairment |
| Additional medical or behavioral information staff should know: | My daughter wears glasses and has a self-administered inhaler for chronic bronchitis. |
| Name | Emily Edwards |
| Phone Number | (586) 846-1465 |
| Relationship to Student | Grandmother |
| Authorized for pick up? | Yes |
| Name | Michael Mosby |
| Phone Number | (313) 799-1649 |
| Relationship to Student | Brother |
| Authorized for pick up? | Yes |
| Emergency Medical Treatment | By checking this box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking this box,I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking this box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking this box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking this box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Mentoring, Counseling referral, Family resources |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 35000 |
| How many dependents are in your family? | 1 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | No |
| How did you find out about The Yunion's Summer Camp? | Summer Discovery |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Davina Mosby |
| Add Your Signature Here (Please Sign Legibly) | 6a176efae683b0.83743096.png |
| Child's Name (Printed) | Taryn Jackson |
| Have Your Child Sign His/Her Signature Here (Please Sign Legibly) | 6a176efaf1eb04.01883829.png |
| 2026 LevelUp Workforce & Leadership Development Camp | 2026 LevelUp Workforce & Leadership Development Camp, $0.00, 1 |
| Date | 2026-05-27 |
Chloe Ford
LevelUp Workforce Development Camp · May 27, 2026
| Child Name | Chloe, Ford |
| Age | 15 |
| Date of Birth | 2011-04-30 |
| T-Shirt Size (Adult Unisex) | Small |
| Grade Level this Fall? | 10 |
| School/District | UPAD |
| Name of School | UPAD |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | NA |
| Height | 5'1 |
| Weight | 105 |
| Sex | Female |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 13927 Indiana, Detroit, Michigan, 48238, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother |
| Who Does the Student Live With? (Check All That Apply) | Mother |
| Number of Siblings in the Home | 6 |
| Are siblings applying to a Yunion camp? | Yes, they are applying for the Level Up Workforce & Leadership Development Camp. |
| List name of youth applying for Yunion Camps | Isaiah Ward |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Name of Parent/Guardian Completing This Form | Calvilina, Ward |
| Email Address of Parent/Guardian Completing This Form | WARDCALVILINA@GMAIL.COM |
| Your Preferred Method Of Communication | Text |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 469-3436 |
| Mother/Legal Guardian | Calvilina, Ward |
| Mother's Address | 13927 Indiana, Detroit, Michigan, 48238, United States |
| Mother's DOB | 1990-05-31 |
| Mothers Mobile Number | (313) 469-3436 |
| Mother's Email | WARDCALVILINA@GMAIL.COM |
| Authorized to pick up? | Yes |
| 1. Your Child’s Strengths | Creativity, Compassion for others, Curiosity / enjoys learning |
| How would you describe your child most of the time? | Energetic / high activity level, Sensitive / emotional |
| What are you hoping your child gains from LevelUp Workforce Development (Check all that apply) | Increased confidence, Leadership skills |
| Name | Calvilina Ward |
| Phone Number | (313) 469-3436 |
| Relationship to Student | Mother |
| Authorized for pick up? | Yes |
| Emergency Medical Treatment | By checking this box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking this box,I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking this box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking this box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking this box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Mentoring, Family resources |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 14364 |
| How many dependents are in your family? | 7 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | No |
| How did you find out about The Yunion's Summer Camp? | Someone referred me |
| Name of Person/Recruiter Who Referred You | Antoine Crowder |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Calvilina Ward |
| Add Your Signature Here (Please Sign Legibly) | 6a172b1cb68717.36541762.png |
| Child's Name (Printed) | Chloe Ford |
| Have Your Child Sign His/Her Signature Here (Please Sign Legibly) | 6a172b1cc094d8.21242277.png |
| 2026 LevelUp Workforce & Leadership Development Camp | 2026 LevelUp Workforce & Leadership Development Camp, $0.00, 1 |
| Date | 2026-05-27 |
Jamir Barbee
LevelUp Workforce Development Camp · May 26, 2026
| Child Name | Jamir, Barbee |
| Age | 14 |
| Date of Birth | 2011-08-18 |
| T-Shirt Size (Adult Unisex) | Medium |
| Grade Level this Fall? | 10th |
| School/District | Voyager college prep |
| Name of School | Voyager college prep |
| Education Type | IEP |
| Does your Child need any additional support? Please specify in comment box below. | No |
| Height | 5’y |
| Weight | 135 |
| Sex | Male |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 15340 fielding st, Detroit, Michigan, 48223, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother, Father, Step-Father |
| Who Does the Student Live With? (Check All That Apply) | Mother |
| Number of Siblings in the Home | 1 |
| Are siblings applying to a Yunion camp? | No, they are not applying for a Yunion Camp. |
| List name of youth applying for Yunion Camps | Jamir barbee |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Name of Parent/Guardian Completing This Form | Jacqueline, McMillian |
| Email Address of Parent/Guardian Completing This Form | jmcmillian69@gmail.com |
| Your Preferred Method Of Communication | Text |
| Cell Phone Number of Parent/Guardian Completing This Form | (248) 508-5147 |
| Father/Legal Guardian | Willie, Barbee |
| Father's Address | 8120 manor, Detroit, Michigan, 48223, United States |
| Father's Mobile Number | (313) 918-9170 |
| Father's Email | jmcmillian69@gmail.com |
| Authorized to pick up? | Yes |
| Mother/Legal Guardian | Jacqueline, McMillian |
| Mother's Address | 15340 fielding st, Detroit, Michigan, 48223, United States |
| Mother's DOB | 1989-09-29 |
| Mothers Mobile Number | (248) 508-5147 |
| Mother's Email | jmcmillian69@gmail.com |
| Authorized to pick up? | Yes |
| Step-Father | Dominic, Turner |
| Step-Father's Mobile Number | (313) 289-1455 |
| Step-Father's Email | jmcmillian69@gmail.com |
| Authorized to pick up? | Yes |
| 1. Your Child’s Strengths | Leadership potential, Athletic ability, Compassion for others, Curiosity / enjoys learning, Helpful at home |
| 2. Areas Where Your Child May Need Support | Sometimes struggles to follow instructions at home, Sometimes struggles to follow instructions at school |
| Emotional Regulation / Anger (Check all that apply) | Has difficulty controlling anger or frustration |
| Conflict with Others (Check all that apply) | Has frequent arguments with siblings, peers, or adults |
| School Engagement (Check all that apply) | Struggles to stay focused in class, Has received school suspension(s) |
| Has your child ever (Check all that apply): | Been suspended from school |
| How would you describe your child most of the time? | Energetic / high activity level |
| What are you hoping your child gains from LevelUp Workforce Development (Check all that apply) | More discipline, Greater respect for authority, Better anger management, Positive male mentorship, Leadership skills, Stronger faith or spiritual foundation, Better decision making |
| What concerns you most about your child right now? | Taking accountability and having integrity |
| What kind of future do you hope for your child? | Successful educated black man |
| Preferred Hospital for Emergency Treatment | Children’s |
| Medical Conditions (check all that apply) | Allergies |
| Food Allergies | None |
| Allergic to Bees? | No |
| If medication must be administered during program hours, a medication authorization form must be on file. Parent Initials: | 6a160caf614025.87818356.png |
| Name | Janiece McMillian |
| Phone Number | (313) 404-6525 |
| Relationship to Student | Sister |
| Authorized for pick up? | Yes |
| Emergency Medical Treatment | By checking this box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking this box,I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking this box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking this box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking this box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Behavioral support |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | Family Insight Form |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 30000 |
| How many dependents are in your family? | 3 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | Yes |
| How did you find out about The Yunion's Summer Camp? | Attended last summer |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Jacqueline McMillian |
| Add Your Signature Here (Please Sign Legibly) | 6a160d40386b87.28690502.png |
| Child's Name (Printed) | Jamir barbee |
| Have Your Child Sign His/Her Signature Here (Please Sign Legibly) | 6a160d404306e9.33487414.png |
| 2026 LevelUp Workforce & Leadership Development Camp | 2026 LevelUp Workforce & Leadership Development Camp, $0.00, 1 |
| Date | 2026-05-26 |
Kymoni Cotton-Terry
LevelUp Workforce Development Camp · May 26, 2026
| Child Name | Kymoni, Cotton-Terry |
| Age | 15 |
| Date of Birth | 2010-12-18 |
| T-Shirt Size (Adult Unisex) | XL |
| Grade Level this Fall? | 10th |
| School/District | Detroit Public School Community |
| Name of School | Communication and Media Arts H.S |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | Transportation. |
| Height | 5'6 |
| Weight | 150 |
| Sex | Male |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 16559 Ferguson St., Detroit, Michigan, 48235, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother, Father |
| Who Does the Student Live With? (Check All That Apply) | Mother |
| Are siblings applying to a Yunion camp? | No, they are not applying for a Yunion Camp. |
| List name of youth applying for Yunion Camps | Kymoni Cotton-Terry |
| Primary Language Other Than English | N/A |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Name of Parent/Guardian Completing This Form | Simone, Cotton |
| Email Address of Parent/Guardian Completing This Form | mscotton506@gmail.com |
| Your Preferred Method Of Communication | Text |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 398-3906 |
| Father/Legal Guardian | Keith, Terry |
| Father's Address | 15736 Biltmore St, Detroit, MI, USA, Detroit, Michigan, 48227, United States |
| Father's DOB | 1970-07-23 |
| Father's Home Number | (313) 765-4570 |
| Father's Mobile Number | (313) 765-4570 |
| Father's Email | pierrekeith1970@gmail.com |
| Authorized to pick up? | Yes |
| Mother/Legal Guardian | Simone, Cotton |
| Mother's Address | 16559 Ferguson St., Detroit, Michigan, 48227, United States |
| Mother's DOB | 1968-05-06 |
| Mothers Mobile Number | (313) 398-3906 |
| Mother's Email | mscotton506@gmail.com |
| Authorized to pick up? | Yes |
| 1. Your Child’s Strengths | Leadership potential, Creativity, Athletic ability, Compassion for others, Strong personality / confidence, Good sense of humor |
| 2. Areas Where Your Child May Need Support | Sometimes struggles to follow instructions at school |
| Conflict with Others (Check all that apply) | Has been involved in bullying (either as the aggressor or target) |
| How would you describe your child most of the time? | Calm and easygoing |
| What are you hoping your child gains from LevelUp Workforce Development (Check all that apply) | More discipline, Leadership skills, Better decision making, Academic motivation |
| What concerns you most about your child right now? | I want Kymoni to take more responsibility for the choices he makes. His teachers say he is always happy even on his worst days. I want him to be happy, but I want to know if it's a defense mechanism or is he really the chill kid I see. |
| What kind of future do you hope for your child? | He loves media arts. He is good with his hands also. I believe he can do anything he sets out to do. I want him to build momma a house, but I could see him translating Japanese chasing the Yen. |
| Medical Conditions (check all that apply) | Allergies, Asthma |
| Food Allergies | Fish |
| Allergic to Bees? | No |
| If medication must be administered during program hours, a medication authorization form must be on file. Parent Initials: | 6a15d2b9ed74c9.78940564.png |
| Additional medical or behavioral information staff should know: | He knows how to give himself a breathing treatment if necessary. He hasn't needed it in over a year, but he has it if necessary. Benedryl will assist with an allergic reaction. |
| Name | Simone Cotton |
| Phone Number | (313) 398-3906 |
| Additional Phone Number | (313) 765-4570 |
| Relationship to Student | Parents |
| Authorized for pick up? | Yes |
| Name | Simone Cotton |
| Phone Number | 3133983906 |
| Additional Phone Number | (313) 765-4570 |
| Relationship to Student | Parents |
| Authorized for pick up? | Yes |
| Emergency Medical Treatment | By checking this box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking this box,I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking this box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking this box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking this box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Tutoring (school year only) |
| May one of our team members contact you with more information about our support services? | No |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 14500 |
| How many dependents are in your family? | 1 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | No |
| Please explain any extenuating circumstances related to your financial need? (100 words or less) | I recently achieved my AAS in Paralegal Technology. I graduate 6/13/26. I hope to find a decent paying job. In the meantime if Kymoni can make a few dollars to get those extras he wants ( not needs) we might be moving on up. |
| How did you find out about The Yunion's Summer Camp? | Fox 2 News segment |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Simone Cotton |
| Add Your Signature Here (Please Sign Legibly) | 6a15f106eb8871.68820713.png |
| Child's Name (Printed) | Kymoni Cotton-Terry |
| Have Your Child Sign His/Her Signature Here (Please Sign Legibly) | 6a15f10702cfe5.80706554.png |
| 2026 LevelUp Workforce & Leadership Development Camp | 2026 LevelUp Workforce & Leadership Development Camp, $0.00, 1 |
| Date | 2026-05-26 |
Tristan Hall
LevelUp Workforce Development Camp · May 26, 2026
| Child Name | Tristan, Hall |
| Age | 14 |
| Date of Birth | 2012-01-18 |
| T-Shirt Size (Adult Unisex) | XS |
| Grade Level this Fall? | 9 |
| School/District | Ferndale public school |
| Name of School | Ferndale middle school |
| Education Type | IEP |
| Does your Child need any additional support? Please specify in comment box below. | No |
| Height | 5ft 5in |
| Weight | 128 |
| Sex | Male |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 16159 Riverview st, Detroit, Michigan, 48219, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother |
| Who Does the Student Live With? (Check All That Apply) | Mother |
| Number of Siblings in the Home | 5 |
| Are siblings applying to a Yunion camp? | No, they are not applying for a Yunion Camp. |
| List name of youth applying for Yunion Camps | Tristan Hall |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Name of Parent/Guardian Completing This Form | Alicia, Baker |
| Email Address of Parent/Guardian Completing This Form | aliciab198143@gmail.com |
| Your Preferred Method Of Communication | Text |
| Cell Phone Number of Parent/Guardian Completing This Form | (586) 209-8467 |
| Mother/Legal Guardian | Alicia, Baker |
| Mother's Address | 16159 Riverview st, Detroit, Michigan, 48219, United States |
| Mother's DOB | 1981-03-16 |
| Mothers Mobile Number | (586) 209-8467 |
| Mother's Email | aliciab198143@gmail.com |
| Authorized to pick up? | Yes |
| 1. Your Child’s Strengths | Leadership potential, Creativity, Athletic ability, Compassion for others, Determination, Curiosity / enjoys learning, Strong personality / confidence, Good sense of humor, Helpful at home |
| 2. Areas Where Your Child May Need Support | Other |
| Other areas where support may be needed | He is dyslexic and struggles in group settings when reading aloud also uses text to speech for reading in all classes |
| Emotional Regulation / Anger (Check all that apply) | Sometimes shuts down or withdraws when upset |
| How would you describe your child most of the time? | Calm and easygoing, Sensitive / emotional, Independent, Strong-willed, Quiet or reserved |
| What are you hoping your child gains from LevelUp Workforce Development (Check all that apply) | Positive male mentorship, Leadership skills, Stronger faith or spiritual foundation, Academic motivation |
| What concerns you most about your child right now? | Tristan is an overall good kid. Only concern I really have is him being more confident even tho he is dyslexic. I want him to know he can still be successful and go to college. He has over come being hit by a car being in a wheel chair to now back stronger than ever. Great athlete, smart, resilient, respectful he doesn’t fall for peer pressure quickly. He knows what he wants his future to look like I just want him to continue to have the discipline dedication and confidence to succeed |
| What kind of future do you hope for your child? | I want him to have the future he wants. College, career, athletics any goals he sets for himself .I want him to succeed keep his outgoing silly personality and not let anything stop him from achieving his goals. I’m proud of the young man of god he is already. I already know his future is bright and full of accomplishments. |
| Preferred Hospital for Emergency Treatment | Childrens |
| Medical Conditions (check all that apply) | None |
| If medication must be administered during program hours, a medication authorization form must be on file. Parent Initials: | 6a15d6733ebdb2.50886990.png |
| Name | Orlando Sturgis |
| Phone Number | (313) 208-4955 |
| Relationship to Student | Step dad |
| Authorized for pick up? | Yes |
| Name | NYLAH BAKER |
| Phone Number | 3137587101 |
| Relationship to Student | Sister |
| Authorized for pick up? | Yes |
| Name | Niyona Hall |
| Phone Number | 3137581363 |
| Relationship to Student | Sister |
| Authorized for pick up? | Yes |
| Emergency Medical Treatment | By checking this box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking this box,I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking this box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking this box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking this box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Tutoring (school year only), Mentoring, Family resources |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 19000 |
| How many dependents are in your family? | 5 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | No |
| Please explain any extenuating circumstances related to your financial need? (100 words or less) | I’m a school bus driver |
| How did you find out about The Yunion's Summer Camp? | Fox 2 news |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Alicia Baker |
| Add Your Signature Here (Please Sign Legibly) | 6a15d769a50dc3.95430924.png |
| Child's Name (Printed) | Tristan Hall |
| Have Your Child Sign His/Her Signature Here (Please Sign Legibly) | 6a15d769b263f6.72821418.png |
| 2026 LevelUp Workforce & Leadership Development Camp | 2026 LevelUp Workforce & Leadership Development Camp, $0.00, 1 |
| Date | 2026-05-26 |
Samara Tucker
LevelUp Workforce Development Camp · May 26, 2026
| Child Name | Samara, Tucker |
| Age | 14 |
| Date of Birth | 2010-12-22 |
| T-Shirt Size (Adult Unisex) | XL |
| Grade Level this Fall? | 10 |
| School/District | Detroit |
| Name of School | Martin Luther king high |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | More confidence very shy at first |
| Height | 56 |
| Weight | 140 |
| Sex | Female |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 6852 iowa st, Detriot, Michigan, 48212, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Guardian |
| Who Does the Student Live With? (Check All That Apply) | Other |
| Who Does the Student Live With? | Maternal grandmother and legal guardian |
| Number of Siblings in the Home | 1 |
| Are siblings applying to a Yunion camp? | No, they are not applying for a Yunion Camp. |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Name of Parent/Guardian Completing This Form | Valerie, Patchett |
| Email Address of Parent/Guardian Completing This Form | ms.vee2673@gmail.com |
| Your Preferred Method Of Communication | |
| Cell Phone Number of Parent/Guardian Completing This Form | (318) 496-0714 |
| 1. Your Child’s Strengths | Creativity, Athletic ability, Compassion for others, Determination, Curiosity / enjoys learning, Good sense of humor, Helpful at home |
| 2. Areas Where Your Child May Need Support | Becomes frustrated or upset when corrected, Other |
| Other areas where support may be needed | Need to open up when she needs to a mentor other then me her grandmother |
| Emotional Regulation / Anger (Check all that apply) | Sometimes shuts down or withdraws when upset |
| School Engagement (Check all that apply) | Struggles to stay focused in class |
| How would you describe your child most of the time? | Calm and easygoing, Strong-willed, Quiet or reserved |
| What are you hoping your child gains from LevelUp Workforce Development (Check all that apply) | Greater respect for authority, Increased confidence, Stronger faith or spiritual foundation, Better decision making, Academic motivation |
| What concerns you most about your child right now? | Staying focus for school and know when to ask questions she afraid to talk when she needs to ask questions or relating to things even like ordering her food |
| What kind of future do you hope for your child? | More confidence in her career path even in her sports she loves her volleyball ball and been playing in school since elementary she likes piano and swimming also likes to draw and paint |
| Preferred Hospital for Emergency Treatment | Henry ford |
| Medical Conditions (check all that apply) | Allergies |
| Food Allergies | Egg whites hazelnut nut and srimp |
| Allergic to Bees? | No |
| Name | Melva terry |
| Phone Number | (313) 632-2110 |
| Relationship to Student | Great grandmother |
| Authorized for pick up? | Yes |
| Name | Asia patton |
| Phone Number | +1 (313) 329-3741 |
| Relationship to Student | Family friend |
| Authorized for pick up? | Yes |
| Name | Nathan stanley |
| Phone Number | 3135232917 |
| Relationship to Student | Granddad |
| Authorized for pick up? | Yes |
| Emergency Medical Treatment | By checking this box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking this box,I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking this box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking this box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking this box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Mentoring |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 12000 |
| How many dependents are in your family? | 3 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | No |
| How did you find out about The Yunion's Summer Camp? | Channel 2 news |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Valerie patchett |
| Add Your Signature Here (Please Sign Legibly) | 6a15cdedc6c8a0.10945306.png |
| Child's Name (Printed) | Samara tucker |
| Have Your Child Sign His/Her Signature Here (Please Sign Legibly) | 6a15cdedd369f5.52216701.png |
| 2026 LevelUp Workforce & Leadership Development Camp | 2026 LevelUp Workforce & Leadership Development Camp, $0.00, 1 |
| Date | 2026-05-26 |
ZaMiyah Anderson
LevelUp Workforce Development Camp · May 26, 2026
| Child Name | ZaMiyah, Anderson |
| Age | 14 |
| Date of Birth | 2011-07-12 |
| T-Shirt Size (Adult Unisex) | Small |
| Grade Level this Fall? | 10 |
| School/District | Online |
| Name of School | Success virtual learning |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | No |
| Height | 5’6 |
| Weight | 140 |
| Sex | Female |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 17551 Vaughan st, Detroit, Michigan, 48219, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother |
| Who Does the Student Live With? (Check All That Apply) | Mother |
| Number of Siblings in the Home | 3 |
| Are siblings applying to a Yunion camp? | No, they are not applying for a Yunion Camp. |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Name of Parent/Guardian Completing This Form | Darnequia, Lloyd |
| Email Address of Parent/Guardian Completing This Form | darnequialloyd17@gmail.com |
| Your Preferred Method Of Communication | Text |
| Cell Phone Number of Parent/Guardian Completing This Form | (248) 278-3080 |
| Mother/Legal Guardian | Darnequia, Lloyd |
| Mother's Address | 17551 Vaughan st, Detroit, Michigan, 48219, United States |
| Mother's DOB | 1990-07-17 |
| Mothers Mobile Number | (248) 278-3050 |
| Mother's Email | darnequialloyd17@gmail.com |
| Authorized to pick up? | Yes |
| 1. Your Child’s Strengths | Compassion for others, Strong personality / confidence, Helpful at home |
| Emotional Regulation / Anger (Check all that apply) | Sometimes shuts down or withdraws when upset |
| School Engagement (Check all that apply) | Struggles to stay focused in class |
| Curfew / Home Expectations | Sometimes struggles to follow curfew or home rules |
| How would you describe your child most of the time? | Calm and easygoing, Sensitive / emotional |
| What are you hoping your child gains from LevelUp Workforce Development (Check all that apply) | Increased confidence, Leadership skills, Stronger faith or spiritual foundation, Better decision making |
| What concerns you most about your child right now? | She’s not motivated. |
| What kind of future do you hope for your child? | The brightest future. |
| Preferred Hospital for Emergency Treatment | Corewell royal oak |
| Medical Conditions (check all that apply) | None |
| If medication must be administered during program hours, a medication authorization form must be on file. Parent Initials: | 6a15cbec896fe5.19319496.png |
| Additional medical or behavioral information staff should know: | Na |
| Name | Sonya Thomas |
| Phone Number | (313) 740-1613 |
| Relationship to Student | Grandmother |
| Authorized for pick up? | Yes |
| Name | Demetrius Waters |
| Phone Number | 3137166020 |
| Relationship to Student | Step dad |
| Authorized for pick up? | Yes |
| Emergency Medical Treatment | By checking this box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking this box,I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking this box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking this box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking this box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Counseling referral |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 40000 |
| How many dependents are in your family? | 4 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | No |
| How did you find out about The Yunion's Summer Camp? | Summer Discovery |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Darnequia Lloyd |
| Add Your Signature Here (Please Sign Legibly) | 6a15cc5167c399.54148590.png |
| Child's Name (Printed) | Za’Miyah anderson |
| Have Your Child Sign His/Her Signature Here (Please Sign Legibly) | 6a15cc51714222.98410334.png |
| 2026 LevelUp Workforce & Leadership Development Camp | 2026 LevelUp Workforce & Leadership Development Camp, $0.00, 1 |
| Date | 2026-05-26 |
Heaven Hatch
LevelUp Workforce Development Camp · May 26, 2026
| Child Name | Heaven, Hatch |
| Age | 14 |
| Date of Birth | 2012-12-22 |
| T-Shirt Size (Adult Unisex) | Medium |
| Grade Level this Fall? | 9th |
| School/District | Wayne |
| Name of School | GCA |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | No |
| Height | 5'1 |
| Weight | 115 |
| Sex | Female |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 2975 cortland, Detroit, Michigan, 4206, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Father |
| Who Does the Student Live With? (Check All That Apply) | Father |
| Are siblings applying to a Yunion camp? | Yes, they are applying for the Level Up Workforce & Leadership Development Camp. |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Name of Parent/Guardian Completing This Form | Elijah, Hatch |
| Email Address of Parent/Guardian Completing This Form | elicole2.4@yahoo.com |
| Your Preferred Method Of Communication | Text |
| Cell Phone Number of Parent/Guardian Completing This Form | (248) 818-4519 |
| Father/Legal Guardian | Elijah, Hatch |
| Father's Address | 2977 cortland, Detroit, Michigan, 48206, United States |
| Father's DOB | 1992-03-24 |
| Father's Mobile Number | (248) 818-4519 |
| Father's Email | elicole2.4@yahoo.com |
| Authorized to pick up? | Yes |
| 1. Your Child’s Strengths | Other strengths |
| 2. Areas Where Your Child May Need Support | Becomes frustrated or upset when corrected, Other |
| Other areas where support may be needed | Only child syndrome |
| Emotional Regulation / Anger (Check all that apply) | Sometimes shuts down or withdraws when upset |
| Conflict with Others (Check all that apply) | Other |
| School Engagement (Check all that apply) | Struggles to stay focused in class |
| Has your child ever (Check all that apply): | Been suspended from school |
| How would you describe your child most of the time? | Sensitive / emotional, Quiet or reserved |
| What are you hoping your child gains from LevelUp Workforce Development (Check all that apply) | Increased confidence, Leadership skills, Academic motivation |
| What concerns you most about your child right now? | She has a bad attitude |
| What kind of future do you hope for your child? | I want her to be able to conquer the world |
| Medical Conditions (check all that apply) | None |
| If medication must be administered during program hours, a medication authorization form must be on file. Parent Initials: | 6a14eeeb9d7ba6.94685703.png |
| Name | Eli |
| Phone Number | (248) 818-4519 |
| Relationship to Student | Father |
| Authorized for pick up? | Yes |
| Name | Tamatha Hatch-Mars |
| Phone Number | 3137428641 |
| Relationship to Student | Auntie |
| Authorized for pick up? | Yes |
| Emergency Medical Treatment | By checking this box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking this box,I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking this box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking this box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking this box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Tutoring (school year only), Mentoring |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| How many dependents are in your family? | 1 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | No |
| Please explain any extenuating circumstances related to your financial need? (100 words or less) | A job! Im unemployed right now I need help. |
| How did you find out about The Yunion's Summer Camp? | Someone referred me |
| Name of Person/Recruiter Who Referred You | Tamatha Hatch |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Elijah Hatch |
| Add Your Signature Here (Please Sign Legibly) | 6a14f0bacb93e2.33897277.png |
| Child's Name (Printed) | Heaven Hatch |
| Have Your Child Sign His/Her Signature Here (Please Sign Legibly) | 6a14f0bad71c18.05887401.png |
| 2026 LevelUp Workforce & Leadership Development Camp | 2026 LevelUp Workforce & Leadership Development Camp, $0.00, 1 |
| Date | 2026-05-25 |
SaRynity Johnson
LevelUp Workforce Development Camp · May 25, 2026
| Child Name | SaRynity, Johnson |
| Age | 15 |
| Date of Birth | 2010-10-01 |
| T-Shirt Size (Adult Unisex) | Small |
| Grade Level this Fall? | 11th |
| School/District | Detroit |
| Name of School | Cass Technicl |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | Guidence |
| Height | 5 |
| Weight | 4 |
| Sex | Female |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 8901 Littlefield St, Detroit, Michigan, 48228, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother |
| Who Does the Student Live With? (Check All That Apply) | Mother |
| Number of Siblings in the Home | 1 |
| Are siblings applying to a Yunion camp? | No, they are not applying for a Yunion Camp. |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Name of Parent/Guardian Completing This Form | Ashley, Smith |
| Email Address of Parent/Guardian Completing This Form | ashley_j_smith@yahoo.com |
| Your Preferred Method Of Communication | Text |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 307-2738 |
| Mother/Legal Guardian | Ashley, Smith |
| Mother's Address | 8901 Littlefield St, Detroit, Michigan, 48228, United States |
| Mother's DOB | 1990-01-06 |
| Mothers Home Number | (313) 307-2738 |
| Mothers Mobile Number | (313) 307-2738 |
| Mother's Email | ashley_j_smith6010@gmail.com |
| Authorized to pick up? | Yes |
| 1. Your Child’s Strengths | Leadership potential, Creativity, Athletic ability, Compassion for others, Determination, Curiosity / enjoys learning, Strong personality / confidence, Good sense of humor, Helpful at home |
| 2. Areas Where Your Child May Need Support | Sometimes struggles to follow instructions at home, Sometimes struggles to follow instructions at school |
| Emotional Regulation / Anger (Check all that apply) | Sometimes shuts down or withdraws when upset |
| Conflict with Others (Check all that apply) | Has frequent arguments with siblings, peers, or adults |
| School Engagement (Check all that apply) | Struggles to stay focused in class, Has experienced disciplinary action at school |
| How would you describe your child most of the time? | Energetic / high activity level, Independent, Strong-willed |
| What are you hoping your child gains from LevelUp Workforce Development (Check all that apply) | More discipline, Greater respect for authority, Increased confidence, Leadership skills, Stronger faith or spiritual foundation, Better decision making, Academic motivation |
| What concerns you most about your child right now? | I feel like my child is filling the world and not what she’s being taught |
| What kind of future do you hope for your child? | Whatever her heart desires as long as it aligns with gods plan for her |
| Preferred Hospital for Emergency Treatment | Corewell |
| Name | Ashley Smith |
| Phone Number | (313) 307-2738 |
| Relationship to Student | Mother |
| Authorized for pick up? | Yes |
| Emergency Medical Treatment | By checking this box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking this box,I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking this box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking this box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking this box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Tutoring (school year only), Mentoring, Family resources |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | Family Insight Form |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 50000 |
| How many dependents are in your family? | 2 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | No |
| How did you find out about The Yunion's Summer Camp? | Someone referred me |
| Name of Person/Recruiter Who Referred You | Antwain Crowder |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Ashley Smith |
| Add Your Signature Here (Please Sign Legibly) | 6a139f3d856a12.80709756.png |
| Child's Name (Printed) | SaRynity Johnson |
| Have Your Child Sign His/Her Signature Here (Please Sign Legibly) | 6a139f3d8f3d32.36633141.png |
| 2026 LevelUp Workforce & Leadership Development Camp | 2026 LevelUp Workforce & Leadership Development Camp, $0.00, 1 |
| Date | 2026-05-24 |
Charles Sutton
LevelUp Workforce Development Camp · May 24, 2026
| Child Name | Charles, Sutton |
| Age | 15 |
| Date of Birth | 2010-10-13 |
| T-Shirt Size (Adult Unisex) | Medium |
| Grade Level this Fall? | 10 |
| School/District | Eastpointe Community Schools |
| Name of School | Eastpointe High School |
| Education Type | IEP |
| Does your Child need any additional support? Please specify in comment box below. | Yes |
| Height | 5’11” |
| Weight | 150 |
| Sex | Male |
| Eye Color | Blue |
| Ethnicity | White |
| Student Address | 14873 Alberta Ave., Warren, Michigan, 48089, United States |
| County in Which Child Resides | Macomb County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother |
| Who Does the Student Live With? (Check All That Apply) | Mother |
| Number of Siblings in the Home | 1 |
| Are siblings applying to a Yunion camp? | No, they are not applying for a Yunion Camp. |
| List name of youth applying for Yunion Camps | Charles Sutton |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Name of Parent/Guardian Completing This Form | Stephanie, McAlkich |
| Email Address of Parent/Guardian Completing This Form | stephaniemcalkich@icloud.com |
| Your Preferred Method Of Communication | Text |
| Cell Phone Number of Parent/Guardian Completing This Form | (678) 755-1046 |
| Mother/Legal Guardian | Stephanie, McAlkich |
| Mother's Address | 14873 Alberta Ave., Warren, Michigan, 48089, United States |
| Mother's DOB | 1994-04-21 |
| Mothers Mobile Number | (678) 755-1046 |
| Mother's Email | stephaniemcalkich@icloud.com |
| Authorized to pick up? | Yes |
| Emergency Medical Treatment | By checking this box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking this box,I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking this box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking this box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking this box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Mentoring, Behavioral support, Family resources |
| May one of our team members contact you with more information about our support services? | Yes |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 21600 |
| How many dependents are in your family? | 2 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | No |
| Please explain any extenuating circumstances related to your financial need? (100 words or less) | I am a single disabled parent to two children and I receive no child support |
| How did you find out about The Yunion's Summer Camp? | Summer Discovery |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Stephanie McAlkich |
| Add Your Signature Here (Please Sign Legibly) | 6a12f352314372.07775536.png |
| Child's Name (Printed) | Charles Sutton |
| Have Your Child Sign His/Her Signature Here (Please Sign Legibly) | 6a12f3523d5b93.77878028.png |
| 2026 LevelUp Workforce & Leadership Development Camp | 2026 LevelUp Workforce & Leadership Development Camp, $0.00, 1 |
| Date | 2026-05-24 |
Keyon Hatch Brown
LevelUp Workforce Development Camp · May 22, 2026
| Child Name | Keyon, Hatch Brown |
| Age | 14 |
| Date of Birth | 2012-03-28 |
| T-Shirt Size (Adult Unisex) | XL |
| Grade Level this Fall? | 9 |
| School/District | Wayne |
| Name of School | GCA |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | He need help with social studies |
| Height | 5"8 |
| Weight | 175 |
| Sex | Male |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 440 Alameda Street, Detroit, Michigan, 48203, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother |
| Who Does the Student Live With? (Check All That Apply) | Mother |
| Number of Siblings in the Home | 1 |
| Are siblings applying to a Yunion camp? | Yes, they are applying for the Level Up Workforce & Leadership Development Camp. |
| List name of youth applying for Yunion Camps | Keyon Hatch-Brown |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Name of Parent/Guardian Completing This Form | Tamatha, Hatch-Mars |
| Email Address of Parent/Guardian Completing This Form | Tamsenchantment@gmail.com |
| Your Preferred Method Of Communication | Text |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 742-8641 |
| Mother/Legal Guardian | Tamatha, Hatch-Mars |
| Mother's Address | 440 Alameda Street, Detroit, Michigan, 48203, United States |
| Mother's DOB | 1985-03-23 |
| Mothers Home Number | (313) 742-8641 |
| Mothers Work Number | (947) 888-6316 |
| Mothers Mobile Number | (313) 742-8641 |
| Mother's Email | Tamsenchantment@gmail.com |
| Authorized to pick up? | Yes |
| 1. Your Child’s Strengths | Creativity, Athletic ability, Curiosity / enjoys learning, Other strengths |
| Other strengths: | Science wizard |
| 2. Areas Where Your Child May Need Support | Sometimes struggles to follow instructions at home |
| Emotional Regulation / Anger (Check all that apply) | Sometimes shuts down or withdraws when upset |
| Conflict with Others (Check all that apply) | Other |
| School Engagement (Check all that apply) | Struggles to stay focused in class, Has experienced disciplinary action at school |
| Curfew / Home Expectations | Sometimes struggles to follow curfew or home rules |
| Exposure to Risk Behaviors (Check all that apply) | Has been exposed to drug or alcohol use among peers |
| Has your child ever (Check all that apply): | Been suspended from school |
| How would you describe your child most of the time? | Energetic / high activity level |
| What are you hoping your child gains from LevelUp Workforce Development (Check all that apply) | Positive male mentorship, Leadership skills, Better decision making, Academic motivation |
| What concerns you most about your child right now? | Keyon plays on the phone too much and when the electronics are taken away his whole world crumbles. He needs an outlet into the real world |
| What kind of future do you hope for your child? | A future marine biologist |
| Preferred Hospital for Emergency Treatment | Providence Southfield |
| Medical Conditions (check all that apply) | None |
| If medication must be administered during program hours, a medication authorization form must be on file. Parent Initials: | 6a0fa95d4ee2e1.79917872.png |
| Additional medical or behavioral information staff should know: | He has a counselor who see him once a week |
| Name | Tamatha Hatch-Mars |
| Phone Number | (313) 742-8641 |
| Additional Phone Number | (947) 888-6316 |
| Relationship to Student | Mother |
| Authorized for pick up? | Yes |
| Name | Phillip Evans |
| Phone Number | 2486626659 |
| Additional Phone Number | (248) 662-6659 |
| Relationship to Student | Father in law |
| Authorized for pick up? | Yes |
| Name | Phillis Hatch |
| Phone Number | 3136569976 |
| Additional Phone Number | (313) 656-9976 |
| Relationship to Student | Grandma |
| Authorized for pick up? | Yes |
| Emergency Medical Treatment | By checking this box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking this box,I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking this box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking this box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking this box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Tutoring (school year only), Mentoring, Family resources |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| How many dependents are in your family? | 2 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | No |
| Please explain any extenuating circumstances related to your financial need? (100 words or less) | My car was stolen, we lost two bedrooms due to the basement flooding. I lost 3 brothers and now all my bills are in shut off. I just want to make sure my twins are better |
| How did you find out about The Yunion's Summer Camp? | Flyer |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Tamatha Hatch-Mars |
| Add Your Signature Here (Please Sign Legibly) | 6a0faa03bb7b05.05868725.png |
| Child's Name (Printed) | Keyon Hatch-Brown |
| Have Your Child Sign His/Her Signature Here (Please Sign Legibly) | 6a0faa03c6d973.55441584.png |
| 2026 LevelUp Workforce & Leadership Development Camp | 2026 LevelUp Workforce & Leadership Development Camp, $0.00, 1 |
| Date | 2026-05-21 |
Tamatha Hatch Brown
LevelUp Workforce Development Camp · May 22, 2026
| Child Name | Tamatha, Hatch Brown |
| Age | 14 |
| Date of Birth | 2012-03-28 |
| T-Shirt Size (Adult Unisex) | XXL |
| Grade Level this Fall? | 9 |
| School/District | Wayne |
| Name of School | GCA |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | Yes she want to be a business owner |
| Height | 5'6 |
| Weight | 220 |
| Sex | Female |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 440 Alameda Street, Detroit, Michigan, 48203, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother |
| Who Does the Student Live With? (Check All That Apply) | Mother |
| Number of Siblings in the Home | 1 |
| Are siblings applying to a Yunion camp? | Yes, they are applying for the Level Up Workforce & Leadership Development Camp. |
| List name of youth applying for Yunion Camps | Tamatha Hatch-Brown |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Name of Parent/Guardian Completing This Form | Tamatha, Hatch-Mars |
| Email Address of Parent/Guardian Completing This Form | Tamsenchantment@gmail.com |
| Your Preferred Method Of Communication | Text |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 742-8641 |
| Mother/Legal Guardian | Tamatha, Hatch-Mars |
| Mother's Address | 440 Alameda Street, Detroit, Michigan, 48203, United States |
| Mother's DOB | 1985-03-23 |
| Mothers Work Number | (313) 742-8641 |
| Mothers Mobile Number | (313) 742-8641 |
| Mother's Email | Tamsenchantment@gmail.com |
| Authorized to pick up? | Yes |
| 1. Your Child’s Strengths | Leadership potential, Creativity, Strong personality / confidence, Helpful at home |
| 2. Areas Where Your Child May Need Support | Sometimes struggles to follow instructions at school, Becomes frustrated or upset when corrected |
| Emotional Regulation / Anger (Check all that apply) | Other |
| Other | She crys when angry |
| Conflict with Others (Check all that apply) | Other |
| School Engagement (Check all that apply) | Has experienced disciplinary action at school |
| Has your child ever (Check all that apply): | Been suspended from school |
| How would you describe your child most of the time? | Sensitive / emotional |
| What are you hoping your child gains from LevelUp Workforce Development (Check all that apply) | Greater respect for authority, Better anger management, Increased confidence, Leadership skills, Stronger faith or spiritual foundation, Better decision making, Academic motivation |
| What concerns you most about your child right now? | She struggles with reading and math and she shuts down and starts crying when she doesn't understand and I don't know how to explain or help |
| What kind of future do you hope for your child? | Success in any and everything she does |
| Preferred Hospital for Emergency Treatment | Providence Southfield |
| Medical Conditions (check all that apply) | None |
| If medication must be administered during program hours, a medication authorization form must be on file. Parent Initials: | 6a0fa4d4ebf543.43835577.png |
| Name | Phillip Evans |
| Phone Number | (248) 662-6659 |
| Relationship to Student | Father in law |
| Authorized for pick up? | Yes |
| Name | Phillis Hatch |
| Phone Number | 3136569976 |
| Relationship to Student | Grandma |
| Authorized for pick up? | Yes |
| Emergency Medical Treatment | By checking this box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking this box,I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking this box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking this box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking this box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Tutoring (school year only), Family resources |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| How many dependents are in your family? | 2 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | No |
| Please explain any extenuating circumstances related to your financial need? (100 words or less) | My car was stolen, we lost two bedrooms due to the basement flooding. I lost 3 brothers and now all my bills are in shut off. I just want to make sure my twins are better then me this summer |
| How did you find out about The Yunion's Summer Camp? | Flyer |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Tamatha Hatch-Mars |
| Add Your Signature Here (Please Sign Legibly) | 6a0fa666009754.57730515.png |
| Child's Name (Printed) | Tamatha Hatch-Brown |
| Have Your Child Sign His/Her Signature Here (Please Sign Legibly) | 6a0fa6660c3de9.67877204.png |
| 2026 LevelUp Workforce & Leadership Development Camp | 2026 LevelUp Workforce & Leadership Development Camp, $0.00, 1 |
| Date | 2026-05-21 |
Aaron Peppers
LevelUp Workforce Development Camp · May 20, 2026
| Child Name | Aaron, Peppers |
| Age | 15 |
| Date of Birth | 2011-04-09 |
| T-Shirt Size (Adult Unisex) | Medium |
| Grade Level this Fall? | 9th |
| School/District | Wayne |
| Name of School | Detroit school of performing arts |
| Education Type | IEP |
| Does your Child need any additional support? Please specify in comment box below. | Repetition helps him very well. |
| Height | 5"2 |
| Weight | 105 |
| Sex | Male |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 9544 Whitcomb st, Detroit, Michigan, 48227, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother |
| Who Does the Student Live With? (Check All That Apply) | Mother |
| Are siblings applying to a Yunion camp? | Yes, they are applying for the Level Up Workforce & Leadership Development Camp. |
| List name of youth applying for Yunion Camps | Aaron peppers |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Name of Parent/Guardian Completing This Form | Ceara, Hagwood |
| Email Address of Parent/Guardian Completing This Form | Ceara.williams1@gmail.com |
| Your Preferred Method Of Communication | Phone Call |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 687-6886 |
| Mother/Legal Guardian | Ceara, Hagwood |
| Mother's Address | 9544 Whitcomb st, Detroit, Michigan, 48227, United States |
| Mother's DOB | 1990-07-03 |
| Mothers Mobile Number | (313) 687-6886 |
| Mother's Email | Ceara.williams1@gmail.com |
| Authorized to pick up? | Yes |
| 1. Your Child’s Strengths | Creativity, Athletic ability, Determination, Good sense of humor |
| 2. Areas Where Your Child May Need Support | Sometimes struggles to follow instructions at home, Sometimes struggles to follow instructions at school, Becomes frustrated or upset when corrected |
| Emotional Regulation / Anger (Check all that apply) | Sometimes shuts down or withdraws when upset |
| Conflict with Others (Check all that apply) | Has been involved in bullying (either as the aggressor or target) |
| School Engagement (Check all that apply) | Struggles to stay focused in class, Has experienced disciplinary action at school |
| Curfew / Home Expectations | Sometimes struggles to follow curfew or home rules |
| How would you describe your child most of the time? | Energetic / high activity level, Independent, Quiet or reserved |
| What are you hoping your child gains from LevelUp Workforce Development (Check all that apply) | More discipline, Increased confidence, Positive male mentorship, Leadership skills, Stronger faith or spiritual foundation, Better decision making, Academic motivation |
| What concerns you most about your child right now? | I’m most concerned about my son’s emotional well-being, confidence, and future direction right now. As a parent, it’s heartbreaking watching him struggle at times with motivation, social pressures, and finding positive outlets and guidance. I want so badly to see him surrounded by mentors, structure, encouragement, and opportunities that can help him grow into the best version of himself. I worry about how easy it is for young people to become discouraged or influenced by the wrong environments when they don’t have enough support, positive activities, and community around them. I’m doing everything I can as a parent, but I know he would truly benefit from a program that can provide additional guidance, stability, life skills, and positive peer connections. More than anything, I want him to feel seen, supported, and believed in. I believe this program could make a meaningful difference in his confidence, personal growth, and overall future. |
| What kind of future do you hope for your child? | I hope for a future where my son is happy, confident, emotionally strong, and surrounded by positive influences. I want him to grow into a respectful, responsible young man who believes in himself and understands his worth. My biggest hope is that he has opportunities I may not have had and that he is guided toward success instead of becoming discouraged by the challenges young people face today. I want him to discover his talents, build meaningful relationships, and develop the life skills needed to become independent and successful. I hope he is able to pursue education, a career he enjoys, and a stable future where he feels proud of himself and the path he chose. Most importantly, I hope he continues to grow in environments where he feels supported, encouraged, and motivated to reach his full potential. I truly believe programs like this can help provide the mentorship, structure, and positive experiences that can positively shape his future for years to come. |
| Preferred Hospital for Emergency Treatment | would prefer for him to be treated at Ascension Providence Hospital in Southfield, Michigan; however, I am willing for him to receive treatment at the nearest available hospital so he can be seen and treated as soon as possible. |
| Medical Conditions (check all that apply) | Asthma |
| If medication must be administered during program hours, a medication authorization form must be on file. Parent Initials: | 6a0e21fcca8cf6.47348997.png |
| Additional medical or behavioral information staff should know: | None |
| Name | Damon hagwood |
| Phone Number | (313) 848-4239 |
| Relationship to Student | Uncle |
| Authorized for pick up? | Yes |
| Name | Desiree hagwood |
| Phone Number | 3136736765 |
| Relationship to Student | Auntie |
| Authorized for pick up? | Yes |
| Name | Jermaine hagwood |
| Phone Number | 3137326743 |
| Additional Phone Number | (313) 837-4256 |
| Relationship to Student | Grandfather |
| Authorized for pick up? | Yes |
| Emergency Medical Treatment | By checking this box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking this box,I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking this box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking this box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking this box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Tutoring (school year only), Mentoring |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 75000 |
| How many dependents are in your family? | 1 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | Yes |
| Please explain any extenuating circumstances related to your financial need? (100 words or less) | My family is currently facing financial hardship, and it has become increasingly difficult to provide my son with the opportunities, support, and structured programs he deserves. Rising living expenses and unexpected financial responsibilities have created ongoing stress on our household. Despite these challenges, I remain committed to doing everything possible to support his growth and future. This program would greatly help by providing resources, mentorship, and positive opportunities that I may not otherwise be able to afford at this time. I truly believe participation in this program could make a lasting impact on his confidence, development, and future success. |
| How did you find out about The Yunion's Summer Camp? | YouTube |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Ceara hagwood |
| Add Your Signature Here (Please Sign Legibly) | 6a0e22b1962407.04678246.png |
| Child's Name (Printed) | Aaron peppers |
| Have Your Child Sign His/Her Signature Here (Please Sign Legibly) | 6a0e22b1a223b5.16513678.png |
| 2026 LevelUp Workforce & Leadership Development Camp | 2026 LevelUp Workforce & Leadership Development Camp, $0.00, 1 |
| Date | 2026-05-20 |
Isaiah Brissett
LevelUp Workforce Development Camp · May 20, 2026
| Child Name | Isaiah, Brissett |
| Age | 13 |
| Date of Birth | 2012-06-01 |
| T-Shirt Size (Adult Unisex) | Large |
| Grade Level this Fall? | 9 |
| School/District | DPSCD |
| Name of School | Cass or Renasance |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | None |
| Height | 5'9 |
| Weight | 130 |
| Sex | Male |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 16606 Muirland st, Detroit, Michigan, 48221, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Father |
| Who Does the Student Live With? (Check All That Apply) | Father |
| Number of Siblings in the Home | 4 |
| Are siblings applying to a Yunion camp? | Yes, they are applying for the Level Up Workforce & Leadership Development Camp. |
| List name of youth applying for Yunion Camps | Elias Brissett, Joshua Brissett |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Name of Parent/Guardian Completing This Form | Neil, Brissett |
| Email Address of Parent/Guardian Completing This Form | Brissettn80@gmail.com |
| Your Preferred Method Of Communication | |
| Cell Phone Number of Parent/Guardian Completing This Form | (734) 759-7405 |
| Father/Legal Guardian | Neil, Brissett |
| Father's Address | 16606 Muirland st, Detroit, Michigan, 48221, United States |
| Father's DOB | 1980-10-17 |
| Father's Home Number | (734) 759-7405 |
| Father's Mobile Number | (734) 759-7405 |
| Father's Email | Brissettn80@gmail.com |
| Authorized to pick up? | Yes |
| 1. Your Child’s Strengths | Leadership potential, Creativity, Determination, Strong personality / confidence, Helpful at home |
| 2. Areas Where Your Child May Need Support | Sometimes struggles to follow instructions at home |
| How would you describe your child most of the time? | Calm and easygoing |
| What are you hoping your child gains from LevelUp Workforce Development (Check all that apply) | Increased confidence, Better decision making, Academic motivation |
| What concerns you most about your child right now? | As he enters into the High phase of life I want him to become more confident and own in his leadership skills |
| Medical Conditions (check all that apply) | None |
| Name | Neil Brissett |
| Phone Number | (734) 759-7405 |
| Additional Phone Number | (734) 759-7405 |
| Relationship to Student | Father |
| Authorized for pick up? | Yes |
| Emergency Medical Treatment | By checking this box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking this box,I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking this box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking this box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking this box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Tutoring (school year only), Mentoring, Family resources |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 45000 |
| How many dependents are in your family? | 5 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | No |
| Please explain any extenuating circumstances related to your financial need? (100 words or less) | I am a widowed father raising 5 children on my own. my wife passed away from breast cancer. I have to balance work and their schedules which can be challange financially |
| How did you find out about The Yunion's Summer Camp? | Summer Discovery |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Neil Brissett |
| Add Your Signature Here (Please Sign Legibly) | 6a0dc2002d4003.64580398.png |
| Child's Name (Printed) | Isaiah Brissett |
| Have Your Child Sign His/Her Signature Here (Please Sign Legibly) | 6a0dc200362e65.11056468.png |
| 2026 LevelUp Workforce & Leadership Development Camp | 2026 LevelUp Workforce & Leadership Development Camp, $0.00, 1 |
| Date | 2026-05-20 |
Taleah Mcfolley
LevelUp Workforce Development Camp · May 15, 2026
| Child Name | Taleah, Mcfolley |
| Age | 15 |
| Date of Birth | 2011-02-14 |
| T-Shirt Size (Adult Unisex) | XXL |
| Grade Level this Fall? | 8th |
| School/District | Detroit Public Schools |
| Name of School | Hutchinson Elementary-Middle School |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | academic support |
| Height | 5’6 |
| Weight | 300 |
| Sex | Female |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 14814 Houston whitter st, 14814 Houston Whittier st, Michigan, Detroit, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother |
| Who Does the Student Live With? (Check All That Apply) | Mother |
| Number of Siblings in the Home | 1 |
| Are siblings applying to a Yunion camp? | No, they are not applying for a Yunion Camp. |
| List name of youth applying for Yunion Camps | Taleah Mcfolley |
| Are you applying for a scholarship? | No, I will pay the full price |
| Name of Parent/Guardian Completing This Form | Tajuana, Mcfolley |
| Email Address of Parent/Guardian Completing This Form | taleaahmc@gmail.com |
| Your Preferred Method Of Communication | |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 293-8298 |
| Mother/Legal Guardian | Tajuana, Mcfolley |
| Mother's Address | 14814 Houston whitter st, 14814 Houston whitter st, Michigan, Detroit, United States |
| Mother's DOB | 1976-10-29 |
| Mothers Mobile Number | (313) 293-8298 |
| Mother's Email | taleaahmc@gmail.com |
| Authorized to pick up? | Yes |
| 1. Your Child’s Strengths | Compassion for others, Determination, Curiosity / enjoys learning, Helpful at home |
| Has your child ever (Check all that apply): | Been suspended from school |
| How would you describe your child most of the time? | Calm and easygoing, Independent, Quiet or reserved |
| What are you hoping your child gains from LevelUp Workforce Development (Check all that apply) | Academic motivation |
| If medication must be administered during program hours, a medication authorization form must be on file. Parent Initials: | 6a06e06b8112a3.05433583.png |
| Name | Tajuana Mcfolley |
| Phone Number | (313) 293-8298 |
| Relationship to Student | Mother |
| Authorized for pick up? | Yes |
| Name | Deborah mcfolley |
| Phone Number | 3138088292 |
| Relationship to Student | Grandmother |
| Authorized for pick up? | Yes |
| Name | Deborah |
| Phone Number | 3138088292 |
| Relationship to Student | Grandmother |
| Authorized for pick up? | Yes |
| Emergency Medical Treatment | By checking this box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking this box,I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking this box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking this box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking this box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Tutoring (school year only), Mentoring |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| How did you find out about The Yunion's Summer Camp? | Google Search |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Tajuana Mcfolley |
| Add Your Signature Here (Please Sign Legibly) | 6a06e3be4c7804.07508526.png |
| Child's Name (Printed) | Taleah Mcfolley |
| Have Your Child Sign His/Her Signature Here (Please Sign Legibly) | 6a06e3be5801b2.34821721.png |
| 2026 LevelUp Workforce & Leadership Development Camp | 2026 LevelUp Workforce & Leadership Development Camp, $0.00, 1 |
| Date | 2026-05-15 |
Damonie Campbell
LevelUp Workforce Development Camp · May 15, 2026
| Child Name | Damonie, Campbell |
| Age | 14 |
| Date of Birth | 2012-04-30 |
| T-Shirt Size (Adult Unisex) | Large |
| Grade Level this Fall? | 9th |
| School/District | Uprep |
| Name of School | University Prep Art & Design Middle School |
| Education Type | IEP |
| Does your Child need any additional support? Please specify in comment box below. | No |
| Height | 5 |
| Weight | 1 |
| Sex | Male |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 20251 Hanna St., Highland Park, Michigan, 48203, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother |
| Who Does the Student Live With? (Check All That Apply) | Mother, Step-Father |
| Number of Siblings in the Home | 3 |
| Are siblings applying to a Yunion camp? | No, they are not applying for a Yunion Camp. |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Name of Parent/Guardian Completing This Form | Talissa, Campbell |
| Email Address of Parent/Guardian Completing This Form | talissa.campbell@gmail.com |
| Your Preferred Method Of Communication | |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 439-8903 |
| Mother/Legal Guardian | Talissa, Campbell |
| Mother's Address | 20251 Hanna St, Highland Park, Michigan, 48203, United States |
| Mother's DOB | 1992-12-04 |
| Mothers Mobile Number | (313) 439-8903 |
| Mother's Email | talissa.campbell@gmail.com |
| Authorized to pick up? | Yes |
| 1. Your Child’s Strengths | Creativity, Athletic ability, Compassion for others, Determination, Curiosity / enjoys learning, Good sense of humor, Helpful at home |
| 2. Areas Where Your Child May Need Support | Other |
| Other areas where support may be needed | Need help keeping focus & staying on track |
| School Engagement (Check all that apply) | Struggles to stay focused in class, Has experienced disciplinary action at school |
| How would you describe your child most of the time? | Energetic / high activity level, Strong-willed |
| What are you hoping your child gains from LevelUp Workforce Development (Check all that apply) | More discipline, Increased confidence, Positive male mentorship, Leadership skills, Academic motivation |
| Name | Monica Campbell |
| Phone Number | (313) 488-9023 |
| Relationship to Student | Grandmother |
| Authorized for pick up? | Yes |
| Name | Brandon Fuller |
| Phone Number | 3139128164 |
| Relationship to Student | Step father |
| Authorized for pick up? | Yes |
| Emergency Medical Treatment | By checking this box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking this box,I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking this box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking this box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking this box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Tutoring (school year only), Mentoring, Behavioral support |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 25000 |
| How many dependents are in your family? | 4 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | Yes |
| How did you find out about The Yunion's Summer Camp? | school |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Talissa Campbell |
| Add Your Signature Here (Please Sign Legibly) | 6a068e49ec9f19.52741098.png |
| Child's Name (Printed) | Damonie Campbell |
| Have Your Child Sign His/Her Signature Here (Please Sign Legibly) | 6a068e4a028a76.86336859.png |
| 2026 LevelUp Workforce & Leadership Development Camp | 2026 LevelUp Workforce & Leadership Development Camp, $0.00, 1 |
| Date | 2026-05-14 |
Harmoni Coakley
LevelUp Workforce Development Camp · May 14, 2026
| Child Name | Harmoni, Coakley |
| Age | 14 |
| Date of Birth | 2011-11-05 |
| T-Shirt Size (Adult Unisex) | Large |
| Grade Level this Fall? | 9 |
| School/District | Detroit |
| Name of School | Daas |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | No |
| Height | 5ft |
| Weight | 130 |
| Sex | Female |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 17557 Murray hill, Detroit, Michigan, 48235, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother |
| Who Does the Student Live With? (Check All That Apply) | Mother |
| Number of Siblings in the Home | 1 |
| Are siblings applying to a Yunion camp? | No, they are not applying for a Yunion Camp. |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Name of Parent/Guardian Completing This Form | Ashley, Coakley |
| Email Address of Parent/Guardian Completing This Form | harmoni11511@gmail.com |
| Your Preferred Method Of Communication | Text |
| Cell Phone Number of Parent/Guardian Completing This Form | (734) 334-3507 |
| Mother/Legal Guardian | Ashley, Coakley |
| Mother's Address | 17557 Murray hill, Detroit, Michigan, 48235, United States |
| Mother's DOB | 1991-12-08 |
| Mothers Work Number | (734) 334-3507 |
| Mothers Mobile Number | (734) 334-3507 |
| Mother's Email | harmoni11511@gmail.com |
| Authorized to pick up? | Yes |
| 1. Your Child’s Strengths | Creativity, Curiosity / enjoys learning, Strong personality / confidence, Good sense of humor, Helpful at home |
| 2. Areas Where Your Child May Need Support | Becomes frustrated or upset when corrected, Other |
| Other areas where support may be needed | Social skills |
| Emotional Regulation / Anger (Check all that apply) | Sometimes shuts down or withdraws when upset |
| How would you describe your child most of the time? | Calm and easygoing, Sensitive / emotional, Quiet or reserved |
| What are you hoping your child gains from LevelUp Workforce Development (Check all that apply) | Increased confidence, Leadership skills, Academic motivation |
| Medical Conditions (check all that apply) | Vision Impairment |
| Name | Joyce Taylor |
| Phone Number | (313) 399-6047 |
| Relationship to Student | Grandma |
| Authorized for pick up? | Yes |
| Emergency Medical Treatment | By checking this box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking this box,I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking this box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking this box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking this box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Not needed at this time |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 2000 |
| How many dependents are in your family? | 2 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | No |
| How did you find out about The Yunion's Summer Camp? | Attended before |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Ashley Coakley |
| Add Your Signature Here (Please Sign Legibly) | 6a05d04399a2a2.84272954.png |
| Child's Name (Printed) | Harmoni Coakley |
| Have Your Child Sign His/Her Signature Here (Please Sign Legibly) | 6a05d043a70a97.66309446.png |
| 2026 LevelUp Workforce & Leadership Development Camp | 2026 LevelUp Workforce & Leadership Development Camp, $0.00, 1 |
| Date | 2026-05-14 |
Aijia pronounced Asia Simpson
LevelUp Workforce Development Camp · May 14, 2026
| Child Name | Aijia pronounced Asia, Simpson |
| Age | 15 |
| Date of Birth | 2011-01-12 |
| T-Shirt Size (Adult Unisex) | Large |
| Grade Level this Fall? | 10th |
| School/District | N/A |
| Name of School | Voyageur College Prep Academy |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | N/A |
| Height | 61 51 |
| Weight | 135 lbs. |
| Sex | Female |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 6324 Georgeland, Detroit, Michigan, 48204, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother, Father |
| Who Does the Student Live With? (Check All That Apply) | Mother |
| Number of Siblings in the Home | 2 |
| Are siblings applying to a Yunion camp? | Yes, they are applying for the Keys Performing Arts Camp. |
| List name of youth applying for Yunion Camps | Jermaine Simpson |
| Primary Language Other Than English | N/A |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Name of Parent/Guardian Completing This Form | Joyceline, Simpson |
| Email Address of Parent/Guardian Completing This Form | Joynherkids@gmail.com |
| Your Preferred Method Of Communication | |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 452-2902 |
| Father/Legal Guardian | Antonio, Simpson |
| Father's Address | 15047 Hartwell, Detroit, Michigan, 48227, United States |
| Father's DOB | 1983-03-16 |
| Father's Home Number | (248) 820-6371 |
| Father's Mobile Number | (248) 820-6371 |
| Father's Email | Solodolo565@gmail.com |
| Authorized to pick up? | Yes |
| Mother/Legal Guardian | Joyceline, Simpson |
| Mother's Address | 6324 Georgeland, Detroit, Michigan, 48204, United States |
| Mother's DOB | 1980-02-23 |
| Mothers Home Number | (313) 452-2902 |
| Mothers Work Number | (313) 965-3834 |
| Mothers Mobile Number | (313) 452-2902 |
| Mother's Email | Joynherkids@gmail.com |
| Authorized to pick up? | Yes |
| 1. Your Child’s Strengths | Creativity, Compassion for others, Determination, Curiosity / enjoys learning, Good sense of humor, Helpful at home |
| Emotional Regulation / Anger (Check all that apply) | Sometimes shuts down or withdraws when upset |
| How would you describe your child most of the time? | Calm and easygoing, Quiet or reserved |
| What are you hoping your child gains from LevelUp Workforce Development (Check all that apply) | Increased confidence, Leadership skills |
| Medical Conditions (check all that apply) | None |
| Name | Jacqueline Simpson |
| Phone Number | (313) 452-7212 |
| Relationship to Student | Grandparent |
| Authorized for pick up? | Yes |
| Emergency Medical Treatment | By checking this box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking this box,I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking this box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking this box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking this box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Not needed at this time |
| May one of our team members contact you with more information about our support services? | No |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 32000 |
| How many dependents are in your family? | 3 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | No |
| How did you find out about The Yunion's Summer Camp? | Summer Discovery |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Joyceline Simpson |
| Add Your Signature Here (Please Sign Legibly) | 6a053f8f2e73e3.54796203.png |
| Child's Name (Printed) | Aijia Simpson |
| Have Your Child Sign His/Her Signature Here (Please Sign Legibly) | 6a053f8f39a139.39784206.png |
| 2026 LevelUp Workforce & Leadership Development Camp | 2026 LevelUp Workforce & Leadership Development Camp, $0.00, 1 |
| Date | 2026-05-13 |
Jordan Simpson
LevelUp Workforce Development Camp · May 14, 2026
| Child Name | Jordan, Simpson |
| Age | 15 |
| Date of Birth | 2011-03-16 |
| T-Shirt Size (Adult Unisex) | XL |
| Grade Level this Fall? | 10th |
| School/District | DPSCD |
| Name of School | Detroit School of Arts |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | No |
| Height | 5ft 5 in. |
| Weight | 175 |
| Sex | Male |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 15047 Hartwell Street, Detroit, Michigan, 48227-3631, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Guardian |
| Who Does the Student Live With? (Check All That Apply) | Other |
| Who Does the Student Live With? | Grandparents |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Name of Parent/Guardian Completing This Form | Jacqueline, Simpson |
| Email Address of Parent/Guardian Completing This Form | mspurple800@gmail.com |
| Your Preferred Method Of Communication | |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 452-7212 |
| 1. Your Child’s Strengths | Creativity, Compassion for others, Curiosity / enjoys learning, Good sense of humor, Helpful at home |
| 2. Areas Where Your Child May Need Support | Other |
| Other areas where support may be needed | Both parents are deceased. Shy until he gets comfortable with people. Very respectful. |
| School Engagement (Check all that apply) | Struggles to stay focused in class |
| How would you describe your child most of the time? | Calm and easygoing, Sensitive / emotional, Independent, Quiet or reserved |
| What are you hoping your child gains from LevelUp Workforce Development (Check all that apply) | Increased confidence, Positive male mentorship, Leadership skills, Better decision making, Academic motivation |
| What concerns you most about your child right now? | Always the finance person for close friends. Need to set financial boundaries. Need to prioritize homework vs on the phone with friends and Drumline activities. Practice violin without being told to do so |
| What kind of future do you hope for your child? | Own his own business. He is a very good baker and cook. Very creative, makes furry mask, sewn by hand and received several compliments at comic con. |
| Preferred Hospital for Emergency Treatment | Childrens Hospital of Michigan |
| Medical Conditions (check all that apply) | Vision Impairment |
| Name | Andre Simpson |
| Phone Number | (313) 784-2678 |
| Additional Phone Number | (313) 452-7212 |
| Relationship to Student | Grandparents |
| Authorized for pick up? | Yes |
| Name | Jacqueline Simpson |
| Phone Number | 3134527212 |
| Relationship to Student | Grandmother |
| Authorized for pick up? | Yes |
| Name | Andre Simpson |
| Phone Number | 313-784-6278 |
| Relationship to Student | Grandfather |
| Authorized for pick up? | Yes |
| Emergency Medical Treatment | By checking this box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking this box,I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking this box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking this box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking this box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Mentoring |
| May one of our team members contact you with more information about our support services? | Yes |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 80000 |
| How many dependents are in your family? | 3 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | No |
| How did you find out about The Yunion's Summer Camp? | Received a flyer at DSA orchestra spring concert on 5/8/26 |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Jacqueline Simpson |
| Add Your Signature Here (Please Sign Legibly) | 6a052820643fe8.80313999.png |
| Child's Name (Printed) | Jordan Simpson |
| Have Your Child Sign His/Her Signature Here (Please Sign Legibly) | 6a052820700bf0.37703693.png |
| 2026 LevelUp Workforce & Leadership Development Camp | 2026 LevelUp Workforce & Leadership Development Camp, $0.00, 1 |
| Date | 2026-05-13 |
Shalom Eagan
LevelUp Workforce Development Camp · May 13, 2026
| Child Name | Shalom, Eagan |
| Age | 16 |
| Date of Birth | 2010-04-28 |
| T-Shirt Size (Adult Unisex) | XL |
| Grade Level this Fall? | 11 |
| School/District | DPSCD |
| Name of School | 14 |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | no |
| Height | 5'6 |
| Weight | 230 |
| Sex | Female |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 16817 Mansfield St, Detroit, Michigan, 48235, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother, Father |
| Who Does the Student Live With? (Check All That Apply) | Mother, Father |
| Number of Siblings in the Home | -1 |
| Are siblings applying to a Yunion camp? | Yes, they are applying for the Level Up Workforce & Leadership Development Camp. |
| List name of youth applying for Yunion Camps | Shalom Eagan |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Name of Parent/Guardian Completing This Form | John, Eagan |
| Email Address of Parent/Guardian Completing This Form | email.jpe2@gmail.com |
| Your Preferred Method Of Communication | Text |
| Cell Phone Number of Parent/Guardian Completing This Form | (734) 674-9806 |
| Father/Legal Guardian | John, Eagan |
| Father's Address | 16817 Mansfield St, Detroit, Michigan, 48235, United States |
| Father's DOB | 1982-08-02 |
| Father's Home Number | (734) 674-9806 |
| Father's Work Number | (313) 494-4806 |
| Father's Mobile Number | (734) 674-9806 |
| Father's Email | email.jpe2@gmail.com |
| Authorized to pick up? | Yes |
| Mother/Legal Guardian | Serena, Eagan |
| Mother's Address | 14057 Brady, Redford, Michigan, 48239, United States |
| Mother's DOB | 1985-06-30 |
| Mothers Home Number | (313) 598-1934 |
| Mothers Work Number | (313) 598-1934 |
| Mothers Mobile Number | (313) 598-1934 |
| Mother's Email | serenaeagan@gmail.com |
| Authorized to pick up? | Yes |
| 1. Your Child’s Strengths | Leadership potential, Creativity, Compassion for others, Determination, Strong personality / confidence, Good sense of humor |
| 2. Areas Where Your Child May Need Support | Sometimes struggles to follow instructions at home, Sometimes struggles to follow instructions at school |
| Emotional Regulation / Anger (Check all that apply) | Reacts strongly to conflict or correction |
| Conflict with Others (Check all that apply) | Has frequent arguments with siblings, peers, or adults |
| School Engagement (Check all that apply) | Struggles to stay focused in class |
| Curfew / Home Expectations | Sometimes struggles to follow curfew or home rules |
| Exposure to Risk Behaviors (Check all that apply) | Has been exposed to drug or alcohol use among peers, Has experimented with vaping, tobacco, alcohol, or drugs |
| How would you describe your child most of the time? | Energetic / high activity level |
| What are you hoping your child gains from LevelUp Workforce Development (Check all that apply) | More discipline, Greater respect for authority, Leadership skills, Academic motivation |
| What concerns you most about your child right now? | Im concerned about her lack of effort academically and also drug use. |
| What kind of future do you hope for your child? | I would like for her to love herself, find a career that makes her happy, and stability in all areas of her life. |
| Medical Conditions (check all that apply) | None |
| If medication must be administered during program hours, a medication authorization form must be on file. Parent Initials: | 6a03c1bcd0ae62.66701072.png |
| Name | Mary Scott |
| Phone Number | (313) 779-7974 |
| Relationship to Student | Grandparent |
| Authorized for pick up? | Yes |
| Name | Robin Eagan |
| Phone Number | 313-613-6063 |
| Relationship to Student | Grandparent |
| Authorized for pick up? | Yes |
| Emergency Medical Treatment | By checking this box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking this box,I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking this box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking this box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking this box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Tutoring (school year only), Counseling referral, Behavioral support, Family resources |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | Family Insight Form |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 45000 |
| How many dependents are in your family? | 1 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | No |
| How did you find out about The Yunion's Summer Camp? | Someone referred me |
| Name of Person/Recruiter Who Referred You | Charyse Marshall |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | John Eagan |
| Add Your Signature Here (Please Sign Legibly) | 6a03c232e46b16.18129352.png |
| Child's Name (Printed) | Shalom Eagan |
| Have Your Child Sign His/Her Signature Here (Please Sign Legibly) | 6a03c232ef37b8.33714093.png |
| 2026 LevelUp Workforce & Leadership Development Camp | 2026 LevelUp Workforce & Leadership Development Camp, $0.00, 1 |
| Date | 2026-05-12 |
Levi Eagan
LevelUp Workforce Development Camp · May 12, 2026
| Child Name | Levi, Eagan |
| Age | 14 |
| Date of Birth | 2012-05-03 |
| T-Shirt Size (Adult Unisex) | Large |
| Grade Level this Fall? | 9 |
| School/District | Detroit |
| Name of School | Cass Tech |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | No |
| Height | 5'9 |
| Weight | 160 |
| Sex | Male |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 16817 Mansfield St, Detroit, Michigan, 48235, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother, Father |
| Who Does the Student Live With? (Check All That Apply) | Mother, Father |
| Are siblings applying to a Yunion camp? | Yes, they are applying for the Level Up Workforce & Leadership Development Camp. |
| List name of youth applying for Yunion Camps | Levi Eagan |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Name of Parent/Guardian Completing This Form | John, Eagan |
| Email Address of Parent/Guardian Completing This Form | email.jpe2@gmail.com |
| Your Preferred Method Of Communication | Text |
| Cell Phone Number of Parent/Guardian Completing This Form | (734) 674-9806 |
| Father/Legal Guardian | John, Eagan |
| Father's Address | 16817 Mansfield St, Detroit, Michigan, 48235, United States |
| Father's DOB | 1982-08-02 |
| Father's Home Number | (734) 674-9806 |
| Father's Work Number | (313) 494-4806 |
| Father's Mobile Number | (734) 674-9806 |
| Father's Email | email.jpe2@gmail.com |
| Authorized to pick up? | Yes |
| Mother/Legal Guardian | Serena, Eagan |
| Mother's Address | 14057 Brady, Redford, Michigan, 48239, United States |
| Mother's DOB | 1985-06-30 |
| Mothers Home Number | (313) 598-1935 |
| Mothers Work Number | (313) 598-1935 |
| Mothers Mobile Number | (734) 674-9806 |
| Mother's Email | serenaeagan@gmail.com |
| Authorized to pick up? | Yes |
| 1. Your Child’s Strengths | Leadership potential, Creativity, Compassion for others, Determination, Curiosity / enjoys learning, Good sense of humor, Helpful at home |
| 2. Areas Where Your Child May Need Support | Becomes frustrated or upset when corrected |
| Emotional Regulation / Anger (Check all that apply) | Sometimes shuts down or withdraws when upset |
| Conflict with Others (Check all that apply) | Has been involved in bullying (either as the aggressor or target) |
| How would you describe your child most of the time? | Quiet or reserved |
| What are you hoping your child gains from LevelUp Workforce Development (Check all that apply) | Increased confidence, Positive male mentorship, Leadership skills |
| What concerns you most about your child right now? | He needs to build his confidence. |
| What kind of future do you hope for your child? | One that is supportive of his full potential and helps him develop good character. |
| Medical Conditions (check all that apply) | None |
| If medication must be administered during program hours, a medication authorization form must be on file. Parent Initials: | 6a039d3d9a4d54.03053618.png |
| Name | Mary Scott |
| Phone Number | (313) 779-7974 |
| Relationship to Student | Grandparent |
| Authorized for pick up? | Yes |
| Name | Robin Eagan |
| Phone Number | 313-613-8063 |
| Relationship to Student | Grandparent |
| Authorized for pick up? | Yes |
| Emergency Medical Treatment | By checking this box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking this box,I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking this box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking this box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking this box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Tutoring (school year only), Mentoring, Family resources |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 45000 |
| How many dependents are in your family? | 3 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | No |
| How did you find out about The Yunion's Summer Camp? | Someone referred me |
| Name of Person/Recruiter Who Referred You | Charyse Marshall |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | John Eagan |
| Add Your Signature Here (Please Sign Legibly) | 6a039e3706f133.82260835.png |
| Child's Name (Printed) | Levi Eagan |
| Have Your Child Sign His/Her Signature Here (Please Sign Legibly) | 6a039e3713a4d2.31192909.png |
| 2026 LevelUp Workforce & Leadership Development Camp | 2026 LevelUp Workforce & Leadership Development Camp, $0.00, 1 |
| Date | 2026-05-12 |
Kingston Mix
LevelUp Workforce Development Camp · May 12, 2026
| Child Name | Kingston, Mix |
| Age | 14 |
| Date of Birth | 2011-07-21 |
| T-Shirt Size (Adult Unisex) | Medium |
| Grade Level this Fall? | 10 |
| School/District | Warren Public Schools |
| Name of School | Warren Fitzgerald |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | Confidence building |
| Height | 6'4" |
| Weight | 126 |
| Sex | Male |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 3330 W BUENA VISTA ST, Detroit, Michigan, 48238, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother |
| Who Does the Student Live With? (Check All That Apply) | Mother |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Name of Parent/Guardian Completing This Form | Kristen, Jones |
| Email Address of Parent/Guardian Completing This Form | Nursekristen.kj@gmail.com |
| Your Preferred Method Of Communication | |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 525-0360 |
| Mother/Legal Guardian | Kristen, Jones |
| Mother's Address | 3330 W BUENA VISTA ST, Detroit, Michigan, 48238, United States |
| Mother's DOB | 1981-04-10 |
| Mothers Home Number | (313) 525-0360 |
| Mothers Work Number | (313) 592-5216 |
| Mothers Mobile Number | (313) 525-0360 |
| Mother's Email | Nursekristen.kj@gmail.com |
| Authorized to pick up? | Yes |
| 1. Your Child’s Strengths | Leadership potential, Athletic ability, Compassion for others, Helpful at home |
| 2. Areas Where Your Child May Need Support | Becomes frustrated or upset when corrected |
| Emotional Regulation / Anger (Check all that apply) | Has difficulty controlling anger or frustration, Sometimes shuts down or withdraws when upset |
| How would you describe your child most of the time? | Calm and easygoing, Sensitive / emotional, Independent, Strong-willed, Quiet or reserved |
| What are you hoping your child gains from LevelUp Workforce Development (Check all that apply) | Increased confidence, Positive male mentorship, Leadership skills, Stronger faith or spiritual foundation |
| What concerns you most about your child right now? | I would like for Kingston to experience positive male role models that can speak life into him and help build his confidence. He's a great kid I just want him to walk in that. |
| What kind of future do you hope for your child? | A bright, successful future where he knows exactly who he is and stands on that and is also rooted and led by God in all he does. |
| Preferred Hospital for Emergency Treatment | nearest |
| Medical Conditions (check all that apply) | Allergies |
| Food Allergies | seafood/shellfish |
| Allergic to Bees? | No |
| If medication must be administered during program hours, a medication authorization form must be on file. Parent Initials: | 6a032efd9021f9.90074989.png |
| Name | Kristen Jones |
| Phone Number | (313) 525-0360 |
| Relationship to Student | Mother |
| Authorized for pick up? | Yes |
| Name | Kayla lewis |
| Phone Number | 313-455-7325 |
| Relationship to Student | sister |
| Authorized for pick up? | Yes |
| Emergency Medical Treatment | By checking this box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking this box,I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking this box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking this box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking this box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| May one of our team members contact you with more information about our support services? | Yes |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 60000 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | No |
| How did you find out about The Yunion's Summer Camp? | Google Search |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Kristen Jones |
| Add Your Signature Here (Please Sign Legibly) | 6a032f805d6860.01414060.png |
| Child's Name (Printed) | Kingston Mix |
| Have Your Child Sign His/Her Signature Here (Please Sign Legibly) | 6a032f8066c443.25014812.png |
| 2026 LevelUp Workforce & Leadership Development Camp | 2026 LevelUp Workforce & Leadership Development Camp, $0.00, 1 |
| Date | 2026-05-12 |
Prince Khazyr
LevelUp Workforce Development Camp · May 11, 2026
| Child Name | Prince, Khazyr |
| Age | 14 |
| Date of Birth | 2012-03-29 |
| T-Shirt Size (Adult Unisex) | Small |
| Grade Level this Fall? | 9 |
| School/District | Detroit |
| Name of School | Mumford |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | N/A |
| Height | 5'4" |
| Weight | 115 |
| Sex | Male |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 18266 Mark Twain, Detroit, Michigan, 48235, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother |
| Who Does the Student Live With? (Check All That Apply) | Mother |
| Number of Siblings in the Home | 1 |
| Are siblings applying to a Yunion camp? | No, they are not applying for a Yunion Camp. |
| List name of youth applying for Yunion Camps | Khazyr |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Name of Parent/Guardian Completing This Form | Michelle, Ross |
| Email Address of Parent/Guardian Completing This Form | michellerossontask@gmail.com |
| Your Preferred Method Of Communication | |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 649-9701 |
| Mother/Legal Guardian | Michelle, Ross |
| Mother's Address | 18266 Mark Twain, Detroit, Michigan, 48235, United States |
| Mother's DOB | 1983-11-24 |
| Mothers Home Number | (313) 649-9701 |
| Mothers Mobile Number | (313) 649-9701 |
| Mother's Email | michellerossontask@gmail.com |
| Authorized to pick up? | Yes |
| 1. Your Child’s Strengths | Leadership potential, Creativity, Athletic ability, Compassion for others, Determination, Curiosity / enjoys learning, Strong personality / confidence, Good sense of humor, Helpful at home |
| 2. Areas Where Your Child May Need Support | Sometimes struggles to follow instructions at home |
| Emotional Regulation / Anger (Check all that apply) | Sometimes shuts down or withdraws when upset |
| School Engagement (Check all that apply) | Has received school suspension(s) |
| Exposure to Risk Behaviors (Check all that apply) | Has experimented with vaping, tobacco, alcohol, or drugs |
| Has your child ever (Check all that apply): | Been suspended from school, Been expelled from school, Been transferred due to disciplinary issues |
| How would you describe your child most of the time? | Calm and easygoing, Sensitive / emotional, Strong-willed |
| What are you hoping your child gains from LevelUp Workforce Development (Check all that apply) | More discipline, Increased confidence, Positive male mentorship, Leadership skills, Stronger faith or spiritual foundation, Better decision making |
| Preferred Hospital for Emergency Treatment | Providence |
| Medical Conditions (check all that apply) | None |
| Name | Michelle Ross |
| Phone Number | (313) 649-9701 |
| Relationship to Student | Mom |
| Authorized for pick up? | Yes |
| Name | Michael Ross |
| Relationship to Student | Uncle |
| Authorized for pick up? | Yes |
| Name | Charles Ross |
| Relationship to Student | Grandfather |
| Authorized for pick up? | Yes |
| Emergency Medical Treatment | By checking this box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking this box,I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking this box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking this box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking this box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Not needed at this time |
| May one of our team members contact you with more information about our support services? | No |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 56000 |
| How many dependents are in your family? | 3 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | No |
| Please explain any extenuating circumstances related to your financial need? (100 words or less) | Our budget is at capacity and every dime is accounted for. Hoping he gets into this program so that he can receive mentorship and earn money for back to schools necessities, while gaining useful experience in the work force. |
| How did you find out about The Yunion's Summer Camp? | The Cave of Adullam |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Michelle Ross |
| Add Your Signature Here (Please Sign Legibly) | 6a0224d40b1f61.34832466.png |
| Child's Name (Printed) | Prince Khazyr |
| Have Your Child Sign His/Her Signature Here (Please Sign Legibly) | 6a0224d41517b9.36209528.png |
| 2026 LevelUp Workforce & Leadership Development Camp | 2026 LevelUp Workforce & Leadership Development Camp, $0.00, 1 |
| Date | 2026-05-11 |
Kobe Moore
LevelUp Workforce Development Camp · May 11, 2026
| Child Name | Kobe, Moore |
| Age | 15 |
| Date of Birth | 2011-04-01 |
| T-Shirt Size (Adult Unisex) | Medium |
| Grade Level this Fall? | 10th |
| School/District | Roseville |
| Name of School | Roseville high school |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | No |
| Height | 5’6 |
| Weight | 170 |
| Sex | Male |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 17920 Biehl, Roseville, Michigan, 48066, United States |
| County in Which Child Resides | Macomb County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother, Father |
| Who Does the Student Live With? (Check All That Apply) | Mother |
| Number of Siblings in the Home | 2 |
| Are siblings applying to a Yunion camp? | No, they are not applying for a Yunion Camp. |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Name of Parent/Guardian Completing This Form | Toia, Williams |
| Email Address of Parent/Guardian Completing This Form | toia_williams@yahoo.com |
| Your Preferred Method Of Communication | |
| Cell Phone Number of Parent/Guardian Completing This Form | (586) 744-0515 |
| Father/Legal Guardian | Michael, Moore |
| Father's Address | 18123 fleming, Detroit, Michigan, 48234, United States |
| Father's DOB | 1988-03-14 |
| Father's Mobile Number | (586) 744-0515 |
| Father's Email | toia_williams@yahoo.com |
| Authorized to pick up? | Yes |
| Mother/Legal Guardian | Toia, Williams |
| Mother's Address | 17920 Biehl St, Roseville, Michigan, 48066, United States |
| Mother's DOB | 1992-08-06 |
| Mothers Mobile Number | (586) 744-0515 |
| Mother's Email | toia_williams@yahoo.com |
| Authorized to pick up? | Yes |
| Emergency Medical Treatment | By checking this box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking this box,I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking this box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking this box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking this box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Not needed at this time |
| May one of our team members contact you with more information about our support services? | No |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 20000 |
| How many dependents are in your family? | 3 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | No |
| How did you find out about The Yunion's Summer Camp? | Someone referred me |
| Name of Person/Recruiter Who Referred You | Tyray Johnson |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Toia Williams |
| Add Your Signature Here (Please Sign Legibly) | 6a0202f0ef3ce2.12248109.png |
| Child's Name (Printed) | Toia Williams |
| Have Your Child Sign His/Her Signature Here (Please Sign Legibly) | 6a0202f1046d87.90466542.png |
| 2026 LevelUp Workforce & Leadership Development Camp | 2026 LevelUp Workforce & Leadership Development Camp, $0.00, 1 |
| Date | 2026-05-11 |
Cayden Theus
LevelUp Workforce Development Camp · May 11, 2026
| Child Name | Cayden, Theus |
| Age | 16 |
| Date of Birth | 2010-04-26 |
| T-Shirt Size (Adult Unisex) | Medium |
| Grade Level this Fall? | 10 |
| School/District | Warren |
| Name of School | Michigan Math and Science |
| Education Type | IEP |
| Does your Child need any additional support? Please specify in comment box below. | No |
| Height | 5’6 |
| Weight | 180 |
| Sex | Male |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 21131 Dexter Blvd, Warren, Michigan, 48089, United States |
| County in Which Child Resides | Macomb County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother |
| Who Does the Student Live With? (Check All That Apply) | Mother |
| Number of Siblings in the Home | 2 |
| Are siblings applying to a Yunion camp? | Yes, they are applying for the Level Up Workforce & Leadership Development Camp. |
| List name of youth applying for Yunion Camps | Theus |
| Primary Language Other Than English | English |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Name of Parent/Guardian Completing This Form | Crystal, Oldham |
| Email Address of Parent/Guardian Completing This Form | oldham.crystal@yahoo.com |
| Your Preferred Method Of Communication | |
| Cell Phone Number of Parent/Guardian Completing This Form | (586) 823-2786 |
| Mother/Legal Guardian | Crystal, Oldham |
| Mother's Address | 21131 Dexter Blvd, Warren, Michigan, 48089, United States |
| Mother's DOB | 1987-01-28 |
| Mothers Home Number | (586) 823-2786 |
| Mothers Mobile Number | (586) 823-2786 |
| Mother's Email | oldham.crystal@yahoo.com |
| Authorized to pick up? | Yes |
| Emergency Medical Treatment | By checking this box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking this box,I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking this box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking this box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking this box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Mentoring, Counseling referral |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 2500 |
| How many dependents are in your family? | 2 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | No |
| How did you find out about The Yunion's Summer Camp? | |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Crystal Oldham |
| Add Your Signature Here (Please Sign Legibly) | 6a01fa865f8370.96865371.png |
| Child's Name (Printed) | Cayden Theus |
| Have Your Child Sign His/Her Signature Here (Please Sign Legibly) | 6a01fa866b70b1.63154035.png |
| 2026 LevelUp Workforce & Leadership Development Camp | 2026 LevelUp Workforce & Leadership Development Camp, $0.00, 1 |
| Date | 2026-05-11 |
Aubrey Johnson
LevelUp Workforce Development Camp · May 11, 2026
| Child Name | Aubrey, Johnson |
| Age | 15 |
| Date of Birth | 2010-12-10 |
| T-Shirt Size (Adult Unisex) | Medium |
| Grade Level this Fall? | 10 |
| School/District | Warren schools |
| Name of School | Sterling Heights high school |
| Education Type | IEP |
| Does your Child need any additional support? Please specify in comment box below. | Yes she does math and English |
| Height | 5’2 |
| Weight | 160 |
| Sex | Female |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 33105 fuhrmann drive, Sterling Heights, Michigan, 48310, United States |
| County in Which Child Resides | Macomb County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother, Father |
| Who Does the Student Live With? (Check All That Apply) | Mother, Father |
| Number of Siblings in the Home | 2 |
| Are siblings applying to a Yunion camp? | No, they are not applying for a Yunion Camp. |
| Primary Language Other Than English | Yes |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Name of Parent/Guardian Completing This Form | April, Johnson |
| Email Address of Parent/Guardian Completing This Form | johnsonaprilp91@gmail.com |
| Your Preferred Method Of Communication | |
| Cell Phone Number of Parent/Guardian Completing This Form | (586) 823-6893 |
| Father/Legal Guardian | Tyray, Johnson |
| Father's Address | Tyray.johnson@gmail.com, 33105 fuhrmann dr, Michigan, 48310, United States |
| Father's DOB | 1989-12-28 |
| Father's Home Number | (313) 671-1223 |
| Father's Mobile Number | (313) 823-6893 |
| Father's Email | tyray.johnsonaprilp91@gmail.com |
| Authorized to pick up? | Yes |
| Mother/Legal Guardian | April, Johnson |
| Mother's Address | 33105 fuhrmann Dr, Sterling Heights, Michigan, 48310, United States |
| Mother's DOB | 1991-04-15 |
| Mothers Mobile Number | (586) 823-6893 |
| Mother's Email | johnsonaprilp91@gmail.com |
| Authorized to pick up? | Yes |
| Emergency Medical Treatment | By checking this box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking this box,I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking this box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking this box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking this box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Not needed at this time |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 150000 |
| How many dependents are in your family? | 3 |
| Are you a single-income family?* | No |
| Does the child for whom you are applying receive child support?* | No |
| Please explain any extenuating circumstances related to your financial need? (100 words or less) | None |
| How did you find out about The Yunion's Summer Camp? | Someone referred me |
| Name of Person/Recruiter Who Referred You | Taquinda cylar |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | April Johnson |
| Add Your Signature Here (Please Sign Legibly) | 6a01f5e7668ec5.41499990.png |
| Child's Name (Printed) | Aubrey Johnson |
| Have Your Child Sign His/Her Signature Here (Please Sign Legibly) | 6a01f5e77078e3.29973477.png |
| 2026 LevelUp Workforce & Leadership Development Camp | 2026 LevelUp Workforce & Leadership Development Camp, $0.00, 1 |
| Date | 2026-05-11 |
Prince Uche
LevelUp Workforce Development Camp · May 8, 2026
| Child Name | Prince, Uche |
| Age | 13 |
| Date of Birth | 2012-08-13 |
| T-Shirt Size (Adult Unisex) | Medium |
| Grade Level this Fall? | 9th |
| School/District | Detroit |
| Name of School | Jalen Rose Leadership Academy |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | No |
| Height | 5'7 |
| Weight | 125 |
| Sex | Male |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 16215 Oakfield Ave, Detroit, Michigan, 48235, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Father, Guardian |
| Who Does the Student Live With? (Check All That Apply) | Other |
| Who Does the Student Live With? | Grandparents/Aunt |
| Number of Siblings in the Home | 4 |
| Are siblings applying to a Yunion camp? | Yes, they are applying for the Level Up Workforce & Leadership Development Camp. |
| List name of youth applying for Yunion Camps | Bradyn Webb |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Name of Parent/Guardian Completing This Form | Cherita, Webb |
| Email Address of Parent/Guardian Completing This Form | mswebb842@gmail.com |
| Your Preferred Method Of Communication | |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 452-4867 |
| Father/Legal Guardian | Walter, Webb |
| Father's Address | 13950 Stahelin, Detroit, Michigan, 48223, United States |
| Father's DOB | 1952-02-28 |
| Father's Home Number | (313) 273-8830 |
| Father's Mobile Number | (313) 452-4867 |
| Father's Email | mswebb842@gmail.com |
| Authorized to pick up? | Yes |
| 1. Your Child’s Strengths | Leadership potential, Creativity, Compassion for others, Determination, Curiosity / enjoys learning, Strong personality / confidence, Good sense of humor, Helpful at home |
| 2. Areas Where Your Child May Need Support | Becomes frustrated or upset when corrected |
| Conflict with Others (Check all that apply) | Sometimes responds physically when upset |
| How would you describe your child most of the time? | Calm and easygoing, Energetic / high activity level, Sensitive / emotional, Independent, Strong-willed, Quiet or reserved |
| What are you hoping your child gains from LevelUp Workforce Development (Check all that apply) | Increased confidence, Positive male mentorship, Leadership skills, Stronger faith or spiritual foundation, Better decision making, Academic motivation |
| Medical Conditions (check all that apply) | None |
| If medication must be administered during program hours, a medication authorization form must be on file. Parent Initials: | 69fde4471ce434.90466503.png |
| Name | Cherita Webb |
| Phone Number | (313) 452-4867 |
| Relationship to Student | Aunt |
| Authorized for pick up? | Yes |
| Name | Miggie Webb |
| Phone Number | 3137214297 |
| Relationship to Student | Grandmother |
| Authorized for pick up? | Yes |
| Emergency Medical Treatment | By checking this box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking this box,I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking this box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking this box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking this box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Mentoring, Counseling referral |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 40000 |
| How many dependents are in your family? | 5 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | No |
| Please explain any extenuating circumstances related to your financial need? (100 words or less) | Prince's mother recently passed away. |
| How did you find out about The Yunion's Summer Camp? | Someone referred me |
| Name of Person/Recruiter Who Referred You | Nice lady from the Yunion |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Cherita Webb |
| Add Your Signature Here (Please Sign Legibly) | 69fde4dc863fd3.33482936.png |
| Child's Name (Printed) | Prince Uche |
| Have Your Child Sign His/Her Signature Here (Please Sign Legibly) | 69fde4dc926083.26148487.png |
| 2026 LevelUp Workforce & Leadership Development Camp | 2026 LevelUp Workforce & Leadership Development Camp, $0.00, 1 |
| Date | 2026-05-08 |
Jacob Hearns
LevelUp Workforce Development Camp · May 8, 2026
| Child Name | Jacob, Hearns |
| Age | 16 |
| Date of Birth | 2010-02-25 |
| T-Shirt Size (Adult Unisex) | Small |
| Grade Level this Fall? | 11 |
| School/District | Wayne |
| Name of School | Cass Tech |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | N/a |
| Height | 5'11 |
| Weight | 135 |
| Sex | Male |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 16580 Appoline, Detroit, Michigan, 48235, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother |
| Who Does the Student Live With? (Check All That Apply) | Mother |
| Number of Siblings in the Home | 3 |
| Are siblings applying to a Yunion camp? | No, they are not applying for a Yunion Camp. |
| List name of youth applying for Yunion Camps | Jacob Hearns |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Name of Parent/Guardian Completing This Form | Natasha, Barnes |
| Email Address of Parent/Guardian Completing This Form | njae3301@yahoo.com |
| Your Preferred Method Of Communication | Text |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 978-9860 |
| Mother/Legal Guardian | Natasha, Barnes |
| Mother's Address | 16580 Appoline, Detroit, Michigan, 48235, United States |
| Mother's DOB | 1982-11-06 |
| Mothers Work Number | (313) 596-1640 |
| Mothers Mobile Number | (313) 978-9860 |
| Mother's Email | njae3301@yahoo.com |
| Authorized to pick up? | Yes |
| 1. Your Child’s Strengths | Leadership potential, Compassion for others, Determination, Curiosity / enjoys learning, Good sense of humor, Helpful at home |
| Emotional Regulation / Anger (Check all that apply) | Sometimes shuts down or withdraws when upset |
| How would you describe your child most of the time? | Calm and easygoing |
| What are you hoping your child gains from LevelUp Workforce Development (Check all that apply) | Positive male mentorship |
| What concerns you most about your child right now? | N/a |
| What kind of future do you hope for your child? | Wisdom, success, stability, |
| Preferred Hospital for Emergency Treatment | Beaumont Royal Oak |
| Medical Conditions (check all that apply) | Allergies, Asthma |
| Food Allergies | Dairy |
| Allergic to Bees? | No |
| If medication must be administered during program hours, a medication authorization form must be on file. Parent Initials: | 69fdc19d6a00e9.71413129.png |
| Name | Kim Thompson |
| Phone Number | (313) 978-9860 |
| Relationship to Student | Mother |
| Authorized for pick up? | Yes |
| Name | Kim Thompson |
| Phone Number | 3133978659 |
| Relationship to Student | Grandmother |
| Authorized for pick up? | Yes |
| Emergency Medical Treatment | By checking this box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking this box,I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking this box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking this box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking this box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Not needed at this time |
| May one of our team members contact you with more information about our support services? | No |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 45000 |
| How many dependents are in your family? | 3 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | No |
| How did you find out about The Yunion's Summer Camp? | Returning camper |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Natasha Barnes |
| Add Your Signature Here (Please Sign Legibly) | 69fdc22921aa35.14235056.png |
| Child's Name (Printed) | Jacob Hearns |
| Have Your Child Sign His/Her Signature Here (Please Sign Legibly) | 69fdc2293896b4.42291890.png |
| 2026 LevelUp Workforce & Leadership Development Camp | 2026 LevelUp Workforce & Leadership Development Camp, $0.00, 1 |
| Date | 2026-05-08 |
Bradyn Webb
LevelUp Workforce Development Camp · May 7, 2026
| Child Name | Bradyn, Webb |
| Age | 14 |
| Date of Birth | 2012-03-13 |
| T-Shirt Size (Adult Unisex) | Large |
| Grade Level this Fall? | 9th |
| School/District | Wayne |
| Name of School | Jalen Hope Leadership Academy |
| Education Type | IEP |
| Does your Child need any additional support? Please specify in comment box below. | No |
| Height | 5 |
| Weight | 7 |
| Sex | Male |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 16215 Oakfield Ave, Detroit, Michigan, 48235, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother, Father |
| Who Does the Student Live With? (Check All That Apply) | Mother |
| Number of Siblings in the Home | 4 |
| Are siblings applying to a Yunion camp? | Yes, they are applying for the Keys Performing Arts Camp. |
| List name of youth applying for Yunion Camps | Prince Uche |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Name of Parent/Guardian Completing This Form | Cherita, Webb |
| Email Address of Parent/Guardian Completing This Form | mswebb842@gmail.com |
| Your Preferred Method Of Communication | |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 452-4867 |
| Father/Legal Guardian | Brady, Pearson |
| Father's Address | 16215 Oakfield Ave, Detroit, Michigan, 48235, United States |
| Father's DOB | 1982-04-19 |
| Father's Mobile Number | (313) 452-4867 |
| Father's Email | mswebb842@gmail.com |
| Authorized to pick up? | Yes |
| Mother/Legal Guardian | Cherita, Webb |
| Mother's Address | 16215 Oakfield Ave, Detroit, Michigan, 48235, United States |
| Mother's DOB | 1984-11-13 |
| Mothers Mobile Number | (313) 452-4867 |
| Mother's Email | mswebb842@gmail.com |
| Authorized to pick up? | Yes |
| 1. Your Child’s Strengths | Leadership potential, Creativity, Athletic ability, Compassion for others, Determination, Curiosity / enjoys learning, Strong personality / confidence, Good sense of humor, Helpful at home |
| 2. Areas Where Your Child May Need Support | Sometimes struggles to follow instructions at home, Sometimes struggles to follow instructions at school, Becomes frustrated or upset when corrected |
| Emotional Regulation / Anger (Check all that apply) | Has difficulty controlling anger or frustration, Sometimes shuts down or withdraws when upset |
| School Engagement (Check all that apply) | Struggles to stay focused in class |
| How would you describe your child most of the time? | Calm and easygoing, Sensitive / emotional, Quiet or reserved |
| What are you hoping your child gains from LevelUp Workforce Development (Check all that apply) | More discipline, Increased confidence, Positive male mentorship, Leadership skills, Stronger faith or spiritual foundation, Better decision making, Academic motivation |
| Medical Conditions (check all that apply) | Allergies |
| Allergic to Bees? | No |
| If medication must be administered during program hours, a medication authorization form must be on file. Parent Initials: | 69fcda9134fda9.07955360.png |
| Name | Miggie Webb |
| Phone Number | (313) 721-4297 |
| Relationship to Student | Grandmother |
| Authorized for pick up? | Yes |
| Name | Walter Webb |
| Phone Number | 3139867096 |
| Relationship to Student | Grandfather |
| Authorized for pick up? | Yes |
| Emergency Medical Treatment | By checking this box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking this box,I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking this box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking this box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking this box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Tutoring (school year only), Mentoring, Counseling referral |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 40000 |
| How many dependents are in your family? | 2 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | No |
| Please explain any extenuating circumstances related to your financial need? (100 words or less) | Single family home needing assistance for summer camp. |
| How did you find out about The Yunion's Summer Camp? | Someone referred me |
| Name of Person/Recruiter Who Referred You | A lady from the Union made me aware of the program |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Cherita Webb |
| Add Your Signature Here (Please Sign Legibly) | 69fcdb8fb5b1c6.76645237.png |
| Child's Name (Printed) | Bradyn Webb |
| Have Your Child Sign His/Her Signature Here (Please Sign Legibly) | 69fcdb8fc09335.16133911.png |
| 2026 LevelUp Workforce & Leadership Development Camp | 2026 LevelUp Workforce & Leadership Development Camp, $0.00, 1 |
| Date | 2026-05-07 |
Michael Flowers
LevelUp Workforce Development Camp · May 7, 2026
| Child Name | Michael, Flowers |
| Age | 15 |
| Date of Birth | 2011-04-12 |
| T-Shirt Size (Adult Unisex) | Large |
| Grade Level this Fall? | 9th |
| School/District | Detroit |
| Name of School | University prep art and design HS |
| Education Type | N/a |
| Does your Child need any additional support? Please specify in comment box below. | /a |
| Height | 6'1 |
| Weight | 160 |
| Sex | Male |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 5764 Woodward Avenue, Detroit, Michigan, 48202, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother |
| Who Does the Student Live With? (Check All That Apply) | Mother |
| Are siblings applying to a Yunion camp? | Yes, they are applying for the Level Up Workforce & Leadership Development Camp. |
| Primary Language Other Than English | English |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Name of Parent/Guardian Completing This Form | Lisa, Flowers |
| Email Address of Parent/Guardian Completing This Form | 81flowers@gmail.com |
| Your Preferred Method Of Communication | Text |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 434-2691 |
| Mother/Legal Guardian | Lisa, Flowers |
| Mother's Address | 5764 Woodward Avenue #4, Detroit, Michigan, 48202, United States |
| Mother's DOB | 1981-11-23 |
| Mothers Home Number | (313) 434-2691 |
| Mothers Mobile Number | (313) 434-2691 |
| Mother's Email | 81flowers@gmail.com |
| Authorized to pick up? | Yes |
| 1. Your Child’s Strengths | Leadership potential, Creativity, Strong personality / confidence, Good sense of humor |
| 2. Areas Where Your Child May Need Support | Sometimes struggles to follow instructions at school |
| School Engagement (Check all that apply) | Struggles to stay focused in class |
| How would you describe your child most of the time? | Calm and easygoing, Energetic / high activity level |
| What are you hoping your child gains from LevelUp Workforce Development (Check all that apply) | More discipline, Greater respect for authority, Increased confidence, Positive male mentorship, Leadership skills, Stronger faith or spiritual foundation, Better decision making, Academic motivation |
| What concerns you most about your child right now? | Confidence Focus in school Independent decision making Leadership |
| What kind of future do you hope for your child? | Positive Successful Happy Healthy Stability |
| Medical Conditions (check all that apply) | None |
| Name | Sonya Hawkins |
| Phone Number | (313) 459-7795 |
| Relationship to Student | Grandmother |
| Authorized for pick up? | Yes |
| Name | Sonya Hawkins |
| Emergency Medical Treatment | By checking this box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking this box,I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking this box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking this box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking this box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Mentoring |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 43000 |
| How many dependents are in your family? | 1 |
| Are you a single-income family?* | No |
| Does the child for whom you are applying receive child support?* | Yes |
| Please explain any extenuating circumstances related to your financial need? (100 words or less) | 430per month for child support |
| How did you find out about The Yunion's Summer Camp? | Keys to life |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Lisa A. Flowers |
| Add Your Signature Here (Please Sign Legibly) | 69fcafa783b498.77735229.png |
| Child's Name (Printed) | Michael Flowers |
| Have Your Child Sign His/Her Signature Here (Please Sign Legibly) | 69fcafa78d9984.59108963.png |
| 2026 LevelUp Workforce & Leadership Development Camp | 2026 LevelUp Workforce & Leadership Development Camp, $0.00, 1 |
| Date | 2026-05-07 |
Chase McDaniel
LevelUp Workforce Development Camp · May 5, 2026
| Child Name | Chase, McDaniel |
| Age | 14 |
| Date of Birth | 2012-05-17 |
| T-Shirt Size (Adult Unisex) | Medium |
| Grade Level this Fall? | 9 |
| School/District | Redford |
| Name of School | Pierce middle school |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | no |
| Height | 5 |
| Weight | 7 |
| Sex | Male |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 26337 cathedral, redford, Michigan, 48239, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother, Father |
| Who Does the Student Live With? (Check All That Apply) | Mother, Father |
| Number of Siblings in the Home | 2 |
| Are siblings applying to a Yunion camp? | No, they are not applying for a Yunion Camp. |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Name of Parent/Guardian Completing This Form | Fallen, Turner |
| Email Address of Parent/Guardian Completing This Form | fallenturner@gmail.com |
| Your Preferred Method Of Communication | |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 778-1393 |
| Father/Legal Guardian | Alton, Mcdaniel |
| Father's Address | 26337 cathedral, redford, Michigan, 48239, United States |
| Father's DOB | 1990-02-07 |
| Father's Home Number | (313) 312-7647 |
| Father's Mobile Number | (313) 312-7617 |
| Father's Email | fallenturner@gmail.com |
| Authorized to pick up? | Yes |
| Mother/Legal Guardian | Fallen, Turner |
| Mother's Address | 26337 cathedral, redford, Michigan, 48239, United States |
| Mother's DOB | 1989-09-22 |
| Mothers Mobile Number | (313) 778-1393 |
| Mother's Email | fallenturner@gmail.com |
| Authorized to pick up? | Yes |
| 1. Your Child’s Strengths | Leadership potential, Compassion for others, Good sense of humor |
| 2. Areas Where Your Child May Need Support | Sometimes struggles to follow instructions at home |
| Conflict with Others (Check all that apply) | Has frequent arguments with siblings, peers, or adults |
| School Engagement (Check all that apply) | Struggles with school attendance |
| Has your child ever (Check all that apply): | Been suspended from school |
| How would you describe your child most of the time? | Calm and easygoing, Sensitive / emotional, Strong-willed |
| What are you hoping your child gains from LevelUp Workforce Development (Check all that apply) | More discipline, Greater respect for authority, Increased confidence, Positive male mentorship, Leadership skills |
| What concerns you most about your child right now? | maturity, leadership skills and gaining confidence |
| What kind of future do you hope for your child? | to become a great leader, to gain mental and emotional maturity, to become a high achiever academically. |
| Preferred Hospital for Emergency Treatment | children’s |
| Medical Conditions (check all that apply) | Allergies, Asthma |
| Allergic to Bees? | No |
| If medication must be administered during program hours, a medication authorization form must be on file. Parent Initials: | 69f9ec522babf6.26539990.png |
| Name | Fallen Turner |
| Phone Number | (313) 778-1393 |
| Relationship to Student | mother |
| Authorized for pick up? | Yes |
| Emergency Medical Treatment | By checking this box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking this box,I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking this box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking this box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking this box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Tutoring (school year only), Mentoring |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 60000 |
| How many dependents are in your family? | 5 |
| Are you a single-income family?* | No |
| Does the child for whom you are applying receive child support?* | No |
| How did you find out about The Yunion's Summer Camp? | |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Fallen Turner |
| Add Your Signature Here (Please Sign Legibly) | 69f9ed35bbb5f7.21226458.png |
| Child's Name (Printed) | Chase McDaniel |
| Have Your Child Sign His/Her Signature Here (Please Sign Legibly) | 69f9ed35c60a04.78538107.png |
| 2026 LevelUp Workforce & Leadership Development Camp | 2026 LevelUp Workforce & Leadership Development Camp, $0.00, 1 |
| Date | 2026-05-05 |
Asa Carithers
LevelUp Workforce Development Camp · May 5, 2026
| Child Name | Asa, Carithers |
| Age | 14 |
| Date of Birth | 2011-08-01 |
| T-Shirt Size (Adult Unisex) | Large |
| Grade Level this Fall? | 10 |
| School/District | Uprep |
| Name of School | Uprep Art &Design |
| Education Type | IEP |
| Does your Child need any additional support? Please specify in comment box below. | IEP |
| Height | 5”9 |
| Weight | 165 |
| Sex | Male |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 1936 Oakman Blvd, Detroit, Michigan, 48202, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother, Father, Guardian |
| Who Does the Student Live With? (Check All That Apply) | Mother |
| Number of Siblings in the Home | 1 |
| Are siblings applying to a Yunion camp? | No, they are not applying for a Yunion Camp. |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Name of Parent/Guardian Completing This Form | Lashella, Carithers |
| Email Address of Parent/Guardian Completing This Form | heyred20@gmail.com |
| Your Preferred Method Of Communication | Text |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 828-7915 |
| Father/Legal Guardian | Warren, Carithers |
| Father's Address | Na, Dearborn Heights, Michigan, Mi, United States |
| Father's DOB | 1985-03-02 |
| Father's Home Number | (313) 510-5956 |
| Father's Mobile Number | (313) 510-5956 |
| Father's Email | heyred20@gmail.com |
| Authorized to pick up? | Yes |
| Mother/Legal Guardian | Lashella, Carithers |
| Mother's Address | 2557 W McNichols B5, Detroit, Michigan, 48202, United States |
| Mother's DOB | 1986-02-19 |
| Mothers Mobile Number | (313) 828-7915 |
| Mother's Email | heyred20@gmail.com |
| Authorized to pick up? | Yes |
| 1. Your Child’s Strengths | Creativity, Good sense of humor, Helpful at home |
| How would you describe your child most of the time? | Calm and easygoing, Quiet or reserved |
| What are you hoping your child gains from LevelUp Workforce Development (Check all that apply) | Increased confidence, Positive male mentorship, Leadership skills, Stronger faith or spiritual foundation, Better decision making, Academic motivation |
| Preferred Hospital for Emergency Treatment | Closest possible |
| Medical Conditions (check all that apply) | Allergies, Asthma |
| Allergic to Bees? | No |
| If medication must be administered during program hours, a medication authorization form must be on file. Parent Initials: | 69f96adf0fdc74.43030923.png |
| Name | Shavarn Smith |
| Phone Number | (313) 424-9196 |
| Relationship to Student | Grandmother |
| Authorized for pick up? | Yes |
| Name | Alfonzo Smith |
| Phone Number | 3132837527 |
| Relationship to Student | Grandpa |
| Authorized for pick up? | Yes |
| Name | Jordan Meadows |
| Phone Number | 3135983263 |
| Authorized for pick up? | Yes |
| Emergency Medical Treatment | By checking this box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking this box,I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking this box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking this box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking this box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Tutoring (school year only) |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 10000 |
| How many dependents are in your family? | 2 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | Yes |
| How did you find out about The Yunion's Summer Camp? | Summer Discovery |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Lashella Carithers |
| Add Your Signature Here (Please Sign Legibly) | 69f96b9e571882.63492337.png |
| Child's Name (Printed) | Lashella Carithers |
| Have Your Child Sign His/Her Signature Here (Please Sign Legibly) | 69f96b9e612982.49006635.png |
| 2026 LevelUp Workforce & Leadership Development Camp | 2026 LevelUp Workforce & Leadership Development Camp, $0.00, 1 |
| Date | 2026-05-04 |
Nylah Motley
LevelUp Workforce Development Camp · May 4, 2026
| Child Name | Nylah, Motley |
| Age | 14 |
| Date of Birth | 2011-12-12 |
| T-Shirt Size (Adult Unisex) | Small |
| Grade Level this Fall? | 9 |
| School/District | DPSCD |
| Name of School | Unknown |
| Education Type | IEP |
| Does your Child need any additional support? Please specify in comment box below. | My child has a developmental delay and thus does not excel academically typical to other children the same age. |
| Height | 5'2" |
| Weight | 101 |
| Sex | Female |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 1949 Longfellow St, Detroit, Michigan, 48206, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother, Father |
| Who Does the Student Live With? (Check All That Apply) | Mother, Father |
| Number of Siblings in the Home | 3 |
| Are siblings applying to a Yunion camp? | No, they are not applying for a Yunion Camp. |
| List name of youth applying for Yunion Camps | n/a |
| Primary Language Other Than English | n/a |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Name of Parent/Guardian Completing This Form | Shalandria, Cooper |
| Email Address of Parent/Guardian Completing This Form | shalandriag.cooper@gmail.com |
| Your Preferred Method Of Communication | |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 939-1440 |
| Father/Legal Guardian | Jason, Motley |
| Father's Address | 1949 Longfellow St, Detroit, Michigan, 48206, United States |
| Father's DOB | 1982-05-26 |
| Father's Home Number | (313) 918-8390 |
| Father's Mobile Number | (313) 918-8390 |
| Father's Email | jm@jaysuccess.com |
| Authorized to pick up? | Yes |
| Mother/Legal Guardian | Shalandria, Cooper |
| Mother's Address | 1949 Longfellow St, Detroit, Michigan, 48206, United States |
| Mother's DOB | 1983-12-15 |
| Mothers Home Number | (313) 939-1440 |
| Mothers Mobile Number | (313) 939-1440 |
| Mother's Email | shalandriag.cooper@gmail.com |
| Authorized to pick up? | Yes |
| 1. Your Child’s Strengths | Leadership potential, Creativity, Athletic ability, Curiosity / enjoys learning, Strong personality / confidence, Helpful at home |
| 2. Areas Where Your Child May Need Support | Other |
| Other areas where support may be needed | My child has an IEP and thus learns differently than other children her age. |
| Conflict with Others (Check all that apply) | Has been involved in bullying (either as the aggressor or target) |
| School Engagement (Check all that apply) | Has received school suspension(s) |
| Has your child ever (Check all that apply): | Been suspended from school |
| How would you describe your child most of the time? | Calm and easygoing, Energetic / high activity level, Strong-willed |
| What are you hoping your child gains from LevelUp Workforce Development (Check all that apply) | More discipline, Greater respect for authority, Increased confidence, Leadership skills, Better decision making, Academic motivation |
| What concerns you most about your child right now? | As of now I am concerned about my child's development academically. And I would also like to continue to help my child improve social skills. |
| What kind of future do you hope for your child? | I hope that my child will continue to grow into an independent person with the skill set to take care of, support herself, and find a career fit for her capabilities. |
| Preferred Hospital for Emergency Treatment | Children's Hospital of Detroit |
| Medical Conditions (check all that apply) | None |
| Name | Shalandria Cooper |
| Phone Number | (313) 939-1440 |
| Relationship to Student | Mother |
| Authorized for pick up? | Yes |
| Name | Sandra Cooper |
| Phone Number | (313)282-7337 |
| Relationship to Student | Grandmother |
| Authorized for pick up? | Yes |
| Name | Zeniyah Motley |
| Phone Number | (313)844-0689 |
| Relationship to Student | Sister |
| Authorized for pick up? | Yes |
| Emergency Medical Treatment | By checking this box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking this box,I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking this box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking this box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking this box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Tutoring (school year only), Behavioral support, Family resources |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 62000 |
| How many dependents are in your family? | -1 |
| Are you a single-income family?* | No |
| Does the child for whom you are applying receive child support?* | No |
| Please explain any extenuating circumstances related to your financial need? (100 words or less) | Hello, My child would greatly benefit from participating in this program and would love to be considered for the scholarship. Currently, our dependents will be home for the summer so any funds the household can save to support them would be helpful overall. |
| How did you find out about The Yunion's Summer Camp? | Someone referred me |
| Name of Person/Recruiter Who Referred You | Jazzmin Pitts |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Shalandria Cooper |
| Add Your Signature Here (Please Sign Legibly) | 69f8e1fb90dc80.21582243.png |
| Child's Name (Printed) | Nylah Motley |
| Have Your Child Sign His/Her Signature Here (Please Sign Legibly) | 69f8e1fb9cd188.94262941.png |
| 2026 LevelUp Workforce & Leadership Development Camp | 2026 LevelUp Workforce & Leadership Development Camp, $0.00, 1 |
| Date | 2026-05-04 |
Ethan Harrison
LevelUp Workforce Development Camp · May 1, 2026
| Child Name | Ethan, Harrison |
| Age | 13 |
| Date of Birth | 2012-06-03 |
| T-Shirt Size (Adult Unisex) | Medium |
| Grade Level this Fall? | 9th |
| School/District | Canton |
| Name of School | East Middle School |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | N/A |
| Height | 5’8 |
| Weight | 155 |
| Sex | Male |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 16207 Westmoreland, Detroit, Michigan, 48219, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother, Father |
| Who Does the Student Live With? (Check All That Apply) | Mother, Father |
| Number of Siblings in the Home | 1 |
| Are siblings applying to a Yunion camp? | No, they are not applying for a Yunion Camp. |
| List name of youth applying for Yunion Camps | N/A |
| Primary Language Other Than English | N/A |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Name of Parent/Guardian Completing This Form | JaNae, Harrison |
| Email Address of Parent/Guardian Completing This Form | harrison.jj84@gmail.com |
| Your Preferred Method Of Communication | Text |
| Cell Phone Number of Parent/Guardian Completing This Form | (248) 636-7047 |
| Father/Legal Guardian | Jeffrey, Harrison |
| Father's Address | 16207 Westmoreland Road, Detroit, Michigan, 48219, United States |
| Father's Home Number | (248) 991-5008 |
| Father's Mobile Number | (248) 636-7047 |
| Father's Email | harrison.jj84@gmail.com |
| Authorized to pick up? | Yes |
| Mother/Legal Guardian | JaNae, Harrison |
| Mother's Address | 16207 Westmoreland Road, Detroit, Michigan, 48219, United States |
| Mothers Mobile Number | (248) 636-7047 |
| Mother's Email | harrison.jj84@gmail.com |
| Authorized to pick up? | Yes |
| 1. Your Child’s Strengths | Leadership potential, Compassion for others, Curiosity / enjoys learning, Helpful at home |
| 2. Areas Where Your Child May Need Support | Sometimes struggles to follow instructions at school |
| Emotional Regulation / Anger (Check all that apply) | Sometimes shuts down or withdraws when upset |
| Conflict with Others (Check all that apply) | Has been involved in bullying (either as the aggressor or target) |
| How would you describe your child most of the time? | Calm and easygoing, Sensitive / emotional, Independent, Quiet or reserved |
| What are you hoping your child gains from LevelUp Workforce Development (Check all that apply) | Increased confidence, Positive male mentorship, Leadership skills, Stronger faith or spiritual foundation, Better decision making |
| What concerns you most about your child right now? | He’s a great kid but our biggest concern for Ethan is his spiritual maturity, confidence, and discernment. |
| What kind of future do you hope for your child? | We hope for him to be a confident holistically healthy man who is successful in all of his endeavors. A man with great character that invests in himself, his family and community. |
| Preferred Hospital for Emergency Treatment | Children’s Hospital |
| Medical Conditions (check all that apply) | None |
| If medication must be administered during program hours, a medication authorization form must be on file. Parent Initials: | 69f4da05e23c57.54386978.png |
| Additional medical or behavioral information staff should know: | N/A |
| Name | JaNae J Harrison |
| Phone Number | (248) 636-7047 |
| Relationship to Student | Mother |
| Authorized for pick up? | Yes |
| Name | Jeffrey Harrison |
| Phone Number | 2489915008 |
| Relationship to Student | Father |
| Authorized for pick up? | Yes |
| Name | Tori Brown |
| Phone Number | 7346126488 |
| Relationship to Student | Aunty |
| Authorized for pick up? | Yes |
| Emergency Medical Treatment | By checking this box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking this box,I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking this box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking this box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking this box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Mentoring |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | No, we don't qualify |
| What is the annual income of your family? | 70000 |
| How many dependents are in your family? | 4 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | No |
| Please explain any extenuating circumstances related to your financial need? (100 words or less) | Like many Americans, we've fallen into the gap where our income is too high for assistance, leaving us to pay most expenses out of pocket. I also manage a chronic illness that requires costly treatment. |
| How did you find out about The Yunion's Summer Camp? | Someone referred me |
| Name of Person/Recruiter Who Referred You | Justin Pitts |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | JaNae J. Harrison |
| Add Your Signature Here (Please Sign Legibly) | 69f4e07f797b37.21632970.png |
| Child's Name (Printed) | Ethan Harrison |
| Have Your Child Sign His/Her Signature Here (Please Sign Legibly) | 69f4e07f83c789.96032038.png |
| 2026 LevelUp Workforce & Leadership Development Camp | 2026 LevelUp Workforce & Leadership Development Camp, $0.00, 1 |
| Date | 2026-05-01 |
Edina Respress
LevelUp Workforce Development Camp · May 1, 2026
| Child Name | Edina, Respress |
| Age | 14 |
| Date of Birth | 2011-12-14 |
| T-Shirt Size (Adult Unisex) | Medium |
| Grade Level this Fall? | 9th grade |
| School/District | Detroit |
| Name of School | Westside Christian Academg |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | No |
| Height | 5”1 |
| Weight | 110 |
| Sex | Female |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 7116 Hillside Dr, West Bloomfield, Michigan, 48322, United States |
| County in Which Child Resides | Oakland County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother, Father |
| Who Does the Student Live With? (Check All That Apply) | Mother, Father |
| Number of Siblings in the Home | 1 |
| Are siblings applying to a Yunion camp? | Yes, they are applying for the Level Up Workforce & Leadership Development Camp. |
| List name of youth applying for Yunion Camps | Edina Respress |
| Are you applying for a scholarship? | No, I will pay the full price |
| Name of Parent/Guardian Completing This Form | Havana, Respress |
| Email Address of Parent/Guardian Completing This Form | hjrobin336@yahoo.com |
| Your Preferred Method Of Communication | Text |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 218-4016 |
| Father/Legal Guardian | Eddie, Respress |
| Father's Address | 7116 Hillside Dr, West Bloomfield, Michigan, 48322, United States |
| Father's DOB | 1975-05-10 |
| Father's Work Number | (586) 785-0907 |
| Father's Mobile Number | (586) 785-0907 |
| Father's Email | erespress@gmail.com |
| Authorized to pick up? | Yes |
| Mother/Legal Guardian | Havana, Respress |
| Mother's Address | 7116 Hillside Dr, West Bloomfield, Michigan, 48332, United States |
| Mother's DOB | 1980-09-23 |
| Mothers Work Number | (313) 218-4016 |
| Mothers Mobile Number | (313) 218-4016 |
| Mother's Email | hjrobin336@yahoo.com |
| Authorized to pick up? | Yes |
| Emergency Medical Treatment | By checking this box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking this box,I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking this box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking this box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking this box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Tutoring (school year only), Mentoring, Counseling referral, Family resources |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| How did you find out about The Yunion's Summer Camp? | My son Ethan Respress is a Catta graduate |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Havana Respress |
| Add Your Signature Here (Please Sign Legibly) | 69f41946acfb87.20077073.png |
| Child's Name (Printed) | Edina Respress |
| Have Your Child Sign His/Her Signature Here (Please Sign Legibly) | 69f41946b8b954.17776562.png |
| 2026 LevelUp Workforce & Leadership Development Camp | 2026 LevelUp Workforce & Leadership Development Camp, $0.00, 1 |
| Date | 2026-04-30 |
Jordan Winfield
LevelUp Workforce Development Camp · April 30, 2026
| Child Name | Jordan, Winfield |
| Age | 14 |
| Date of Birth | 2011-10-17 |
| T-Shirt Size (Adult Unisex) | Large |
| Grade Level this Fall? | 9 |
| School/District | West Bloomfield |
| Name of School | West Bloomfield high |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | N/a |
| Height | 5’10 |
| Weight | 187 |
| Sex | Male |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 5025 langlewood dr, West Bloomfield, Michigan, 48322, United States |
| County in Which Child Resides | Oakland County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother, Father |
| Who Does the Student Live With? (Check All That Apply) | Mother |
| Number of Siblings in the Home | 1 |
| Are siblings applying to a Yunion camp? | Yes, they are applying for the Level Up Workforce & Leadership Development Camp. |
| List name of youth applying for Yunion Camps | Level up workforce |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Name of Parent/Guardian Completing This Form | Christina, Nabongo |
| Email Address of Parent/Guardian Completing This Form | christinanabongo@gmail.com |
| Your Preferred Method Of Communication | Text |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 515-4130 |
| Father/Legal Guardian | James, Winfield |
| Father's Address | 5025 Langlewood Drr, W Bloomfield, Michigan, 48322, United States |
| Father's DOB | 1981-01-13 |
| Father's Home Number | (313) 500-1297 |
| Father's Mobile Number | (313) 500-1297 |
| Father's Email | jamwin220@gmail.com |
| Authorized to pick up? | Yes |
| Mother/Legal Guardian | Christina, Nabongo |
| Mother's Address | 5025 Langlewood Drr, W Bloomfield, Michigan, 48322, United States |
| Mother's DOB | 1982-03-25 |
| Mothers Mobile Number | (313) 515-4130 |
| Mother's Email | christinanabongo@gmail.com |
| Authorized to pick up? | Yes |
| Emergency Medical Treatment | By checking this box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking this box,I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking this box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking this box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking this box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Mentoring |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 42000 |
| How many dependents are in your family? | 2 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | No |
| Please explain any extenuating circumstances related to your financial need? (100 words or less) | Their father is currently going through chemotherapy treatments and has lost his job as a result causing a strain on our finances |
| How did you find out about The Yunion's Summer Camp? | Other. Cave |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Christina Nabongo |
| Add Your Signature Here (Please Sign Legibly) | 69f3dbb597e417.40360143.png |
| Child's Name (Printed) | Jordan Winfield |
| Have Your Child Sign His/Her Signature Here (Please Sign Legibly) | 69f3dbb5a3d7f9.77981689.png |
| 2026 LevelUp Workforce & Leadership Development Camp | 2026 LevelUp Workforce & Leadership Development Camp, $0.00, 1 |
| Date | 2026-04-30 |
Domingius Villarreal
LevelUp Workforce Development Camp · April 30, 2026
| Child Name | Domingius, Villarreal |
| Age | 14 |
| Date of Birth | 2011-09-26 |
| T-Shirt Size (Adult Unisex) | Large |
| Grade Level this Fall? | 9th |
| School/District | Detroit |
| Name of School | Henry Ford Academy |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | No |
| Height | 5’11 |
| Weight | 190 |
| Sex | Male |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 17561 Monica st, Detroit, Michigan, 48221, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother |
| Who Does the Student Live With? (Check All That Apply) | Mother |
| Number of Siblings in the Home | 2 |
| Are siblings applying to a Yunion camp? | No, they are not applying for a Yunion Camp. |
| List name of youth applying for Yunion Camps | Workforce and leadership development camp |
| Primary Language Other Than English | Yes |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Name of Parent/Guardian Completing This Form | Rosalinda, Villarreal |
| Email Address of Parent/Guardian Completing This Form | rosse42@icloud.com |
| Your Preferred Method Of Communication | |
| Cell Phone Number of Parent/Guardian Completing This Form | (616) 366-1622 |
| Mother/Legal Guardian | Rosalinda, Villarreal |
| Mother's Address | 17561 Monica st, Detroit, Michigan, 48221, United States |
| Mother's DOB | 1972-05-25 |
| Mothers Home Number | (616) 366-1622 |
| Mothers Work Number | (616) 366-1622 |
| Mothers Mobile Number | (616) 366-1622 |
| Mother's Email | rosse42@icloud.com |
| Authorized to pick up? | Yes |
| 1. Your Child’s Strengths | Leadership potential, Creativity, Athletic ability, Compassion for others, Determination, Curiosity / enjoys learning, Strong personality / confidence, Good sense of humor, Helpful at home |
| 2. Areas Where Your Child May Need Support | Sometimes struggles to follow instructions at home, Becomes frustrated or upset when corrected |
| Emotional Regulation / Anger (Check all that apply) | Has difficulty controlling anger or frustration, Reacts strongly to conflict or correction, Sometimes shuts down or withdraws when upset |
| School Engagement (Check all that apply) | Struggles with school attendance |
| How would you describe your child most of the time? | Calm and easygoing, Energetic / high activity level, Independent |
| What are you hoping your child gains from LevelUp Workforce Development (Check all that apply) | More discipline, Better anger management, Positive male mentorship, Leadership skills, Better decision making, Academic motivation |
| What concerns you most about your child right now? | His frustration and his motivation and time management skills |
| What kind of future do you hope for your child? | Just a future he loves and enjoys what hes doing so it feels like freedom instead of work |
| Preferred Hospital for Emergency Treatment | Closest |
| Medical Conditions (check all that apply) | None |
| If medication must be administered during program hours, a medication authorization form must be on file. Parent Initials: | 69f28d5a1e34f1.61906593.png |
| Additional medical or behavioral information staff should know: | None |
| Name | Laila Bell |
| Phone Number | (616) 773-9959 |
| Relationship to Student | Sister |
| Authorized for pick up? | Yes |
| Name | Laila Bell |
| Phone Number | 6167739959 |
| Relationship to Student | Sister |
| Authorized for pick up? | Yes |
| Name | Nazir Bell |
| Phone Number | 3135509866 |
| Relationship to Student | Brother |
| Authorized for pick up? | Yes |
| Emergency Medical Treatment | By checking this box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking this box,I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking this box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking this box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking this box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Not needed at this time |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | No, my school doesn't have that program |
| What is the annual income of your family? | 6 |
| How many dependents are in your family? | 2 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | Yes |
| Please explain any extenuating circumstances related to your financial need? (100 words or less) | Domingius already attends CATTA so to pay for both at the moment will be detrimental to my budget 😅 |
| How did you find out about The Yunion's Summer Camp? | Other catta |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Rosalinda Villarreal |
| Add Your Signature Here (Please Sign Legibly) | 69f3577637fce0.48868711.png |
| Child's Name (Printed) | Domingius Villarreal |
| Have Your Child Sign His/Her Signature Here (Please Sign Legibly) | 69f3577642f024.40420866.png |
| 2026 LevelUp Workforce & Leadership Development Camp | 2026 LevelUp Workforce & Leadership Development Camp, $0.00, 1 |
| Date | 2026-04-29 |
Jalen Brown
LevelUp Workforce Development Camp · April 27, 2026
| Child Name | Jalen, Brown |
| Age | 14 |
| Date of Birth | 2011-08-05 |
| Grade Level this Fall? | 10 |
| School/District | Harper Woods School District |
| Name of School | Harper Woods High School |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | N/A |
| Height | 5'5 |
| Weight | 110 |
| Sex | Male |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 10269 Balfour, Detroit, Michigan, 48224, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother |
| Who Does the Student Live With? (Check All That Apply) | Mother |
| Number of Siblings in the Home | 1 |
| Are siblings applying to a Yunion camp? | No, they are not applying for a Yunion Camp. |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Name of Parent/Guardian Completing This Form | Kawana, Brown |
| Email Address of Parent/Guardian Completing This Form | wana0327@yahoo.com |
| Your Preferred Method Of Communication | Phone Call |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 304-3094 |
| Mother/Legal Guardian | Kawana, Brown |
| Mother's Address | 10269 Balfour, Detroit, Michigan, 48224, United States |
| Mother's DOB | 1985-03-27 |
| Mothers Home Number | (313) 304-3094 |
| Mothers Mobile Number | (313) 304-3094 |
| Mother's Email | wana0327@yahoo.com |
| Authorized to pick up? | Yes |
| 1. Your Child’s Strengths | Leadership potential, Creativity, Athletic ability, Compassion for others, Determination, Curiosity / enjoys learning, Strong personality / confidence, Good sense of humor, Helpful at home |
| 2. Areas Where Your Child May Need Support | Other |
| Other areas where support may be needed | Absent parent (father) from home is affecting child |
| Emotional Regulation / Anger (Check all that apply) | Has difficulty controlling anger or frustration |
| How would you describe your child most of the time? | Calm and easygoing, Sensitive / emotional, Independent, Strong-willed, Quiet or reserved |
| What are you hoping your child gains from LevelUp Workforce Development (Check all that apply) | Greater respect for authority, Better anger management, Increased confidence, Positive male mentorship, Leadership skills, Stronger faith or spiritual foundation, Better decision making, Academic motivation |
| What concerns you most about your child right now? | He does not express how he is feeling when something is bothering him. He does not have the best relationship with his father and he's sad about it. |
| What kind of future do you hope for your child? | I would like for my child to be a successful, educated young man. |
| Preferred Hospital for Emergency Treatment | Henry Ford |
| Medical Conditions (check all that apply) | None |
| If medication must be administered during program hours, a medication authorization form must be on file. Parent Initials: | 69ef9e3309be97.25674544.png |
| Additional medical or behavioral information staff should know: | N/A |
| Name | Rosie Brintley |
| Phone Number | (313) 977-1091 |
| Relationship to Student | Grandmother |
| Authorized for pick up? | Yes |
| Name | Thomas Brintley |
| Phone Number | (313)208-4253 |
| Relationship to Student | Grandfather |
| Authorized for pick up? | Yes |
| Name | Breyanah Brown |
| Phone Number | (313)970-6710 |
| Relationship to Student | Sister |
| Authorized for pick up? | Yes |
| Emergency Medical Treatment | By checking this box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking this box,I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking this box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking this box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking this box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Mentoring |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 72000 |
| How many dependents are in your family? | 2 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | No |
| How did you find out about The Yunion's Summer Camp? | School |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Kawana Brown |
| Add Your Signature Here (Please Sign Legibly) | 69efd16ceeb273.65206551.png |
| Child's Name (Printed) | Jalen Brown |
| Have Your Child Sign His/Her Signature Here (Please Sign Legibly) | 69efd1ade1e7e5.95049875.png |
| 2026 LevelUp Workforce & Leadership Development Camp | 2026 LevelUp Workforce & Leadership Development Camp, $0.00, 1 |
| Date | 2026-04-27 |
Mack Hall
LevelUp Workforce Development Camp · April 27, 2026
| Child Name | Mack, Hall |
| Age | 13 |
| Date of Birth | 2012-07-27 |
| Grade Level this Fall? | 9th |
| School/District | Detroit Public Schools |
| Name of School | Cass Technical High School |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | No |
| Height | 5 |
| Weight | 6 |
| Sex | Male |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 1271 Marvin Gaye, Detroit, Michigan, 48201, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother, Father, Step-Mother |
| Who Does the Student Live With? (Check All That Apply) | Mother, Father |
| Number of Siblings in the Home | 1 |
| Are siblings applying to a Yunion camp? | No, they are not applying for a Yunion Camp. |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Name of Parent/Guardian Completing This Form | Jaimee, Guider |
| Email Address of Parent/Guardian Completing This Form | jricha3140@gmail.com |
| Your Preferred Method Of Communication | |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 455-1615 |
| Father/Legal Guardian | Mack, Hall |
| Father's Address | 3033 Montclair, Detroit, Michigan, 48214, United States |
| Father's DOB | 1991-06-22 |
| Father's Mobile Number | (248) 514-1824 |
| Father's Email | mhall36@gmail.com |
| Authorized to pick up? | Yes |
| Mother/Legal Guardian | Jaimee, Guider |
| Mother's Address | 1271 Marvin Gaye Dr, Detroit, Michigan, 48201, United States |
| Mothers Mobile Number | (313) 455-1615 |
| Mother's Email | jricha3140@gmail.com |
| Authorized to pick up? | Yes |
| Step-Mother's Address | 1271 Marvin Gaye Dr, Detroit, Michigan, 48201, United States |
| Authorized to pick up? | Yes |
| 1. Your Child’s Strengths | Leadership potential, Creativity, Athletic ability, Strong personality / confidence |
| 2. Areas Where Your Child May Need Support | Becomes frustrated or upset when corrected |
| Emotional Regulation / Anger (Check all that apply) | Reacts strongly to conflict or correction |
| How would you describe your child most of the time? | Calm and easygoing |
| What are you hoping your child gains from LevelUp Workforce Development (Check all that apply) | More discipline, Leadership skills, Academic motivation |
| What concerns you most about your child right now? | No concerns |
| What kind of future do you hope for your child? | A positive solution driven future. |
| Preferred Hospital for Emergency Treatment | Children’s Hospital |
| Medical Conditions (check all that apply) | None |
| If medication must be administered during program hours, a medication authorization form must be on file. Parent Initials: | 69efcb67403380.52246034.png |
| Additional medical or behavioral information staff should know: | FSGS Kidney disease Take medication daily |
| Name | Jaimee Guider |
| Phone Number | (313) 455-1615 |
| Relationship to Student | Mother |
| Authorized for pick up? | Yes |
| Name | Tanee Maclin |
| Authorized for pick up? | Yes |
| Name | Mack Hall III |
| Authorized for pick up? | Yes |
| Emergency Medical Treatment | By checking this box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking this box,I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking this box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking this box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking this box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| May one of our team members contact you with more information about our support services? | No |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 55000 |
| How many dependents are in your family? | 2 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | No |
| How did you find out about The Yunion's Summer Camp? | Flyer |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Jaimee Guider |
| Add Your Signature Here (Please Sign Legibly) | 69efcc53207565.90600653.png |
| Child's Name (Printed) | Jaimee Guider |
| Have Your Child Sign His/Her Signature Here (Please Sign Legibly) | 69efcc532b4fe8.14502855.png |
| 2026 LevelUp Workforce & Leadership Development Camp | 2026 LevelUp Workforce & Leadership Development Camp, $0.00, 1 |
| Date | 2026-04-27 |
Elliott Simpson
LevelUp Workforce Development Camp · April 24, 2026
| Child Name | Elliott, Simpson |
| Age | 15 |
| Date of Birth | 2010-08-20 |
| Grade Level this Fall? | 11 |
| School/District | Gibraltar |
| Name of School | Carlson |
| Education Type | IEP |
| Does your Child need any additional support? Please specify in comment box below. | No |
| Height | 5'7 |
| Weight | 130 |
| Sex | Male |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 29627 Meadow Lane, Gibraltar, Michigan, 48173, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother |
| Who Does the Student Live With? (Check All That Apply) | Mother |
| Number of Siblings in the Home | 3 |
| Are siblings applying to a Yunion camp? | Yes, they are applying for the Level Up Workforce & Leadership Development Camp. |
| List name of youth applying for Yunion Camps | Bruce Buckson III |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Name of Parent/Guardian Completing This Form | Cierra, Simpson |
| Email Address of Parent/Guardian Completing This Form | simpson.cierra@gmail.com |
| Your Preferred Method Of Communication | |
| Cell Phone Number of Parent/Guardian Completing This Form | (734) 657-9122 |
| Mother/Legal Guardian | Cierra, Simpson |
| Mother's Address | 29627 Meadow Lane, Gibraltar, Michigan, 48173, United States |
| Mother's DOB | 1990-11-02 |
| Mothers Mobile Number | (734) 657-9122 |
| Mother's Email | simpson.cierra@gmail.com |
| Authorized to pick up? | Yes |
| 1. Your Child’s Strengths | Leadership potential, Athletic ability, Compassion for others, Determination, Curiosity / enjoys learning, Strong personality / confidence, Helpful at home |
| Emotional Regulation / Anger (Check all that apply) | Other |
| Curfew / Home Expectations | Sometimes struggles to follow curfew or home rules |
| Leaving Home Without Permission (Check all that apply) | Has stayed away from home longer than expected without permission |
| How would you describe your child most of the time? | Calm and easygoing, Energetic / high activity level, Sensitive / emotional, Strong-willed |
| What are you hoping your child gains from LevelUp Workforce Development (Check all that apply) | More discipline, Greater respect for authority, Increased confidence, Positive male mentorship, Leadership skills, Stronger faith or spiritual foundation, Better decision making, Academic motivation |
| What concerns you most about your child right now? | Reacting on impulse and not making the best decisions when doing so. It is tied to his medical condition but I know he has the potential to control it more without intervention. |
| What kind of future do you hope for your child? | I hope he continues to foster his relationship with God and focus on his career goals. I hope he excels on sports medicine, Chiro, or PT. Whichever he decides, I will support. |
| Preferred Hospital for Emergency Treatment | Henry Ford Health |
| Medical Conditions (check all that apply) | None |
| If medication must be administered during program hours, a medication authorization form must be on file. Parent Initials: | 69ebd9ea316646.39461274.png |
| Additional medical or behavioral information staff should know: | ADHD |
| Name | Cassandra Freeman |
| Phone Number | (313) 673-4926 |
| Relationship to Student | Aunt |
| Authorized for pick up? | Yes |
| Name | Cassandra Simmon |
| Phone Number | 3134129299 |
| Relationship to Student | Grandmother |
| Authorized for pick up? | Yes |
| Emergency Medical Treatment | By checking this box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking this box,I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking this box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking this box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking this box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Mentoring, Family resources |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 43000 |
| How many dependents are in your family? | 5 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | Yes |
| Please explain any extenuating circumstances related to your financial need? (100 words or less) | I have four children and receive minimal support. I would like to keep them involved and active over the summer to keep them on the right path and to provide them with opportunities that will prepare them for future goals. |
| How did you find out about The Yunion's Summer Camp? | Current Catta Family |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Cierra Simpson |
| Add Your Signature Here (Please Sign Legibly) | 69ebda7065b096.66550612.png |
| Child's Name (Printed) | Elliott Simpson |
| Have Your Child Sign His/Her Signature Here (Please Sign Legibly) | 69ebda70715b09.33821167.png |
| 2026 LevelUp Workforce & Leadership Development Camp | 2026 LevelUp Workforce & Leadership Development Camp, $0.00, 1 |
| Date | 2026-04-24 |
Bruce Buckson III
LevelUp Workforce Development Camp · April 24, 2026
| Child Name | Bruce, Buckson III |
| Age | 13 |
| Date of Birth | 2012-05-10 |
| Grade Level this Fall? | 9th |
| School/District | Gibraltar |
| Name of School | Carlson High School |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | No |
| Height | 5'6 |
| Weight | 125 |
| Sex | Male |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 29627 Meadow Lane, Gibraltar, Michigan, 48173, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother, Father |
| Who Does the Student Live With? (Check All That Apply) | Mother |
| Number of Siblings in the Home | 3 |
| Are siblings applying to a Yunion camp? | Yes, they are applying for the Level Up Workforce & Leadership Development Camp. |
| List name of youth applying for Yunion Camps | Elliott Simpson & Benjamin Buckson |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Name of Parent/Guardian Completing This Form | Cierra, Simpson |
| Email Address of Parent/Guardian Completing This Form | simpson.cierra@gmail.com |
| Your Preferred Method Of Communication | |
| Cell Phone Number of Parent/Guardian Completing This Form | (734) 657-9122 |
| Father/Legal Guardian | Bruce, Buckson II |
| Father's Address | 1957 Bellingham, Canton, Michigan, 48188, United States |
| Father's DOB | 1988-01-31 |
| Father's Mobile Number | (313) 408-7868 |
| Father's Email | holopoint2000@gmail.com |
| Authorized to pick up? | Yes |
| Mother/Legal Guardian | Cierra, Simpson |
| Mother's Address | 29627 Meadow Lane, Gibraltar, Michigan, 48173, United States |
| Mother's DOB | 1990-11-02 |
| Mothers Mobile Number | (734) 657-9122 |
| Mother's Email | simpson.cierra@gmail.com |
| Authorized to pick up? | Yes |
| 1. Your Child’s Strengths | Leadership potential, Athletic ability, Compassion for others, Determination, Curiosity / enjoys learning, Good sense of humor, Helpful at home |
| 2. Areas Where Your Child May Need Support | Sometimes struggles to follow instructions at home |
| Emotional Regulation / Anger (Check all that apply) | Sometimes shuts down or withdraws when upset |
| Conflict with Others (Check all that apply) | Other |
| Has your child ever (Check all that apply): | Been suspended from school |
| How would you describe your child most of the time? | Calm and easygoing, Energetic / high activity level, Strong-willed, Quiet or reserved |
| What are you hoping your child gains from LevelUp Workforce Development (Check all that apply) | More discipline, Better anger management, Increased confidence, Leadership skills |
| What concerns you most about your child right now? | Emotion regulation |
| What kind of future do you hope for your child? | I hope for him to be a successful accountant with his own brokerage firm. I hope he continues to keep God first in all he does and seek the community he is building when he struggles. |
| Preferred Hospital for Emergency Treatment | Henry Ford Health |
| Medical Conditions (check all that apply) | Allergies |
| Allergic to Bees? | No |
| If medication must be administered during program hours, a medication authorization form must be on file. Parent Initials: | 69ebc8efe706f4.25574768.png |
| Name | Cassandra Freeman |
| Phone Number | (313) 673-4926 |
| Relationship to Student | Aunt |
| Authorized for pick up? | Yes |
| Emergency Medical Treatment | By checking this box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking this box,I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking this box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking this box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking this box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Not needed at this time |
| May one of our team members contact you with more information about our support services? | No |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 43000 |
| How many dependents are in your family? | 5 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | Yes |
| Please explain any extenuating circumstances related to your financial need? (100 words or less) | I have four children and receive minimal support. I would like to keep them involved and active over the summer to keep them on the right path and to provide them with opportunities that will prepare them for future goals. |
| How did you find out about The Yunion's Summer Camp? | Current Catta Family |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Cierra Simpson |
| Add Your Signature Here (Please Sign Legibly) | 69ebca0bdeb541.90074207.png |
| Child's Name (Printed) | Bruce Buckson III |
| Have Your Child Sign His/Her Signature Here (Please Sign Legibly) | 69ebca0beb08b6.93241676.png |
| 2026 LevelUp Workforce & Leadership Development Camp | 2026 LevelUp Workforce & Leadership Development Camp, $0.00, 1 |
| Date | 2026-04-24 |
Ethan Gillery
LevelUp Workforce Development Camp · April 22, 2026
| Child Name | Ethan, Gillery |
| Age | 14 |
| Date of Birth | 2011-09-09 |
| Grade Level this Fall? | 9th |
| School/District | DPSCD |
| Name of School | Cass Tech High School |
| Education Type | IEP |
| Does your Child need any additional support? Please specify in comment box below. | no |
| Height | 5 |
| Weight | 11 |
| Sex | Male |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 19761 Hartwell Street, Detroit, Michigan, 48235, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother, Father |
| Who Does the Student Live With? (Check All That Apply) | Mother, Father |
| Number of Siblings in the Home | 1 |
| Are siblings applying to a Yunion camp? | No, they are not applying for a Yunion Camp. |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Name of Parent/Guardian Completing This Form | Linsey, Gillery |
| Email Address of Parent/Guardian Completing This Form | linseygillery2610@gmail.com |
| Your Preferred Method Of Communication | Text |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 289-1546 |
| Father/Legal Guardian | Mark, Gillery Jr. |
| Father's Address | 19761 Hartwell st, Detroit, Michigan, 48235, United States |
| Father's DOB | 1976-01-19 |
| Father's Home Number | (248) 707-0499 |
| Father's Mobile Number | (248) 707-0499 |
| Father's Email | mrgillery@yahoo.com |
| Authorized to pick up? | Yes |
| Mother/Legal Guardian | Linsey, Gillery |
| Mother's Address | 19761 Hartwell st., Detroit, Michigan, 48226, United States |
| Mother's DOB | 1982-05-14 |
| Mothers Home Number | (313) 289-1546 |
| Mothers Mobile Number | (313) 289-1546 |
| Mother's Email | linseygillery2610@gmail.com |
| Authorized to pick up? | Yes |
| 1. Your Child’s Strengths | Creativity, Athletic ability, Compassion for others, Helpful at home |
| 2. Areas Where Your Child May Need Support | Sometimes struggles to follow instructions at home, Sometimes struggles to follow instructions at school |
| Emotional Regulation / Anger (Check all that apply) | Sometimes shuts down or withdraws when upset |
| School Engagement (Check all that apply) | Struggles to stay focused in class |
| How would you describe your child most of the time? | Energetic / high activity level, Sensitive / emotional |
| What are you hoping your child gains from LevelUp Workforce Development (Check all that apply) | More discipline, Increased confidence, Positive male mentorship, Leadership skills, Stronger faith or spiritual foundation, Academic motivation |
| What concerns you most about your child right now? | His confidence in himself. I know he can do anything he puts his mind to, but I am not sure he believes it. |
| What kind of future do you hope for your child? | Graduating from High school and college |
| Preferred Hospital for Emergency Treatment | Childrens |
| Medical Conditions (check all that apply) | Asthma |
| If medication must be administered during program hours, a medication authorization form must be on file. Parent Initials: | 69e8f486aeb987.35870169.png |
| Name | Derek Brown |
| Phone Number | (313) 506-0840 |
| Additional Phone Number | (313) 345-2539 |
| Relationship to Student | Grandfather |
| Authorized for pick up? | Yes |
| Name | Deborah Peek-Brown |
| Phone Number | 313-737-8649 |
| Relationship to Student | Grandmother |
| Authorized for pick up? | Yes |
| Emergency Medical Treatment | By checking this box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking this box,I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking this box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking this box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking this box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Mentoring |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 75000 |
| How many dependents are in your family? | 3 |
| Are you a single-income family?* | No |
| Does the child for whom you are applying receive child support?* | No |
| Please explain any extenuating circumstances related to your financial need? (100 words or less) | We have a student in college and are paying a portion of her tuition, which leaves little for camp and other extracurricular activities. |
| How did you find out about The Yunion's Summer Camp? | Someone referred me |
| Name of Person/Recruiter Who Referred You | Mrs. Mahogany |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Linsey Gillery |
| Add Your Signature Here (Please Sign Legibly) | 69e8f5d3288775.37358012.png |
| Child's Name (Printed) | Ethan Gillery |
| Have Your Child Sign His/Her Signature Here (Please Sign Legibly) | 69e8f5d33341d0.51289240.png |
| 2026 LevelUp Workforce & Leadership Development Camp | 2026 LevelUp Workforce & Leadership Development Camp, $0.00, 1 |
| Date | 2026-04-22 |
Elias Brissett
LevelUp Workforce Development Camp · April 21, 2026
| Child Name | Elias, Brissett |
| Age | 15 |
| Date of Birth | 2010-11-28 |
| Grade Level this Fall? | 10 |
| School/District | DPSCD |
| Name of School | MGLA |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | no |
| Height | 5 |
| Weight | 1 |
| Sex | Male |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 16606 muirland st, Detroit, Michigan, 48221, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Father |
| Who Does the Student Live With? (Check All That Apply) | Father |
| Number of Siblings in the Home | 4 |
| Are siblings applying to a Yunion camp? | Yes, they are applying for the Keys Performing Arts Camp. |
| List name of youth applying for Yunion Camps | Brissett |
| Primary Language Other Than English | n/a |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Name of Parent/Guardian Completing This Form | Neil, Brissett |
| Email Address of Parent/Guardian Completing This Form | Brissettn80@gmail.com |
| Your Preferred Method Of Communication | |
| Cell Phone Number of Parent/Guardian Completing This Form | (734) 759-7405 |
| Father/Legal Guardian | Neil, Brissett |
| Father's Address | 16606 Muirland st, Detroit, Michigan, 48221, United States |
| Father's DOB | 1980-10-17 |
| Father's Home Number | (734) 759-7405 |
| Father's Work Number | (734) 759-7405 |
| Father's Mobile Number | (734) 759-7405 |
| Father's Email | Brissettn80@gmail.com |
| Authorized to pick up? | Yes |
| 1. Your Child’s Strengths | Leadership potential, Creativity, Curiosity / enjoys learning, Helpful at home |
| Emotional Regulation / Anger (Check all that apply) | Has difficulty controlling anger or frustration, Reacts strongly to conflict or correction, Sometimes shuts down or withdraws when upset |
| Conflict with Others (Check all that apply) | Has been involved in bullying (either as the aggressor or target), Sometimes responds physically when upset |
| How would you describe your child most of the time? | Calm and easygoing, Strong-willed, Quiet or reserved |
| What are you hoping your child gains from LevelUp Workforce Development (Check all that apply) | Increased confidence, Positive male mentorship, Leadership skills, Academic motivation |
| Medical Conditions (check all that apply) | None |
| Name | Neil |
| Phone Number | (734) 759-7405 |
| Relationship to Student | father |
| Authorized for pick up? | Yes |
| Emergency Medical Treatment | By checking this box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking this box,I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking this box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking this box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking this box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Tutoring (school year only), Mentoring, Counseling referral, Behavioral support, Family resources |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 49000 |
| How many dependents are in your family? | 5 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | No |
| Please explain any extenuating circumstances related to your financial need? (100 words or less) | Single father who is raining five children on my own, due to losing my wife , their mother to Breast Cancer recently. This impacted the income as job choice to be able to pick up. |
| How did you find out about The Yunion's Summer Camp? | Other Email notifications |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Neil Brissett |
| Add Your Signature Here (Please Sign Legibly) | 69e7a0fde75812.34972029.png |
| Child's Name (Printed) | Elias Brissett |
| Have Your Child Sign His/Her Signature Here (Please Sign Legibly) | 69e7a0fdf34192.48140689.png |
| 2026 LevelUp Workforce & Leadership Development Camp | 2026 LevelUp Workforce & Leadership Development Camp, $0.00, 1 |
| Date | 2026-04-21 |
Jy'Aire Spivey
LevelUp Workforce Development Camp · April 18, 2026
| Child Name | Jy'Aire, Spivey |
| Age | 16 |
| Date of Birth | 2009-01-04 |
| Grade Level this Fall? | 11 |
| School/District | DEPSA |
| Name of School | Detroit Edison Public School |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | No |
| Height | 6'7 |
| Weight | 170 |
| Sex | Male |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 13316 Tacoma, Detroit, Michigan, 48205, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother |
| Who Does the Student Live With? (Check All That Apply) | Mother |
| Number of Siblings in the Home | 1 |
| Are siblings applying to a Yunion camp? | Yes, they are applying for the Level Up Workforce & Leadership Development Camp. |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Name of Parent/Guardian Completing This Form | Suantane, Shepard |
| Email Address of Parent/Guardian Completing This Form | ssuantane@gmail.com |
| Your Preferred Method Of Communication | Text |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 766-3479 |
| Mother/Legal Guardian | Suantane, Shepard |
| Mother's Address | 13316 Tacoma, Detroit, Michigan, 48205, United States |
| Mother's DOB | 1990-04-07 |
| Mothers Mobile Number | (313) 766-3479 |
| Mother's Email | ssuantane@gmail.com |
| Authorized to pick up? | Yes |
| 1. Your Child’s Strengths | Athletic ability, Strong personality / confidence, Good sense of humor, Helpful at home |
| Emotional Regulation / Anger (Check all that apply) | Sometimes shuts down or withdraws when upset |
| How would you describe your child most of the time? | Calm and easygoing, Energetic / high activity level |
| What are you hoping your child gains from LevelUp Workforce Development (Check all that apply) | Leadership skills, Better decision making, Academic motivation |
| What concerns you most about your child right now? | What concerns me most about my son is the influence of peer pressure and the dangers around the city. I want him to be strong, confident in saying no, comfortable with his decisions, and able to grow into being more independent. |
| What kind of future do you hope for your child? | I hope my child has a future where he is safe, successful, and surrounded by positive influences. I want him to be strong enough to stand on his own, wise in his decisions, and confident in walking his own path. |
| Preferred Hospital for Emergency Treatment | Children's |
| Name | Suantane Shepard |
| Phone Number | (313) 766-3479 |
| Relationship to Student | Mother |
| Authorized for pick up? | Yes |
| Authorized for pick up? | Yes |
| Emergency Medical Treatment | By checking this box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking this box,I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking this box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking this box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking this box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Mentoring |
| May one of our team members contact you with more information about our support services? | Yes |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 55000 |
| How many dependents are in your family? | 2 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | No |
| How did you find out about The Yunion's Summer Camp? | Summer Discovery |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Suantane Shepard |
| Add Your Signature Here (Please Sign Legibly) | 69e3bddac3db18.14290908.png |
| Child's Name (Printed) | Jy'Aire Spivey |
| Have Your Child Sign His/Her Signature Here (Please Sign Legibly) | 69e3bddace6436.28649611.png |
| 2026 LevelUp Workforce & Leadership Development Camp | 2026 LevelUp Workforce & Leadership Development Camp, $0.00, 1 |
| Date | 2026-04-18 |
Judah Hackney
LevelUp Workforce Development Camp · April 18, 2026
| Child Name | Judah, Hackney |
| Age | 14 |
| Date of Birth | 2011-11-22 |
| Grade Level this Fall? | 9th |
| School/District | Homeschooling |
| Name of School | Lighthouse academy |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | No |
| Height | 5'2 |
| Weight | 125 |
| Sex | Male |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 18355 East 13 Mile road, Fraser, Michigan, 48026, United States |
| County in Which Child Resides | Macomb County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother, Father |
| Who Does the Student Live With? (Check All That Apply) | Mother |
| Number of Siblings in the Home | 1 |
| Are siblings applying to a Yunion camp? | No, they are not applying for a Yunion Camp. |
| List name of youth applying for Yunion Camps | Judah |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Name of Parent/Guardian Completing This Form | Tanaya, Hackney |
| Email Address of Parent/Guardian Completing This Form | tanayasharpe@gmail.com |
| Your Preferred Method Of Communication | Text |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 671-6498 |
| Father/Legal Guardian | Regeonal, Hackney |
| Father's Address | 23935 West outer drive Apt f8, Melvindale, Michigan, 48122, United States |
| Father's DOB | 1973-09-26 |
| Father's Home Number | (313) 414-2684 |
| Father's Mobile Number | (313) 414-2684 |
| Father's Email | reggie.hackney.rh@gmail.com |
| Authorized to pick up? | Yes |
| Mother/Legal Guardian | Tanaya, Hackney |
| Mother's Address | 18355 East 13 Mile road, Fraser, Michigan, 48026, United States |
| Mother's DOB | 1974-03-06 |
| Mothers Mobile Number | (313) 671-6498 |
| Mother's Email | tanayasharpe@gmail.com |
| Authorized to pick up? | Yes |
| Emergency Medical Treatment | By checking this box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking this box,I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking this box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking this box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking this box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Mentoring |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | No, my school doesn't have that program |
| What is the annual income of your family? | 85000 |
| How many dependents are in your family? | 5 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | Yes |
| How did you find out about The Yunion's Summer Camp? | Attended summer camp last year |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Tanaya Hackney |
| Add Your Signature Here (Please Sign Legibly) | 69e2eee78776b3.50548682.png |
| Child's Name (Printed) | Judah Hackney |
| Have Your Child Sign His/Her Signature Here (Please Sign Legibly) | 69e2eee792eba6.75948321.png |
| 2026 LevelUp Workforce & Leadership Development Camp | 2026 LevelUp Workforce & Leadership Development Camp, $0.00, 1 |
| Date | 2026-04-17 |
Zharia Jones
LevelUp Workforce Development Camp · April 17, 2026
| Child Name | Zharia, Jones |
| Age | 15 |
| Date of Birth | 2010-12-17 |
| Grade Level this Fall? | 10 |
| School/District | Macomb |
| Name of School | Dakota |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | no |
| Height | 55 |
| Weight | 125 |
| Sex | Female |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 10821 Whitehill St, Detroit, Michigan, 48224-2456, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother, Father |
| Who Does the Student Live With? (Check All That Apply) | Mother |
| Number of Siblings in the Home | 3 |
| Are siblings applying to a Yunion camp? | Yes, they are applying for the Level Up Workforce & Leadership Development Camp. |
| List name of youth applying for Yunion Camps | Rian Jones and Zariyah Jones |
| Primary Language Other Than English | NA |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Name of Parent/Guardian Completing This Form | Chantele, Willis |
| Email Address of Parent/Guardian Completing This Form | chantele.willis@uprepschools.com |
| Your Preferred Method Of Communication | Text |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 671-0032 |
| Father/Legal Guardian | Ryan, Jones |
| Father's Address | 21167 Martinique Dr, Macomb, Michigan, 48044, United States |
| Father's DOB | 1984-05-09 |
| Father's Mobile Number | (586) 907-3428 |
| Father's Email | jonesr080@detroitmi.gov |
| Authorized to pick up? | Yes |
| Mother/Legal Guardian | Chantele, Willis |
| Mother's Address | 10821 Whitehill St, Detroit, Michigan, 48224-2456, United States |
| Mother's DOB | 1988-09-07 |
| Mothers Mobile Number | (313) 671-0032 |
| Mother's Email | chantele.willis@uprepschools.com |
| Authorized to pick up? | Yes |
| 1. Your Child’s Strengths | Leadership potential, Creativity, Athletic ability, Compassion for others, Determination, Curiosity / enjoys learning, Strong personality / confidence, Good sense of humor, Helpful at home |
| 2. Areas Where Your Child May Need Support | Sometimes struggles to follow instructions at school, Becomes frustrated or upset when corrected |
| Emotional Regulation / Anger (Check all that apply) | Reacts strongly to conflict or correction |
| School Engagement (Check all that apply) | Has experienced disciplinary action at school |
| How would you describe your child most of the time? | Independent, Strong-willed, Quiet or reserved |
| What are you hoping your child gains from LevelUp Workforce Development (Check all that apply) | Increased confidence, Leadership skills |
| What concerns you most about your child right now? | N/A |
| What kind of future do you hope for your child? | Happy, Healthy, and Wealthy |
| Preferred Hospital for Emergency Treatment | Closest |
| Medical Conditions (check all that apply) | None |
| If medication must be administered during program hours, a medication authorization form must be on file. Parent Initials: | 69e25888eedce9.68927417.png |
| Name | Jeroelynn Willis |
| Phone Number | (586) 227-4434 |
| Relationship to Student | Grandma |
| Authorized for pick up? | Yes |
| Emergency Medical Treatment | By checking this box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking this box,I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking this box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking this box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking this box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Mentoring |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 50000 |
| How many dependents are in your family? | 4 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | No |
| How did you find out about The Yunion's Summer Camp? | |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Chantele WIllis |
| Add Your Signature Here (Please Sign Legibly) | 69e2590ff13e31.60065871.png |
| Child's Name (Printed) | Zharia Jones |
| Have Your Child Sign His/Her Signature Here (Please Sign Legibly) | 69e259101350f6.22381380.png |
| 2026 LevelUp Workforce & Leadership Development Camp | 2026 LevelUp Workforce & Leadership Development Camp, $0.00, 1 |
| Date | 2026-04-17 |
Ronald Betts III
LevelUp Workforce Development Camp · April 17, 2026
| Child Name | Ronald, Betts III |
| Age | 13 |
| Date of Birth | 2011-08-24 |
| Grade Level this Fall? | 10 |
| School/District | DPS |
| Name of School | Renaissance |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | No, but he is 14. The form doesn’t allow any ages outside of 10-14 |
| Height | 5’7 |
| Weight | 175 |
| Sex | Male |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 14556 Artesian St, Detroit, Michigan, 48223, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother, Father, Step-Father, Guardian |
| Who Does the Student Live With? (Check All That Apply) | Mother, Other |
| Who Does the Student Live With? | Mom, siblings, Grandmother |
| Number of Siblings in the Home | 3 |
| List name of youth applying for Yunion Camps | (313) 510-1320 |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Name of Parent/Guardian Completing This Form | Ryan, Dunbar |
| Email Address of Parent/Guardian Completing This Form | rdunbar701@gmail.com |
| Your Preferred Method Of Communication | |
| Cell Phone Number of Parent/Guardian Completing This Form | (248) 416-9047 |
| Father/Legal Guardian | Ronald, Betts Jr |
| Father's Address | 16773 Warwick St, Detroit, Michigan, 48219, United States |
| Father's DOB | 1987-09-21 |
| Father's Mobile Number | (248) 499-3333 |
| Father's Email | ronbetts29@gmail.com |
| Mother/Legal Guardian | Ryan, Dunbar |
| Mother's Address | 14556 Artesian St, Detroit, Michigan, 48223, United States |
| Mother's DOB | 1987-07-01 |
| Mothers Mobile Number | (248) 416-9047 |
| Mother's Email | rdunbar701@gmail.com |
| Authorized to pick up? | Grandmother |
| Step-Father | Ramona, Dunbar |
| Step-Father's Email | Grandfather |
| Authorized to pick up? | Keith Napier |
| Authorized to pick up? | (313) 912-3858 |
| 1. Your Child’s Strengths | Leadership potential, Athletic ability, Compassion for others, Good sense of humor, Helpful at home |
| Emotional Regulation / Anger (Check all that apply) | Sometimes shuts down or withdraws when upset |
| Conflict with Others (Check all that apply) | Has frequent arguments with siblings, peers, or adults |
| School Engagement (Check all that apply) | Struggles to stay focused in class |
| Curfew / Home Expectations | Sometimes struggles to follow curfew or home rules |
| How would you describe your child most of the time? | Calm and easygoing, Sensitive / emotional, Independent, Strong-willed, Quiet or reserved |
| What are you hoping your child gains from LevelUp Workforce Development (Check all that apply) | More discipline, Increased confidence, Positive male mentorship, Leadership skills, Stronger faith or spiritual foundation, Better decision making, Academic motivation |
| What concerns you most about your child right now? | I would just like to see Ronald as a more confident young man, with more discipline. He has been giving up on things when they get too hard for him - such as sports. He seems to have lost his motivation in certain areas. Overall, he’s a really great young man. |
| What kind of future do you hope for your child? | I pray that Ronald will remain a man of God, following Biblical principles throughout his life. I pray that he has a strong relationship with the Holy Spirit. I want him to be able to set goals, and see them all the way through. |
| Preferred Hospital for Emergency Treatment | DMC Sinai Grace Outer Dr |
| Medical Conditions (check all that apply) | None |
| If medication must be administered during program hours, a medication authorization form must be on file. Parent Initials: | 69e2261fc96845.69386102.png |
| Additional medical or behavioral information staff should know: | No |
| Name | Yes |
| Phone Number | Yes |
| Relationship to Student | rajadun@yahoo.com |
| Relationship to Student | Ryan Dunbar |
| Authorized for pick up? | Ronald Betts III |
| Emergency Medical Treatment | By checking the box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking the box, I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking the box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking the box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking the box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 46000 |
| How many dependents are in your family? | 4 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | No |
| How did you find out about The Yunion's Summer Camp? | My daughter attended when she was in age range |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Add Your Signature Here (Please Sign Legibly) | 69e226f776ad70.93233513.png |
| Have Your Child Sign His/Her Signature Here (Please Sign Legibly) | 69e226f7822df9.34849977.png |
| 2026 LevelUp Workforce & Leadership Development Camp | 2026 Keys2Life Performing Arts Camp, $0.00, 1 |
| Date | 2026-04-17 |
Rian Jones
LevelUp Workforce Development Camp · April 17, 2026
| Child Name | Rian, Jones |
| Age | 13 |
| Date of Birth | 2012-07-02 |
| Grade Level this Fall? | 9 |
| School/District | Wayne |
| Name of School | King |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | No |
| Height | 55 |
| Weight | 120 |
| Sex | Female |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 10821 Whitehill St, Detroit, Michigan, 48224, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother, Father |
| Who Does the Student Live With? (Check All That Apply) | Mother |
| Number of Siblings in the Home | 4 |
| List name of youth applying for Yunion Camps | (313) 671-0032 |
| Primary Language Other Than English | N/A |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Name of Parent/Guardian Completing This Form | Chantele, Willis |
| Email Address of Parent/Guardian Completing This Form | chantele.willis@uprepschools.com |
| Your Preferred Method Of Communication | Text |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 671-0032 |
| Father/Legal Guardian | Ryan, Jones |
| Father's Address | 21167 Martinique Dr, Macomb, Michigan, 48044, United States |
| Father's DOB | 1984-05-09 |
| Mother/Legal Guardian | Chantele, Willis |
| Mother's Address | 10821 Whitehill St, Detroit, Michigan, 48224, United States |
| Mother's DOB | 1988-09-07 |
| Mother's Email | chantele.willis@uprepschools.com |
| Authorized to pick up? | Mom |
| 1. Your Child’s Strengths | Leadership potential, Creativity, Athletic ability, Compassion for others, Determination, Curiosity / enjoys learning, Strong personality / confidence, Good sense of humor, Helpful at home |
| 2. Areas Where Your Child May Need Support | Sometimes struggles to follow instructions at school, Becomes frustrated or upset when corrected |
| Emotional Regulation / Anger (Check all that apply) | Sometimes shuts down or withdraws when upset |
| School Engagement (Check all that apply) | Has experienced disciplinary action at school |
| How would you describe your child most of the time? | Energetic / high activity level, Sensitive / emotional |
| What are you hoping your child gains from LevelUp Workforce Development (Check all that apply) | Increased confidence, Leadership skills, Better decision making, Academic motivation |
| What concerns you most about your child right now? | None |
| What kind of future do you hope for your child? | Happy, healthy, and wealthy. |
| Preferred Hospital for Emergency Treatment | Closest |
| Medical Conditions (check all that apply) | None |
| If medication must be administered during program hours, a medication authorization form must be on file. Parent Initials: | 69e1c4306bfb27.82921884.png |
| Name | Yes |
| Relationship to Student | Chantele Willis |
| Authorized for pick up? | Rian Jones |
| Emergency Medical Treatment | By checking the box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking the box, I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking the box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking the box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking the box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Not needed at this time |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 50000 |
| How many dependents are in your family? | 4 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | No |
| Please explain any extenuating circumstances related to your financial need? (100 words or less) | N/A |
| How did you find out about The Yunion's Summer Camp? | |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Add Your Signature Here (Please Sign Legibly) | 69e1c4b748a602.54803475.png |
| Have Your Child Sign His/Her Signature Here (Please Sign Legibly) | 69e1c4b7535c32.62191258.png |
| 2026 LevelUp Workforce & Leadership Development Camp | 2026 Keys2Life Performing Arts Camp, $0.00, 1 |
| Date | 2026-04-16 |
Adrien Redd
LevelUp Workforce Development Camp · April 17, 2026
| Child Name | Adrien, Redd |
| Age | 13 |
| Date of Birth | 2012-10-03 |
| Grade Level this Fall? | 9 |
| School/District | DPSCD |
| Name of School | Samuel Gompers |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | No |
| Height | 5’7 |
| Weight | 210 |
| Sex | Male |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 14520 St.Marys, Detroit, Michigan, 48227, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother |
| Who Does the Student Live With? (Check All That Apply) | Mother |
| List name of youth applying for Yunion Camps | (313) 243-4250 |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Name of Parent/Guardian Completing This Form | April, Redd |
| Email Address of Parent/Guardian Completing This Form | aprilredd95@gmail.com |
| Your Preferred Method Of Communication | |
| Cell Phone Number of Parent/Guardian Completing This Form | (586) 220-3887 |
| Mother/Legal Guardian | April, Redd |
| Mother's Address | 14520 St.Marys, Detroit, Michigan, 48227, United States |
| Mother's DOB | 1995-01-06 |
| Mothers Mobile Number | (586) 220-3887 |
| Mother's Email | aprilredd95@gmail.com |
| Authorized to pick up? | Grandfather |
| Step-Father's Email | Grand mom |
| Authorized to pick up? | Pamela Redd |
| Authorized to pick up? | (313) 753-7905 |
| 1. Your Child’s Strengths | Leadership potential, Athletic ability, Compassion for others, Curiosity / enjoys learning, Good sense of humor |
| 2. Areas Where Your Child May Need Support | Sometimes struggles to follow instructions at school |
| Emotional Regulation / Anger (Check all that apply) | Reacts strongly to conflict or correction |
| Other | None |
| Conflict with Others (Check all that apply) | Other |
| School Engagement (Check all that apply) | Struggles to stay focused in class |
| Has your child ever (Check all that apply): | Been suspended from school |
| How would you describe your child most of the time? | Energetic / high activity level, Strong-willed |
| What are you hoping your child gains from LevelUp Workforce Development (Check all that apply) | Increased confidence, Positive male mentorship, Leadership skills, Better decision making, Academic motivation |
| What kind of future do you hope for your child? | I hope to see my child on the right path, following his dreams. |
| Medical Conditions (check all that apply) | None |
| Name | Yes |
| Relationship to Student | April Redd |
| Authorized for pick up? | Adrien Redd |
| Emergency Medical Treatment | By checking the box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking the box, I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking the box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking the box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking the box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Tutoring (school year only), Mentoring, Family resources |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 25000 |
| How many dependents are in your family? | 1 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | No |
| How did you find out about The Yunion's Summer Camp? | Attended last year |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Add Your Signature Here (Please Sign Legibly) | 69e1a089ae4c64.93522117.png |
| Have Your Child Sign His/Her Signature Here (Please Sign Legibly) | 69e1a089b94c75.98887841.png |
| 2026 LevelUp Workforce & Leadership Development Camp | 2026 Keys2Life Performing Arts Camp, $0.00, 1 |
| Date | 2026-04-16 |
Sariyah Royal
LevelUp Workforce Development Camp · April 16, 2026
| Child Name | Sariyah, Royal |
| Age | 13 |
| Date of Birth | 2011-12-19 |
| Grade Level this Fall? | 9 |
| School/District | Sterling Heights |
| Name of School | Sterling Heights |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | no |
| Height | 5'8 |
| Weight | 180 |
| Sex | Female |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 20523 Danbury st, Detroit, Michigan, 48203, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother |
| Who Does the Student Live With? (Check All That Apply) | Mother, Step-Father |
| Number of Siblings in the Home | 1 |
| List name of youth applying for Yunion Camps | (248) 752-4784 |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Name of Parent/Guardian Completing This Form | Stephanie, Greenlaw |
| Email Address of Parent/Guardian Completing This Form | ms.sbonner@yahoo.com |
| Your Preferred Method Of Communication | Text |
| Cell Phone Number of Parent/Guardian Completing This Form | (248) 752-4784 |
| Mother/Legal Guardian | Stephanie, Greenlaw |
| Mother's Address | 20523 Danbury st, Detroit, Michigan, 48203, United States |
| Mother's DOB | 1983-08-23 |
| Mothers Mobile Number | (248) 752-4784 |
| Mother's Email | ms.sbonner@yahoo.com |
| Authorized to pick up? | Mother |
| 1. Your Child’s Strengths | Creativity, Athletic ability, Determination, Curiosity / enjoys learning, Good sense of humor, Helpful at home |
| 2. Areas Where Your Child May Need Support | Becomes frustrated or upset when corrected |
| Emotional Regulation / Anger (Check all that apply) | Sometimes shuts down or withdraws when upset |
| How would you describe your child most of the time? | Sensitive / emotional, Quiet or reserved |
| What are you hoping your child gains from LevelUp Workforce Development (Check all that apply) | More discipline, Greater respect for authority, Better anger management, Increased confidence, Leadership skills, Stronger faith or spiritual foundation, Better decision making |
| Medical Conditions (check all that apply) | None |
| Name | Yes |
| Relationship to Student | Stephanie Greenlaw |
| Authorized for pick up? | Sariyah Royal |
| Emergency Medical Treatment | By checking the box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking the box, I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking the box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking the box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking the box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Mentoring |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 45000 |
| How many dependents are in your family? | 3 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | No |
| How did you find out about The Yunion's Summer Camp? | Someone referred me |
| Name of Person/Recruiter Who Referred You | Sariyah's previous teacher |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Add Your Signature Here (Please Sign Legibly) | 69e0f929e01c72.53912167.png |
| Have Your Child Sign His/Her Signature Here (Please Sign Legibly) | 69e0f929eaa214.93315160.png |
| 2026 LevelUp Workforce & Leadership Development Camp | 2026 Keys2Life Performing Arts Camp, $0.00, 1 |
| Date | 2026-04-16 |
Dominick Garrett
LevelUp Workforce Development Camp · April 14, 2026
| Child Name | Dominick, Garrett |
| Age | 13 |
| Date of Birth | 2009-12-28 |
| Grade Level this Fall? | 11 |
| School/District | Centerline Public Schools |
| Name of School | Centerline High School |
| Education Type | IEP |
| Does your Child need any additional support? Please specify in comment box below. | no |
| Height | 5'10 |
| Weight | 394 |
| Sex | Male |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 7020 orchard Avenue, Warren, Michigan, 48091, United States |
| County in Which Child Resides | Macomb County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother |
| Who Does the Student Live With? (Check All That Apply) | Mother |
| Number of Siblings in the Home | 3 |
| Primary Language Other Than English | no |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Name of Parent/Guardian Completing This Form | Whitley, Buchanon |
| Email Address of Parent/Guardian Completing This Form | email2whitley@gmail.com |
| Your Preferred Method Of Communication | Text |
| Cell Phone Number of Parent/Guardian Completing This Form | (248) 200-8811 |
| Mother/Legal Guardian | Whitley, Buchanon |
| Mother's Address | 7020 orchard Avenue, Warren, Michigan, 48091, United States |
| Mother's DOB | 1988-09-22 |
| Mothers Home Number | (248) 200-8811 |
| Mothers Mobile Number | (248) 200-8811 |
| Mother's Email | email2whitley@gmail.com |
| Name | Yes |
| Relationship to Student | Whitley Buchanon |
| Authorized for pick up? | Dominick Garrett |
| Emergency Medical Treatment | By checking the box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking the box, I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking the box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking the box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking the box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Mentoring, Behavioral support |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 35700 |
| How many dependents are in your family? | 5 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | No |
| Please explain any extenuating circumstances related to your financial need? (100 words or less) | Dominick is in need of guidance. His father passed at the end of the year and I don't have any financial help to pay for the program. |
| How did you find out about The Yunion's Summer Camp? | another repeat camper |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Add Your Signature Here (Please Sign Legibly) | 69dd84f7d9b8b4.32630883.png |
| Have Your Child Sign His/Her Signature Here (Please Sign Legibly) | 69dd84f7f34e97.47824872.png |
| 2026 LevelUp Workforce & Leadership Development Camp | 2026 Keys2Life Performing Arts Camp, $0.00, 1 |
| Date | 2026-04-13 |
Kalnard Will
LevelUp Workforce Development Camp · April 13, 2026
| Child Name | Kalnard, Will |
| Age | 13 |
| Date of Birth | 2012-09-20 |
| Grade Level this Fall? | 9th |
| School/District | Detroit |
| Name of School | Currently at Carver Stem, High School as yet to be decided is waiting on acceptance to an application school in Detroit |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | No |
| Height | 4555 |
| Weight | 115 |
| Sex | Male |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 7619 ROSEMONT AVE, DETROIT, Michigan, 48228, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother |
| Who Does the Student Live With? (Check All That Apply) | Mother |
| Number of Siblings in the Home | 1 |
| List name of youth applying for Yunion Camps | (313) 338-9060 |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Name of Parent/Guardian Completing This Form | Keesha, Pridgeon |
| Email Address of Parent/Guardian Completing This Form | 80public@gmail.com |
| Your Preferred Method Of Communication | |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 338-9060 |
| Authorized to pick up? | (313) 208-3672 |
| Mother/Legal Guardian | Keesha, Pridgeon |
| Mother's Address | 2720 Fenkell Avenue #38086, DETROIT, Michigan, 48238, United States |
| Mother's DOB | 1980-01-29 |
| Mothers Home Number | (313) 338-9060 |
| Mothers Mobile Number | (313) 208-3672 |
| Mother's Email | 80public@gmail.com |
| Authorized to pick up? | Mother |
| Step-Father's Email | Father |
| Authorized to pick up? | Kalnard Williams |
| Authorized to pick up? | (586) 563-5369 |
| 1. Your Child’s Strengths | Leadership potential, Compassion for others, Determination, Curiosity / enjoys learning, Strong personality / confidence, Good sense of humor, Helpful at home |
| 2. Areas Where Your Child May Need Support | Sometimes struggles to follow instructions at home |
| Emotional Regulation / Anger (Check all that apply) | Reacts strongly to conflict or correction |
| Conflict with Others (Check all that apply) | Sometimes responds physically when upset |
| School Engagement (Check all that apply) | Has experienced disciplinary action at school, Has received school suspension(s) |
| Has your child ever (Check all that apply): | Been suspended from school, Been expelled from school |
| How would you describe your child most of the time? | Sensitive / emotional, Independent, Strong-willed, Quiet or reserved |
| What are you hoping your child gains from LevelUp Workforce Development (Check all that apply) | More discipline, Better anger management, Positive male mentorship, Leadership skills, Stronger faith or spiritual foundation, Better decision making |
| What concerns you most about your child right now? | Making good decisions among peers and controlling emotions |
| What kind of future do you hope for your child? | I hope my child to have a successful future, with God at the center |
| Preferred Hospital for Emergency Treatment | Receiving Hospital |
| Medical Conditions (check all that apply) | Vision Impairment |
| If medication must be administered during program hours, a medication authorization form must be on file. Parent Initials: | 69dd4f32f0f622.80245913.png |
| Name | Yes |
| Name | Claudia |
| Phone Number | (248) 660-2204 |
| Additional Phone Number | Aunt |
| Relationship to Student | Keesha Pridgeon |
| Authorized for pick up? | Kalnard Williamsl |
| Emergency Medical Treatment | By checking the box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking the box, I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking the box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking the box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking the box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Behavioral support, Family resources |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 24000 |
| How many dependents are in your family? | 2 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | No |
| How did you find out about The Yunion's Summer Camp? | Attended Before |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Add Your Signature Here (Please Sign Legibly) | 69dd4fdee92d79.84025265.png |
| Have Your Child Sign His/Her Signature Here (Please Sign Legibly) | 69dd4fdef2e4e0.69652966.png |
| 2026 LevelUp Workforce & Leadership Development Camp | 2026 Keys2Life Performing Arts Camp, $0.00, 1 |
| Date | 2026-04-13 |
Amaria Harris
LevelUp Workforce Development Camp · April 12, 2026
| Child Name | Amaria, Harris |
| Age | 13 |
| Date of Birth | 2011-08-24 |
| Grade Level this Fall? | 10th grade |
| School/District | Livonia |
| Name of School | Franklin high school |
| Education Type | IEP |
| Does your Child need any additional support? Please specify in comment box below. | No |
| Height | 5’4 |
| Weight | 115 |
| Sex | Female |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 8160 Valley view circle Apt 41A, Westland, Michigan, 48185, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother |
| Who Does the Student Live With? (Check All That Apply) | Mother |
| List name of youth applying for Yunion Camps | (313) 978-0348 |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Name of Parent/Guardian Completing This Form | Aimee, Harris |
| Email Address of Parent/Guardian Completing This Form | aimeeh98@gmail.com |
| Your Preferred Method Of Communication | |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 285-7277 |
| Mother/Legal Guardian | Aimee, Harris |
| Mother's Address | 8160 Valley View Circle, Westland, Michigan, 48185, United States |
| Mother's DOB | 1986-04-20 |
| Mothers Home Number | (313) 285-7277 |
| Mother's Email | aimeeh98@gmail.com |
| Authorized to pick up? | Cousin |
| 1. Your Child’s Strengths | Compassion for others, Curiosity / enjoys learning |
| 2. Areas Where Your Child May Need Support | Sometimes struggles to follow instructions at home, Becomes frustrated or upset when corrected |
| Emotional Regulation / Anger (Check all that apply) | Sometimes shuts down or withdraws when upset |
| How would you describe your child most of the time? | Sensitive / emotional |
| What are you hoping your child gains from LevelUp Workforce Development (Check all that apply) | Increased confidence, Leadership skills, Better decision making |
| Medical Conditions (check all that apply) | None |
| Name | Yes |
| Relationship to Student | Aimee Harris |
| Authorized for pick up? | Amaria Harris |
| Emergency Medical Treatment | By checking the box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking the box, I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking the box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking the box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking the box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Tutoring (school year only), Mentoring |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 40000 |
| How many dependents are in your family? | 2 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | No |
| How did you find out about The Yunion's Summer Camp? | |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Add Your Signature Here (Please Sign Legibly) | 69dbd71dc5a5e1.28193809.png |
| Have Your Child Sign His/Her Signature Here (Please Sign Legibly) | 69dbd757202cb6.17253245.png |
| 2026 LevelUp Workforce & Leadership Development Camp | 2026 Keys2Life Performing Arts Camp, $0.00, 1 |
| Date | 2026-04-12 |
Aaron Peppers
LevelUp Workforce Development Camp · April 11, 2026
| Child Name | Aaron, Peppers |
| Age | 13 |
| Date of Birth | 2011-04-09 |
| Grade Level this Fall? | 9th |
| School/District | Wayne |
| Name of School | David ellis academy |
| Education Type | IEP |
| Does your Child need any additional support? Please specify in comment box below. | My son would benefit most with Repetition |
| Height | 5'1 |
| Weight | 119 |
| Sex | Male |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 9544 Whitcomb st, Detroit, Michigan, 48227, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother, Father |
| Who Does the Student Live With? (Check All That Apply) | Mother |
| Number of Siblings in the Home | 1 |
| List name of youth applying for Yunion Camps | (313) 673-6765 |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Name of Parent/Guardian Completing This Form | Ceara, Hagwood |
| Email Address of Parent/Guardian Completing This Form | Ceara.williams1@gmail.com |
| Your Preferred Method Of Communication | |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 687-6886 |
| Father/Legal Guardian | Aaron, Peppers |
| Father's Address | 18565 Pierson st, Detroit, Michigan, 48219, United States |
| Authorized to pick up? | (313) 848-4239 |
| Mother/Legal Guardian | Ceara, Hagwood |
| Mother's Address | 9544 Whitcomb st, Detroit, Michigan, 48227, United States |
| Mother's DOB | 1990-07-03 |
| Mothers Mobile Number | (313) 687-6886 |
| Mother's Email | ceara.williams1@gmail.com |
| Authorized to pick up? | Auntie |
| Step-Father's Email | Uncle |
| Authorized to pick up? | Damon hagwood |
| Authorized to pick up? | (313) 848-4239 |
| 1. Your Child’s Strengths | Creativity, Athletic ability, Compassion for others, Determination, Strong personality / confidence, Good sense of humor, Helpful at home |
| 2. Areas Where Your Child May Need Support | Sometimes struggles to follow instructions at home, Becomes frustrated or upset when corrected, Other |
| Other areas where support may be needed | Lack discipline |
| Emotional Regulation / Anger (Check all that apply) | Sometimes shuts down or withdraws when upset |
| Conflict with Others (Check all that apply) | Has been involved in bullying (either as the aggressor or target) |
| School Engagement (Check all that apply) | Struggles to stay focused in class, Other |
| Other | I believe my son struggles in school not because he's incapable of learning but he lacks inspiration, being relatable to his instructor |
| Curfew / Home Expectations | Sometimes struggles to follow curfew or home rules |
| How would you describe your child most of the time? | Calm and easygoing, Energetic / high activity level, Independent, Strong-willed |
| What are you hoping your child gains from LevelUp Workforce Development (Check all that apply) | Increased confidence, Positive male mentorship, Leadership skills, Stronger faith or spiritual foundation, Better decision making, Academic motivation |
| What concerns you most about your child right now? | I want to make sure he stays focused and motivated as he approaches his high school years. I want him surrounded by positive peers and adults who will challenge and inspire him to reach his full potential. |
| What kind of future do you hope for your child? | I hope Aaron grows into a confident, responsible, and purpose-driven young man. I want him to have a clear sense of direction — whether that's college, a skilled trade, or a career he's passionate about. More than anything, I hope he develops the character, discipline, and self-worth to make good decisions and build a life he's proud of. I want him to know his potential has no limits. |
| Preferred Hospital for Emergency Treatment | I prefer royal oak corewell hospital or nearest hospital nearby |
| Medical Conditions (check all that apply) | Asthma |
| If medication must be administered during program hours, a medication authorization form must be on file. Parent Initials: | 69dac80aa857c6.31650114.png |
| Name | Yes |
| Name | Jermaine hagwood |
| Phone Number | (313) 732-6743 |
| Additional Phone Number | Grand father |
| Relationship to Student | Ceara hagwood |
| Authorized for pick up? | Aaron peppers |
| Emergency Medical Treatment | By checking the box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking the box, I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking the box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking the box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking the box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Tutoring (school year only), Mentoring, Counseling referral |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 85256.02 |
| How many dependents are in your family? | 2 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | Yes |
| Please explain any extenuating circumstances related to your financial need? (100 words or less) | I am a single mother and the sole provider for my son. There is no second income, no co-parent contributing financially — it is just me. After rent, transportation, and basic necessities, there is very little left over. I work full-time and give everything I have to keep us stable, but the truth is that programs like this are simply out of reach for us financially. I don't want my son to miss out on opportunities that could shape his future simply because of what I can't afford. This would mean everything to us. |
| How did you find out about The Yunion's Summer Camp? | Google Search |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Add Your Signature Here (Please Sign Legibly) | 69dacc8b267456.48402177.png |
| Have Your Child Sign His/Her Signature Here (Please Sign Legibly) | 69dacc8b306f52.69807626.png |
| 2026 LevelUp Workforce & Leadership Development Camp | 2026 Keys2Life Performing Arts Camp, $0.00, 1 |
| Date | 2026-04-11 |
Cam’Marie Avery
LevelUp Workforce Development Camp · April 10, 2026
| Child Name | Cam’Marie, Avery |
| Age | 13 |
| Date of Birth | 2012-08-20 |
| Grade Level this Fall? | 9th |
| School/District | Detroit |
| Name of School | Cass Tech |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | No |
| Height | 5’2 |
| Weight | 120 |
| Sex | Female |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 18352 Greydale, Detroit, Michigan, 48219, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother, Father |
| Who Does the Student Live With? (Check All That Apply) | Mother, Father |
| Number of Siblings in the Home | 3 |
| List name of youth applying for Yunion Camps | (313) 974-5902 |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Name of Parent/Guardian Completing This Form | Carmen, Avery |
| Email Address of Parent/Guardian Completing This Form | ccoope05@gmail.com |
| Your Preferred Method Of Communication | Text |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 974-9794 |
| Father/Legal Guardian | Cameron, Avery |
| Father's Address | 18352 Greydale, Detroit, Michigan, 48219, United States |
| Father's DOB | 1986-04-23 |
| Father's Home Number | (313) 974-5902 |
| Father's Email | camave7587@gmail.com |
| Mother/Legal Guardian | Carmen, Avery |
| Mother's Address | 18352 Greydale, Detroit, Michigan, 48219, United States |
| Mother's DOB | 1987-07-03 |
| Mothers Home Number | (313) 974-9794 |
| Mother's Email | ccoope05@gmail.com |
| Authorized to pick up? | Father |
| Step-Father's Email | Grandma |
| Authorized to pick up? | Gail Bell |
| Authorized to pick up? | (313) 826-5665 |
| 1. Your Child’s Strengths | Leadership potential, Creativity, Athletic ability, Compassion for others, Determination, Curiosity / enjoys learning, Strong personality / confidence, Good sense of humor, Helpful at home |
| 2. Areas Where Your Child May Need Support | Sometimes struggles to follow instructions at school |
| Emotional Regulation / Anger (Check all that apply) | Sometimes shuts down or withdraws when upset |
| How would you describe your child most of the time? | Calm and easygoing, Independent, Strong-willed |
| What are you hoping your child gains from LevelUp Workforce Development (Check all that apply) | Increased confidence, Leadership skills, Stronger faith or spiritual foundation, Better decision making |
| Medical Conditions (check all that apply) | None |
| Name | Yes |
| Relationship to Student | Carmen Avery |
| Authorized for pick up? | Cam’Marie Avery |
| Emergency Medical Treatment | By checking the box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking the box, I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking the box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking the box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking the box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Not needed at this time |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 12000 |
| How many dependents are in your family? | 4 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | No |
| Please explain any extenuating circumstances related to your financial need? (100 words or less) | Chronic illness and health issues |
| How did you find out about The Yunion's Summer Camp? | |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Add Your Signature Here (Please Sign Legibly) | 69d928678c5a55.06096201.png |
| Have Your Child Sign His/Her Signature Here (Please Sign Legibly) | 69d92867989439.04067795.png |
| 2026 LevelUp Workforce & Leadership Development Camp | 2026 Keys2Life Performing Arts Camp, $0.00, 1 |
| Date | 2026-04-10 |
Jaquaia Thomas
LevelUp Workforce Development Camp · April 9, 2026
| Child Name | Jaquaia, Thomas |
| Age | 13 |
| Date of Birth | 2011-04-20 |
| Grade Level this Fall? | 10 |
| School/District | Ypsilant |
| Name of School | Ypsilanti High School |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | N/a |
| Height | 5'7 |
| Weight | 180 |
| Sex | Female |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 390 Bedford dr, Ypsilanti, MI, Michigan, 48198, United States |
| County in Which Child Resides | Washtenaw County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother |
| Who Does the Student Live With? (Check All That Apply) | Mother |
| Number of Siblings in the Home | 2 |
| Primary Language Other Than English | English |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Name of Parent/Guardian Completing This Form | Laquaia, Thomas |
| Email Address of Parent/Guardian Completing This Form | laquaiathomas@gmail.com |
| Your Preferred Method Of Communication | Text |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 770-8065 |
| Mother/Legal Guardian | Laquaia, Thomas |
| Mother's Address | 390 Bedford dr, Ypsilanti, MI, Michigan, 48198, United States |
| Mother's DOB | 1990-02-13 |
| Mothers Mobile Number | (313) 770-8065 |
| Mother's Email | laquaiathomas@gmail.com |
| Name | Yes |
| Relationship to Student | LaQuaia Thomas |
| Authorized for pick up? | JaQuaia Thomas |
| Emergency Medical Treatment | By checking the box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking the box, I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking the box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking the box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking the box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Mentoring, Behavioral support |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 50000 |
| How many dependents are in your family? | 4 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | No |
| How did you find out about The Yunion's Summer Camp? | |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Add Your Signature Here (Please Sign Legibly) | 69d7e5e548aac3.48032709.png |
| Have Your Child Sign His/Her Signature Here (Please Sign Legibly) | 69d7e5e55358e8.89120739.png |
| 2026 LevelUp Workforce & Leadership Development Camp | 2026 Keys2Life Performing Arts Camp, $0.00, 1 |
| Date | 2026-04-09 |
Romeo Johnson
Cave of Adullam Transformational Training Academy · July 9, 2026
| Child Name | Romeo, Johnson |
| Age | 13 |
| Date of Birth | 2013-04-28 |
| Grade Level this Fall? | 8th Grade |
| School/District | Detroit Public School |
| Name of School | Marcus Garvey Academy |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | N/A |
| Height | 4’8 |
| Weight | 90 |
| Sex | Male |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 2310 cochrane st, Detroit, Michigan, 48216, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother |
| Who Does the Student Live With? (Check All That Apply) | Mother |
| Number of Siblings in the Home | 1 |
| Are siblings applying to a Yunion camp? | No, they are not applying for a Yunion Camp. |
| List name of youth applying for Yunion Camps | Romeo Johnson |
| Primary Language Other Than English | N/A |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Name of Parent/Guardian Completing This Form | Grace, Horton |
| Email Address of Parent/Guardian Completing This Form | gracehorton94@gmail.com |
| Your Preferred Method Of Communication | Phone Call |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 500-5084 |
| Mother/Legal Guardian | Grace, Horton |
| Mother's Address | 2310 cochrane st, Detroit, Michigan, 48216, United States |
| Mother's DOB | 1994-12-08 |
| Mothers Mobile Number | (313) 500-5084 |
| Mother's Email | gracehorton94@gmail.com |
| Authorized to pick up? | Yes |
| 1. Your Child’s Strengths | Creativity, Compassion for others, Strong personality / confidence, Good sense of humor |
| 2. Areas Where Your Child May Need Support | Sometimes struggles to follow instructions at school, Becomes frustrated or upset when corrected |
| Emotional Regulation / Anger (Check all that apply) | Reacts strongly to conflict or correction |
| Conflict with Others (Check all that apply) | Has frequent arguments with siblings, peers, or adults |
| School Engagement (Check all that apply) | Struggles with school attendance, Struggles to stay focused in class, Has received school suspension(s) |
| Exposure to Risk Behaviors (Check all that apply) | Has been exposed to drug or alcohol use among peers, Has experimented with vaping, tobacco, alcohol, or drugs |
| Has your child ever (Check all that apply): | Been suspended from school |
| How would you describe your child most of the time? | Calm and easygoing, Sensitive / emotional |
| What are you hoping your child gains from CATTA (Check all that apply) | Increased confidence, Positive male mentorship, Leadership skills, Better decision making |
| What concerns you most about your child right now? | Doing down the wrong path and being influence by the wrong crowd |
| What kind of future do you hope for your child? | Well round adult with strength and resilience to go after all his dreams and goals |
| Preferred Hospital for Emergency Treatment | Nearest one |
| Medical Conditions (check all that apply) | None |
| If medication must be administered during program hours, a medication authorization form must be on file. Parent Initials: | 6a500526652184.41023021.png |
| Name | Grace Horton |
| Phone Number | (313) 500-5084 |
| Relationship to Student | Mother |
| Authorized for pick up? | Yes |
| Emergency Medical Treatment | By checking this box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking this box,I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking this box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking this box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking this box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Tutoring (school year only), Mentoring, Counseling referral, Behavioral support, Family resources |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| How many dependents are in your family? | 3 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | No |
| How did you find out about The Yunion's Summer Camp? | Someone referred me |
| Name of Person/Recruiter Who Referred You | Marc |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Grace Horton |
| Add Your Signature Here (Please Sign Legibly) | 6a5005f1b73323.45349195.png |
| Child's Name (Printed) | Romeo Johnson |
| Have Your Child Sign His/Her Signature Here (Please Sign Legibly) | 6a5005f1c34114.12518378.png |
| 2026 Cave of Adullam Transformational Training Academy Camp | 2026 Cave of Adullam Transformational Training Academy Camp, $0.00, 1 |
| Date | 2026-07-09 |
Jayden Gaines
Cave of Adullam Transformational Training Academy · June 6, 2026
| Child Name | Jayden, Gaines |
| Age | 12 |
| Date of Birth | 2014-01-18 |
| Grade Level this Fall? | 7th |
| School/District | Kenosha County |
| Name of School | Mahone middle School |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | No |
| Height | 4”11 |
| Weight | 81 lb |
| Sex | Male |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 6820 28th Ave, Kenosha, Wisconsin, 53143, United States |
| County in Which Child Resides | Kenosha County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother |
| Who Does the Student Live With? (Check All That Apply) | Mother |
| List name of youth applying for Yunion Camps | Jayden Gaines |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Name of Parent/Guardian Completing This Form | Lachelle, Hoskins |
| Email Address of Parent/Guardian Completing This Form | lachellehoskins@yahoo.com |
| Your Preferred Method Of Communication | |
| Cell Phone Number of Parent/Guardian Completing This Form | (224) 655-8345 |
| Mother/Legal Guardian | Lachelle, Hoskins |
| Mother's Address | 6820 28th Ave, Kenosha, Wisconsin, 53143, United States |
| Mother's DOB | 1992-07-28 |
| Mothers Home Number | (224) 655-8345 |
| Mothers Mobile Number | (224) 655-8345 |
| Mother's Email | lachellehoskins@yahoo.com |
| Authorized to pick up? | Yes |
| Emergency Medical Treatment | By checking this box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking this box,I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking this box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking this box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking this box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Mentoring |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 40000 |
| How many dependents are in your family? | 1 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | No |
| Please explain any extenuating circumstances related to your financial need? (100 words or less) | Single mom/New nursing grad student. Was unable to work much throughout school currently working to establish myself in new career field not working full time just yet so hours fluctuate. |
| How did you find out about The Yunion's Summer Camp? | Via email and phone call (voicemail) from the catta program. |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Lachelle Hoskins |
| Add Your Signature Here (Please Sign Legibly) | 6a23a6f00d41f2.53611684.png |
| Child's Name (Printed) | Jayden Gaines |
| Have Your Child Sign His/Her Signature Here (Please Sign Legibly) | 6a23a6f016aaf8.13989636.png |
| 2026 Cave of Adullam Transformational Training Academy Camp | 2026 Cave of Adullam Transformational Training Academy Camp, $0.00, 1 |
| Date | 2026-06-06 |
Lyathun Bolden
Cave of Adullam Transformational Training Academy · June 4, 2026
| Child Name | Lyathun, Bolden |
| Age | 13 |
| Date of Birth | 2012-12-18 |
| Grade Level this Fall? | 9 |
| School/District | Archdiocese Detroit |
| Name of School | Orchard Lake St. Mary's |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | Financial |
| Height | 5'9" |
| Weight | 135 |
| Sex | Male |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 22470 Southwyck Court, Novi, Michigan, 48374, United States |
| County in Which Child Resides | Oakland County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother, Father, Step-Father |
| Who Does the Student Live With? (Check All That Apply) | Mother, Step-Father |
| Number of Siblings in the Home | 2 |
| Are siblings applying to a Yunion camp? | No, they are not applying for a Yunion Camp. |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Name of Parent/Guardian Completing This Form | LaTicia, Kilpatrick |
| Email Address of Parent/Guardian Completing This Form | thepathfinder4u@gmail.com |
| Your Preferred Method Of Communication | |
| Cell Phone Number of Parent/Guardian Completing This Form | (947) 888-6075 |
| Father/Legal Guardian | Lawrence, Bolden |
| Father's Address | n/a, Eastpointe, Michigan, n/a, United States |
| Father's DOB | 1966-07-07 |
| Father's Mobile Number | (586) 788-5313 |
| Father's Email | lyathunbolden@gmail.com |
| Authorized to pick up? | Yes |
| Mother/Legal Guardian | LaTicia, Kilpatrick |
| Mother's Address | 22470 Southwyck Court, Novi, Michigan, 48374, United States |
| Mother's DOB | 1981-01-28 |
| Mothers Mobile Number | (947) 888-6075 |
| Mother's Email | thepathfinder4u@gmail.com |
| Authorized to pick up? | Yes |
| Step-Father | Kwame, Kilpatrick |
| Step-Father's Address | 200 S. Wing Street, Number 5332, Northville, Michigan, 48167, United States |
| Step-Father's Mobile Number | (313) 910-3230 |
| Step-Father's Email | therealkwamekilpatrick@gmail.com |
| Authorized to pick up? | Yes |
| Emergency Medical Treatment | By checking this box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking this box,I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking this box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking this box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking this box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Tutoring (school year only), Mentoring, Counseling referral |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | No, my school doesn't have that program |
| What is the annual income of your family? | 86000 |
| How many dependents are in your family? | 3 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | No |
| Please explain any extenuating circumstances related to your financial need? (100 words or less) | Our bank funds have been frozen for months. We are working our way through it, but have very little access to money right now. |
| How did you find out about The Yunion's Summer Camp? | Someone referred me |
| Name of Person/Recruiter Who Referred You | Jason Wilson |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | LaTicia Kilpatrick |
| Add Your Signature Here (Please Sign Legibly) | 6a21d2a1938844.75046869.png |
| Child's Name (Printed) | Lyathun Bolden |
| Have Your Child Sign His/Her Signature Here (Please Sign Legibly) | 6a21d2a19f5992.45741588.png |
| 2026 Cave of Adullam Transformational Training Academy Camp | 2026 Cave of Adullam Transformational Training Academy Camp, $0.00, 1 |
| Date | 2026-06-04 |
Randall Lewis
Cave of Adullam Transformational Training Academy · June 4, 2026
| Child Name | Randall, Lewis |
| Age | 11 |
| Date of Birth | 2014-08-19 |
| Grade Level this Fall? | 6 |
| School/District | DPSCD |
| Name of School | Spain Elementary-Middle School |
| Education Type | IEP |
| Does your Child need any additional support? Please specify in comment box below. | He may benefit from additional emotional support, mentorship, positive male role models, grief support services, and opportunities to build coping, social, and emotional regulation skills. The family is seeking a structured, supportive environment that can provide encouragement, guidance, and positive peer connections while helping him continue to process his loss of his father in a healthy way. |
| Height | 5'10 |
| Weight | 220 |
| Sex | Male |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 19151 Littlefield, Detroit, Michigan, 48235, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother |
| Who Does the Student Live With? (Check All That Apply) | Mother |
| Are siblings applying to a Yunion camp? | No, they are not applying for a Yunion Camp. |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Name of Parent/Guardian Completing This Form | Kareemah, Lewis |
| Email Address of Parent/Guardian Completing This Form | kareemah.lewis@detroitk12.org |
| Your Preferred Method Of Communication | Text |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 405-5873 |
| Mother/Legal Guardian | Kareemah, Lewis |
| Mother's Address | 19151 Littlefield, Detroit, Michigan, 48235, United States |
| Mothers Mobile Number | (313) 405-5873 |
| Mother's Email | kareemah.lewis@detroitk12.org |
| Authorized to pick up? | Yes |
| 1. Your Child’s Strengths | Leadership potential, Athletic ability, Compassion for others, Determination, Strong personality / confidence, Good sense of humor |
| 2. Areas Where Your Child May Need Support | Sometimes struggles to follow instructions at home |
| Emotional Regulation / Anger (Check all that apply) | Has difficulty controlling anger or frustration, Reacts strongly to conflict or correction, Sometimes shuts down or withdraws when upset |
| Conflict with Others (Check all that apply) | Sometimes responds physically when upset |
| What are you hoping your child gains from CATTA (Check all that apply) | More discipline, Greater respect for authority, Better anger management, Increased confidence, Positive male mentorship, Leadership skills, Stronger faith or spiritual foundation, Better decision making, Academic motivation |
| What concerns you most about your child right now? | My greatest concern is helping him heal from the traumatic loss of his father, which he witnessed firsthand. I want to ensure he has the emotional support, positive mentorship, and healthy coping skills needed to process his grief. I am concerned about how this experience may affect his emotional well-being, behavior, relationships, confidence, and overall development. My hope is that he can be surrounded by positive role models and supportive programs that help him continue to grow, heal, and thrive. |
| What kind of future do you hope for your child? | I hope my child grows into a confident, resilient, and successful young man who knows his worth and has a strong sense of purpose. I want him to have the tools to overcome the challenges he has faced, develop healthy relationships, and make positive choices. My hope is that he is surrounded by supportive mentors and opportunities that help him reach his full potential, pursue his goals, and lead a happy, productive, and fulfilling life. |
| If medication must be administered during program hours, a medication authorization form must be on file. Parent Initials: | 6a21c717e26101.43638718.png |
| Name | Kareemah Lewis |
| Phone Number | (313) 405-5873 |
| Relationship to Student | Mother |
| Authorized for pick up? | Yes |
| Emergency Medical Treatment | By checking this box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking this box,I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking this box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking this box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking this box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Mentoring, Counseling referral, Behavioral support, Family resources |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 50000 |
| How many dependents are in your family? | 1 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | No |
| Please explain any extenuating circumstances related to your financial need? (100 words or less) | I am a widowed mother raising my child on a single income following the loss of his father. In addition to the financial challenges that come with the loss of a primary provider, our family has also been navigating the emotional impact of this tragedy. The cost of childcare, transportation, daily living expenses, and providing supportive opportunities for my child can be difficult to manage. Financial assistance would help ensure that my child has access to positive programs, mentorship, and enriching experiences that support his growth, healing, and overall well-being during this challenging time. |
| How did you find out about The Yunion's Summer Camp? | Someone referred me |
| Name of Person/Recruiter Who Referred You | Taria Pearson |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Kareemah Lewis |
| Add Your Signature Here (Please Sign Legibly) | 6a21c7f9ca0c56.59792535.png |
| Child's Name (Printed) | Randall Lewis |
| Have Your Child Sign His/Her Signature Here (Please Sign Legibly) | 6a21c7f9d612c5.47640756.png |
| 2026 Cave of Adullam Transformational Training Academy Camp | 2026 Cave of Adullam Transformational Training Academy Camp, $0.00, 1 |
| Date | 2026-06-04 |
Julian Motley
Cave of Adullam Transformational Training Academy · June 4, 2026
| Child Name | Julian, Motley |
| Age | 12 |
| Date of Birth | 1989-07-29 |
| Grade Level this Fall? | 7th |
| School/District | Dps |
| Name of School | Mason elementary |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | Yes he needs help with communication and being respectful |
| Height | 4’11 |
| Weight | 171 |
| Sex | Male |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 20156 Norwood St, Detroit, Michigan, 48234, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother |
| Who Does the Student Live With? (Check All That Apply) | Mother |
| Are siblings applying to a Yunion camp? | No, they are not applying for a Yunion Camp. |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Name of Parent/Guardian Completing This Form | iyana, jackson-harris |
| Email Address of Parent/Guardian Completing This Form | Iyana0729@gmail.com |
| Your Preferred Method Of Communication | Text |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 685-6375 |
| Mother/Legal Guardian | iyana, jackson-harris |
| Mother's Address | 20156 Norwood St, Detroit, Michigan, 48234, United States |
| Mother's DOB | 1989-07-29 |
| Mothers Mobile Number | (313) 685-6375 |
| Mother's Email | Iyana0729@gmail.com |
| Authorized to pick up? | Yes |
| 1. Your Child’s Strengths | Athletic ability, Determination, Helpful at home |
| 2. Areas Where Your Child May Need Support | Sometimes struggles to follow instructions at school, Becomes frustrated or upset when corrected |
| Emotional Regulation / Anger (Check all that apply) | Has difficulty controlling anger or frustration, Reacts strongly to conflict or correction |
| Conflict with Others (Check all that apply) | Has been involved in bullying (either as the aggressor or target), Sometimes responds physically when upset |
| School Engagement (Check all that apply) | Struggles to stay focused in class, Has experienced disciplinary action at school, Has received school suspension(s) |
| Has your child ever (Check all that apply): | Been suspended from school, Been transferred due to disciplinary issues |
| How would you describe your child most of the time? | Calm and easygoing |
| What are you hoping your child gains from CATTA (Check all that apply) | More discipline, Greater respect for authority, Better anger management, Increased confidence, Positive male mentorship, Leadership skills, Stronger faith or spiritual foundation, Better decision making, Academic motivation |
| What concerns you most about your child right now? | Communication, anger management, listening and following instructions |
| What kind of future do you hope for your child? | I want he to be the best at whatever he chooses to be in life I want him confident in himself |
| Medical Conditions (check all that apply) | Allergies |
| Allergic to Bees? | No |
| Name | Illana Jackson Harris |
| Phone Number | (313) 740-8930 |
| Relationship to Student | Aunt |
| Authorized for pick up? | Yes |
| Name | Iris jackson |
| Phone Number | 3132434489 |
| Relationship to Student | Grandmother |
| Authorized for pick up? | Yes |
| Emergency Medical Treatment | By checking this box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking this box,I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking this box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking this box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking this box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Tutoring (school year only), Mentoring |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 30000 |
| How many dependents are in your family? | 1 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | No |
| How did you find out about The Yunion's Summer Camp? | Someone referred me |
| Name of Person/Recruiter Who Referred You | Tyrone vines |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Iyana Jackson-Harris |
| Add Your Signature Here (Please Sign Legibly) | 6a21c514834ad4.64318737.png |
| Child's Name (Printed) | Julian Motley |
| Have Your Child Sign His/Her Signature Here (Please Sign Legibly) | 6a21c4fd5c3572.78092620.png |
| 2026 Cave of Adullam Transformational Training Academy Camp | 2026 Cave of Adullam Transformational Training Academy Camp, $0.00, 1 |
| Date | 2026-06-04 |
Aero Wilson
Cave of Adullam Transformational Training Academy · June 4, 2026
| Child Name | Aero, Wilson |
| Age | 13 |
| Date of Birth | 2013-02-25 |
| Grade Level this Fall? | 8th |
| School/District | Charter |
| Name of School | Detroit Achievement Academy |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | No |
| Height | 5'3 |
| Weight | 160 |
| Sex | Male |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 18315 Kentucky, Detroit, Michigan, 48221, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother, Father |
| Who Does the Student Live With? (Check All That Apply) | Mother, Father |
| Number of Siblings in the Home | 1 |
| Are siblings applying to a Yunion camp? | No, they are not applying for a Yunion Camp. |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Name of Parent/Guardian Completing This Form | Renard, Wilson |
| Email Address of Parent/Guardian Completing This Form | renardewilson@gmail.com |
| Your Preferred Method Of Communication | Text |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 919-1070 |
| Father/Legal Guardian | Renard, Wilson |
| Father's Address | 1837 S Deacon, Detroit, Michigan, 48217, United States |
| Father's DOB | 1987-01-03 |
| Father's Mobile Number | (313) 919-1070 |
| Father's Email | renardewilson@gmail.com |
| Authorized to pick up? | Yes |
| Mother/Legal Guardian | Cortney, Wilson |
| Mother's Address | 18315 Kentucku, Detroit, Michigan, 48221, United States |
| Mother's DOB | 1986-07-13 |
| Mothers Mobile Number | (313) 282-6204 |
| Mother's Email | wcortj@gmail.com |
| Authorized to pick up? | Yes |
| 1. Your Child’s Strengths | Leadership potential, Creativity, Compassion for others, Curiosity / enjoys learning, Good sense of humor, Other strengths |
| Other strengths: | Advocacy |
| 2. Areas Where Your Child May Need Support | Sometimes struggles to follow instructions at home, Becomes frustrated or upset when corrected |
| Emotional Regulation / Anger (Check all that apply) | Has difficulty controlling anger or frustration, Reacts strongly to conflict or correction, Sometimes shuts down or withdraws when upset |
| Conflict with Others (Check all that apply) | Has frequent arguments with siblings, peers, or adults, Has been involved in bullying (either as the aggressor or target) |
| How would you describe your child most of the time? | Calm and easygoing, Sensitive / emotional, Independent, Strong-willed, Quiet or reserved |
| What are you hoping your child gains from CATTA (Check all that apply) | More discipline, Better anger management, Increased confidence, Stronger faith or spiritual foundation, Better decision making |
| What concerns you most about your child right now? | Aero is going into 8th grade, and needs support building self-confidence, self-image, and navigating anxiety. He needs support with navigating a divorce and different living conditions. |
| What kind of future do you hope for your child? | I hope for a future where Aero is confident with self control and discipline. |
| Preferred Hospital for Emergency Treatment | Any alteranite to Sinai Grace |
| Name | Lester Thomas |
| Phone Number | (313) 330-0379 |
| Relationship to Student | Grandfather |
| Authorized for pick up? | Yes |
| Name | William Jenkins |
| Phone Number | 3133992216 |
| Relationship to Student | Uncle |
| Authorized for pick up? | Yes |
| Name | Debran Jenkins |
| Phone Number | 2489337702 |
| Relationship to Student | Grandmother |
| Authorized for pick up? | Yes |
| Emergency Medical Treatment | By checking this box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking this box,I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking this box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking this box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking this box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Counseling referral, Behavioral support |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | No, we don't qualify |
| What is the annual income of your family? | 90000 |
| How many dependents are in your family? | 2 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | No |
| Please explain any extenuating circumstances related to your financial need? (100 words or less) | Recently divorced, in transition, regaining financial stability. |
| How did you find out about The Yunion's Summer Camp? | Someone referred me |
| Name of Person/Recruiter Who Referred You | Jon Shropshire |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Renard Wilson |
| Add Your Signature Here (Please Sign Legibly) | 6a21bb22360b62.86146732.png |
| Child's Name (Printed) | Aero Wilson |
| Have Your Child Sign His/Her Signature Here (Please Sign Legibly) | 6a21bb2242a322.93940414.png |
| 2026 Cave of Adullam Transformational Training Academy Camp | 2026 Cave of Adullam Transformational Training Academy Camp, $0.00, 1 |
| Date | 2026-06-04 |
Isaiah Lewis
Cave of Adullam Transformational Training Academy · June 3, 2026
| Child Name | Isaiah, Lewis |
| Age | 13 |
| Date of Birth | 2012-09-05 |
| Grade Level this Fall? | 9 |
| School/District | West Bloomfield |
| Name of School | West Bloomfield High Schools |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | N/A |
| Height | 5 |
| Weight | 5 |
| Sex | Male |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 21232 Gill Rd., Farmington Hills, Michigan, 48335, United States |
| County in Which Child Resides | Oakland County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother, Father, Step-Mother |
| Who Does the Student Live With? (Check All That Apply) | Mother, Father, Step-Mother |
| Number of Siblings in the Home | 1 |
| Are siblings applying to a Yunion camp? | No, they are not applying for a Yunion Camp. |
| List name of youth applying for Yunion Camps | N/A |
| Primary Language Other Than English | N/A |
| Are you applying for a scholarship? | No, I will pay the full price |
| Name of Parent/Guardian Completing This Form | Erika, Lewis |
| Email Address of Parent/Guardian Completing This Form | erikawright2@gmail.com |
| Your Preferred Method Of Communication | |
| Cell Phone Number of Parent/Guardian Completing This Form | (248) 469-3769 |
| Father/Legal Guardian | Rahsaan, Lewis |
| Father's Address | 7125 Pebble Park Drive, West Bloomfield, Michigan, 48322, United States |
| Father's DOB | 1984-11-09 |
| Father's Mobile Number | (313) 516-2266 |
| Father's Email | lewisrah@gmail.com |
| Authorized to pick up? | Yes |
| Mother/Legal Guardian | Erika, Lewis |
| Mother's Address | 21232 Gill Rd, Farmington Hills, Michigan, 48335, United States |
| Mother's DOB | 1985-05-10 |
| Mothers Mobile Number | (248) 469-3769 |
| Mother's Email | erikawright2@gmail.com |
| Authorized to pick up? | Yes |
| Step-Mother | Qyera, Posey |
| Step-Mother's Address | 7125 Pebble Park Drive, West Bloomfield, Michigan, 48322, United States |
| Authorized to pick up? | Yes |
| Emergency Medical Treatment | By checking this box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking this box,I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking this box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking this box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking this box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Mentoring |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| How did you find out about The Yunion's Summer Camp? | Someone referred me |
| Name of Person/Recruiter Who Referred You | Torlisa Wright |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Erika Lewis |
| Add Your Signature Here (Please Sign Legibly) | 6a2059a2d958b6.09546799.png |
| Child's Name (Printed) | Isaiah Lewis |
| Have Your Child Sign His/Her Signature Here (Please Sign Legibly) | 6a2059a2e3d430.34832603.png |
| 2026 Cave of Adullam Transformational Training Academy Camp | 2026 Cave of Adullam Transformational Training Academy Camp, $0.00, 1 |
| Date | 2026-06-03 |
Karl Taylor Jr
Cave of Adullam Transformational Training Academy · June 3, 2026
| Child Name | Karl, Taylor Jr |
| Age | 11 |
| Date of Birth | 2015-08-05 |
| Grade Level this Fall? | 6th |
| School/District | Detroit |
| Name of School | Detroit Edision Public School Academy |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | Strong personality, talks back or mumbles under breath if he dont want to do something, avoid conflict with students and is afraid to stand up for himself sometimes. |
| Height | 4'10 |
| Weight | 80lbs |
| Sex | Male |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 19163 Kingsville St, Harper Woods, Michigan, 48225, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother, Father |
| Who Does the Student Live With? (Check All That Apply) | Mother, Father |
| Number of Siblings in the Home | 1 |
| Are siblings applying to a Yunion camp? | No, they are not applying for a Yunion Camp. |
| List name of youth applying for Yunion Camps | N/A |
| Primary Language Other Than English | N/A |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Name of Parent/Guardian Completing This Form | Torlisa, Wright |
| Email Address of Parent/Guardian Completing This Form | torlisa.wright@gmail.com |
| Your Preferred Method Of Communication | Phone Call |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 728-0208 |
| Father/Legal Guardian | Karl, Taylor |
| Father's Address | 19163 Kingsville St, Harper Woods, Michigan, 48225, United States |
| Father's DOB | 1986-02-08 |
| Father's Mobile Number | (313) 288-5776 |
| Father's Email | karl08taylor@gmail.com |
| Authorized to pick up? | Yes |
| Mother/Legal Guardian | Torlisa, Wright |
| Mother's Address | 19163 Kingsville St, Harper Woods, Michigan, 48225, United States |
| Mother's DOB | 1986-12-12 |
| Mothers Work Number | (947) 226-0678 |
| Mothers Mobile Number | (313) 728-0208 |
| Mother's Email | torlisa.wright@gmail.com |
| Authorized to pick up? | Yes |
| 1. Your Child’s Strengths | Leadership potential, Compassion for others, Determination, Strong personality / confidence, Helpful at home |
| 2. Areas Where Your Child May Need Support | Sometimes struggles to follow instructions at home, Sometimes struggles to follow instructions at school, Becomes frustrated or upset when corrected, Other |
| Other areas where support may be needed | Shutsdown when electronics are taken |
| Emotional Regulation / Anger (Check all that apply) | Has difficulty controlling anger or frustration, Reacts strongly to conflict or correction, Sometimes shuts down or withdraws when upset |
| Other | Strong personality, talks back or mumbles under breath if he dont want to do something, avoid conflict with students and is afraid to stand up for himself sometimes. |
| Conflict with Others (Check all that apply) | Other |
| School Engagement (Check all that apply) | Struggles to stay focused in class |
| Curfew / Home Expectations | Sometimes struggles to follow curfew or home rules |
| Has your child ever (Check all that apply): | Been suspended from school |
| How would you describe your child most of the time? | Calm and easygoing, Independent, Strong-willed, Quiet or reserved |
| What are you hoping your child gains from CATTA (Check all that apply) | More discipline, Greater respect for authority, Better anger management, Increased confidence, Positive male mentorship, Leadership skills, Stronger faith or spiritual foundation, Better decision making, Academic motivation |
| What concerns you most about your child right now? | “I’m most concerned that he seems to struggle with confidence, which may be holding him back from trying new things and connecting with others. I also worry that challenges with communication might be affecting his relationships. In addition, he appears to have difficulty understanding and managing his emotions, which can feel overwhelming for him at times and impact his overall sense of balance. |
| What kind of future do you hope for your child? | I hope he grows into a confident and secure individual who feels comfortable being himself and trying new experiences without fear. I want him to build strong, healthy relationships where he feels understood and connected to others. I also hope he develops the ability to recognize, understand, and manage his emotions in a healthy way, so he can navigate life’s challenges with resilience and self-awareness. Most of all, I want him to feel happy, capable, and supported as he grows into his own path, and to have a trusting, loving relationship with God that naturally flows into his relationships with his mother and father and others in his life. |
| Preferred Hospital for Emergency Treatment | Childrens Hospital Detroit Mi 48201 |
| Medical Conditions (check all that apply) | Allergies |
| Food Allergies | None ( No pork preference) |
| Allergic to Bees? | No |
| Additional medical or behavioral information staff should know: | Severe allergy to cat dander. |
| Name | Tracy Wright |
| Phone Number | (313) 808-4958 |
| Relationship to Student | Aunte |
| Authorized for pick up? | Yes |
| Name | Juanita Wright |
| Phone Number | 313-412-4654 |
| Relationship to Student | Aunte |
| Authorized for pick up? | Yes |
| Name | Timothy Robinson |
| Phone Number | 614-743-4241 |
| Relationship to Student | Friend of the Family |
| Authorized for pick up? | Yes |
| Emergency Medical Treatment | By checking this box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking this box,I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking this box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking this box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking this box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Tutoring (school year only), Mentoring, Counseling referral, Behavioral support, Family resources |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 57000 |
| How many dependents are in your family? | 2 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | No |
| Please explain any extenuating circumstances related to your financial need? (100 words or less) | None |
| How did you find out about The Yunion's Summer Camp? | Contacted by The Yunion's Summer Camp Coordinator |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Torlisa Wright |
| Add Your Signature Here (Please Sign Legibly) | 6a2003f4991ee9.56044662.png |
| Child's Name (Printed) | Karl Taylor Jr |
| Have Your Child Sign His/Her Signature Here (Please Sign Legibly) | 6a2003f4a3d453.91280618.png |
| 2026 Cave of Adullam Transformational Training Academy Camp | 2026 Cave of Adullam Transformational Training Academy Camp, $0.00, 1 |
| Date | 2026-06-02 |
Ruben Ford
Cave of Adullam Transformational Training Academy · June 3, 2026
| Child Name | Ruben, Ford |
| Age | 11 |
| Date of Birth | 2015-09-09 |
| Grade Level this Fall? | 5th |
| School/District | Inkster |
| Name of School | Community Homeschooling Incorporated |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | Does well with one on one learning |
| Height | N/A |
| Weight | N/A |
| Sex | Male |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 26438 West Hills Drive, Inkster, Michigan, 48141, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother, Step-Father |
| Who Does the Student Live With? (Check All That Apply) | Mother |
| Number of Siblings in the Home | 5 |
| Are siblings applying to a Yunion camp? | Yes, they are applying for the Keys Performing Arts Camp. |
| List name of youth applying for Yunion Camps | CATTA Summer Camp |
| Primary Language Other Than English | English |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Name of Parent/Guardian Completing This Form | Sahara, Davis |
| Email Address of Parent/Guardian Completing This Form | saharaadavis422@gmail.com |
| Your Preferred Method Of Communication | Phone Call |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 785-4526 |
| Mother/Legal Guardian | Sahara, Davis |
| Mother's Address | 26438 West Hills Drive, Inkster, Michigan, 48141, United States |
| Mother's DOB | 1994-08-11 |
| Mothers Work Number | (734) 228-3843 |
| Mothers Mobile Number | (313) 785-4526 |
| Mother's Email | saharaadavis422@gmail.com |
| Authorized to pick up? | Yes |
| Step-Father | Rodney, Morris |
| Step-Father's Mobile Number | (313) 785-3513 |
| Step-Father's Email | sparklingclean313@gmail.com |
| Authorized to pick up? | Yes |
| 1. Your Child’s Strengths | Creativity, Athletic ability, Determination, Curiosity / enjoys learning, Strong personality / confidence, Good sense of humor |
| 2. Areas Where Your Child May Need Support | Sometimes struggles to follow instructions at home, Becomes frustrated or upset when corrected |
| Emotional Regulation / Anger (Check all that apply) | Sometimes shuts down or withdraws when upset |
| Conflict with Others (Check all that apply) | Has frequent arguments with siblings, peers, or adults |
| How would you describe your child most of the time? | Energetic / high activity level, Sensitive / emotional, Strong-willed |
| What are you hoping your child gains from CATTA (Check all that apply) | More discipline, Better anger management, Increased confidence, Positive male mentorship, Stronger faith or spiritual foundation, Better decision making, Academic motivation |
| What concerns you most about your child right now? | My biggest concern is emotional regulation. |
| What kind of future do you hope for your child? | I hope my child has a happy, peaceful and successful future. I hope he gains enough confidence within himself in all aspects. |
| Preferred Hospital for Emergency Treatment | U of M |
| Medical Conditions (check all that apply) | Asthma |
| Name | Rodney Morris |
| Phone Number | (313) 785-3513 |
| Relationship to Student | Father |
| Authorized for pick up? | Yes |
| Name | Ali Miyzaan |
| Phone Number | 313-769-8647 |
| Relationship to Student | Grandfather |
| Authorized for pick up? | Yes |
| Name | Carolyn Davis |
| Phone Number | 313-753-9361 |
| Relationship to Student | Great Grandmother |
| Authorized for pick up? | Yes |
| Emergency Medical Treatment | By checking this box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking this box,I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking this box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking this box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking this box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Tutoring (school year only), Mentoring, Counseling referral, Family resources |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 15000 |
| How many dependents are in your family? | 5 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | No |
| How did you find out about The Yunion's Summer Camp? | The Cave |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Sahara Davis |
| Add Your Signature Here (Please Sign Legibly) | 6a1f9b98230032.50556307.png |
| Child's Name (Printed) | Ruben Ford |
| Have Your Child Sign His/Her Signature Here (Please Sign Legibly) | 6a1f9b982c66f7.31129535.png |
| 2026 Cave of Adullam Transformational Training Academy Camp | 2026 Cave of Adullam Transformational Training Academy Camp, $0.00, 1 |
| Date | 2026-06-02 |
Noah Davis
Cave of Adullam Transformational Training Academy · June 3, 2026
| Child Name | Noah, Davis |
| Age | 12 |
| Date of Birth | 2014-04-22 |
| Grade Level this Fall? | 6th |
| School/District | Inkster |
| Name of School | Community Homeschooling Incorporated |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | He does better with one on one learning. Would be grateful for someome that has patience with a slow learner. |
| Height | N/A |
| Weight | N/A |
| Sex | Male |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 26438 West Hills Drive, Inkster, Michigan, 48141, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother, Step-Father |
| Who Does the Student Live With? (Check All That Apply) | Mother |
| Number of Siblings in the Home | 5 |
| Are siblings applying to a Yunion camp? | Yes, they are applying for the Keys Performing Arts Camp. |
| List name of youth applying for Yunion Camps | CATTA Summer Camp |
| Primary Language Other Than English | English |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Name of Parent/Guardian Completing This Form | Sahara, Davis |
| Email Address of Parent/Guardian Completing This Form | saharaadavis422@gmail.com |
| Your Preferred Method Of Communication | Phone Call |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 785-4526 |
| Mother/Legal Guardian | Sahara, Davis |
| Mother's Address | 26438 West Hills Drive, Inkster, Michigan, 48141, United States |
| Mother's DOB | 1994-08-11 |
| Mothers Home Number | (313) 785-4526 |
| Mothers Work Number | (734) 228-3843 |
| Mothers Mobile Number | (313) 785-4526 |
| Mother's Email | saharaadavis422@gmail.com |
| Authorized to pick up? | Yes |
| Step-Father | Rodney, Morris |
| Step-Father's Mobile Number | (313) 785-3513 |
| Step-Father's Email | sparklingclean313@gmail.com |
| Authorized to pick up? | Yes |
| 1. Your Child’s Strengths | Leadership potential, Creativity, Athletic ability, Compassion for others, Determination, Curiosity / enjoys learning, Strong personality / confidence, Good sense of humor, Helpful at home |
| Emotional Regulation / Anger (Check all that apply) | Sometimes shuts down or withdraws when upset |
| How would you describe your child most of the time? | Calm and easygoing, Energetic / high activity level, Independent, Quiet or reserved |
| What are you hoping your child gains from CATTA (Check all that apply) | Increased confidence, Positive male mentorship, Stronger faith or spiritual foundation, Academic motivation |
| What concerns you most about your child right now? | I think my child really needs a positive male role model. |
| What kind of future do you hope for your child? | A healthy, happy and successful future. |
| Preferred Hospital for Emergency Treatment | U of M Health |
| Medical Conditions (check all that apply) | None |
| Name | Ali Miyzaan |
| Phone Number | (313) 769-8647 |
| Relationship to Student | Grandfather |
| Authorized for pick up? | Yes |
| Name | Carolyn Davis |
| Phone Number | 3137539361 |
| Relationship to Student | Grandmother |
| Authorized for pick up? | Yes |
| Emergency Medical Treatment | By checking this box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking this box,I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking this box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking this box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking this box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Tutoring (school year only), Mentoring, Counseling referral, Family resources |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 15000 |
| How many dependents are in your family? | 5 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | No |
| How did you find out about The Yunion's Summer Camp? | The Yunion |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Sahara Davis |
| Add Your Signature Here (Please Sign Legibly) | 6a1f73e845d5e0.77734521.png |
| Child's Name (Printed) | Noah Davis |
| Have Your Child Sign His/Her Signature Here (Please Sign Legibly) | 6a1f73e8524ee4.16771436.png |
| 2026 Cave of Adullam Transformational Training Academy Camp | 2026 Cave of Adullam Transformational Training Academy Camp, $0.00, 1 |
| Date | 2026-06-02 |
Hasani Miller
Cave of Adullam Transformational Training Academy · June 2, 2026
| Child Name | Hasani, Miller |
| Age | 11 |
| Date of Birth | 2015-02-15 |
| Grade Level this Fall? | 6th |
| School/District | Warren |
| Name of School | Beer Moddle School |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | No |
| Height | 5’2 |
| Weight | 175 |
| Sex | Male |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 481 W Margaret St, Highland Park, Michigan, 48203, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother, Father |
| Who Does the Student Live With? (Check All That Apply) | Mother |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Name of Parent/Guardian Completing This Form | Javonne, Hatcher |
| Email Address of Parent/Guardian Completing This Form | javonne_hatcher@yahoo.com |
| Your Preferred Method Of Communication | Text |
| Cell Phone Number of Parent/Guardian Completing This Form | (248) 416-6002 |
| Father/Legal Guardian | Rawl, Miller |
| Father's Address | N/a, N/a, Michigan, 48092, United States |
| Father's DOB | 2015-06-03 |
| Father's Mobile Number | (857) 707-7337 |
| Father's Email | themidwestparis@gmail.com |
| Authorized to pick up? | Yes |
| Mother/Legal Guardian | Javonne, Hatcher |
| Mother's Address | 481 w Margaret st, Highland park, Michigan, 48203, United States |
| Mother's DOB | 1989-11-09 |
| Mothers Mobile Number | (248) 416-6002 |
| Mother's Email | javonne_hatcher@yahoo.com |
| Authorized to pick up? | Yes |
| 1. Your Child’s Strengths | Leadership potential, Athletic ability, Compassion for others, Determination, Curiosity / enjoys learning, Strong personality / confidence, Good sense of humor, Helpful at home |
| 2. Areas Where Your Child May Need Support | Sometimes struggles to follow instructions at home |
| Emotional Regulation / Anger (Check all that apply) | Sometimes shuts down or withdraws when upset |
| How would you describe your child most of the time? | Calm and easygoing, Energetic / high activity level, Independent, Strong-willed |
| What are you hoping your child gains from CATTA (Check all that apply) | More discipline, Positive male mentorship, Better decision making |
| Medical Conditions (check all that apply) | None |
| Name | Nikita Doizer |
| Phone Number | (313) 465-6184 |
| Relationship to Student | Grandma |
| Authorized for pick up? | Yes |
| Emergency Medical Treatment | By checking this box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking this box,I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking this box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking this box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking this box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Tutoring (school year only), Mentoring, Counseling referral |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 40000 |
| How many dependents are in your family? | 1 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | No |
| How did you find out about The Yunion's Summer Camp? | Someone referred me |
| Name of Person/Recruiter Who Referred You | Chris |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Javonne Hatcher |
| Add Your Signature Here (Please Sign Legibly) | 6a1f2a19d5e5c3.61194859.png |
| Child's Name (Printed) | Hasani miller |
| Have Your Child Sign His/Her Signature Here (Please Sign Legibly) | 6a1f2a19ec6c06.32037340.png |
| 2026 Cave of Adullam Transformational Training Academy Camp | 2026 Cave of Adullam Transformational Training Academy Camp, $0.00, 1 |
| Date | 2026-06-02 |
Caleb Winfield
Cave of Adullam Transformational Training Academy · June 2, 2026
| Child Name | Caleb, Winfield |
| Age | 12 |
| Date of Birth | 2013-11-11 |
| Grade Level this Fall? | 7th |
| School/District | West Bloomfield |
| Name of School | West Bloomfield middle school |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | N/A |
| Height | 5’2 |
| Weight | 160 |
| Sex | Male |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 5025 langlewood Dr, W Bloomfield, Michigan, 48322, United States |
| County in Which Child Resides | Oakland County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother |
| Who Does the Student Live With? (Check All That Apply) | Mother |
| Number of Siblings in the Home | 1 |
| Are siblings applying to a Yunion camp? | No, they are not applying for a Yunion Camp. |
| List name of youth applying for Yunion Camps | Caleb Winfield |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Name of Parent/Guardian Completing This Form | Christina, Nabongo |
| Email Address of Parent/Guardian Completing This Form | christinanabongo@gmail.com |
| Your Preferred Method Of Communication | Text |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 515-4130 |
| Mother/Legal Guardian | Christina, Nabongo |
| Mother's Address | 5025 Langlewood Dr, W Bloomfield, Michigan, 48322, United States |
| Mother's DOB | 1982-03-25 |
| Mothers Work Number | (248) 559-3000 |
| Mothers Mobile Number | (313) 515-4130 |
| Mother's Email | christinanabongo@gmail.com |
| Authorized to pick up? | Yes |
| Emergency Medical Treatment | By checking this box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking this box,I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking this box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking this box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking this box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 40000 |
| How many dependents are in your family? | 2 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | No |
| Please explain any extenuating circumstances related to your financial need? (100 words or less) | I am the soul provider for 2 children and their father currently is battling stage 4 cancer |
| How did you find out about The Yunion's Summer Camp? | Brother went through the cave |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Christina Nabongo |
| Add Your Signature Here (Please Sign Legibly) | 6a1f17f6832c33.27275958.png |
| Child's Name (Printed) | Christina Nabongo |
| Have Your Child Sign His/Her Signature Here (Please Sign Legibly) | 6a1f17f68d5377.10758971.png |
| 2026 Cave of Adullam Transformational Training Academy Camp | 2026 Cave of Adullam Transformational Training Academy Camp, $0.00, 1 |
| Date | 2026-06-02 |
Chance Brandon
Cave of Adullam Transformational Training Academy · June 2, 2026
| Child Name | Chance, Brandon |
| Age | 12 |
| Date of Birth | 2014-04-10 |
| Grade Level this Fall? | 7th |
| School/District | Wayne |
| Name of School | N/A |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | No. |
| Height | 5"10 |
| Weight | 150 |
| Sex | Male |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 16183 Biltmore, Detroit, Michigan, 48235, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother |
| Who Does the Student Live With? (Check All That Apply) | Mother |
| Number of Siblings in the Home | 2 |
| Are siblings applying to a Yunion camp? | No, they are not applying for a Yunion Camp. |
| List name of youth applying for Yunion Camps | Chance Brandon |
| Primary Language Other Than English | M/A |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Name of Parent/Guardian Completing This Form | Melva, Tiller |
| Email Address of Parent/Guardian Completing This Form | journei338@gmail.com |
| Your Preferred Method Of Communication | Phone Call |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 801-7550 |
| Mother/Legal Guardian | Melva, Tiller |
| Mother's Address | 16183 Biltmore, Detroit, Michigan, 48235, United States |
| Mother's DOB | 1979-10-16 |
| Mothers Home Number | (313) 801-7550 |
| Mothers Work Number | (313) 801-7550 |
| Mothers Mobile Number | (313) 801-7550 |
| Mother's Email | journei338@gmail.com |
| Authorized to pick up? | Yes |
| 1. Your Child’s Strengths | Leadership potential, Athletic ability, Determination, Strong personality / confidence, Good sense of humor |
| 2. Areas Where Your Child May Need Support | Sometimes struggles to follow instructions at home, Sometimes struggles to follow instructions at school, Becomes frustrated or upset when corrected |
| Emotional Regulation / Anger (Check all that apply) | Has difficulty controlling anger or frustration, Reacts strongly to conflict or correction, Sometimes shuts down or withdraws when upset |
| Conflict with Others (Check all that apply) | Has frequent arguments with siblings, peers, or adults, Has been involved in bullying (either as the aggressor or target), Sometimes responds physically when upset |
| School Engagement (Check all that apply) | Has experienced disciplinary action at school, Has received school suspension(s) |
| Has your child ever (Check all that apply): | Been suspended from school, Been transferred due to disciplinary issues |
| How would you describe your child most of the time? | Energetic / high activity level |
| What are you hoping your child gains from CATTA (Check all that apply) | More discipline, Greater respect for authority, Better anger management, Positive male mentorship, Leadership skills, Better decision making, Academic motivation |
| Medical Conditions (check all that apply) | Asthma |
| If medication must be administered during program hours, a medication authorization form must be on file. Parent Initials: | 6a1f0d712b2939.41652031.png |
| Name | Donnie Tiller |
| Phone Number | (313) 598-3892 |
| Relationship to Student | Auntie |
| Authorized for pick up? | Yes |
| Name | Donnie Tiller |
| Phone Number | 3135983892 |
| Relationship to Student | Auntie |
| Authorized for pick up? | Yes |
| Emergency Medical Treatment | By checking this box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking this box,I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking this box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking this box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking this box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Tutoring (school year only), Mentoring |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | Family Insight Form |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 2100 |
| How many dependents are in your family? | 3 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | No |
| Please explain any extenuating circumstances related to your financial need? (100 words or less) | N/A |
| How did you find out about The Yunion's Summer Camp? | Someone referred me |
| Name of Person/Recruiter Who Referred You | N/A |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Melva Tiller |
| Add Your Signature Here (Please Sign Legibly) | 6a1f0e15d68432.53626453.png |
| Child's Name (Printed) | Chance Brandon |
| Have Your Child Sign His/Her Signature Here (Please Sign Legibly) | 6a1f0e15e26f85.28168136.png |
| 2026 Cave of Adullam Transformational Training Academy Camp | 2026 Cave of Adullam Transformational Training Academy Camp, $0.00, 1 |
| Date | 2026-06-02 |
Ayden Thomas
Cave of Adullam Transformational Training Academy · June 2, 2026
| Child Name | Ayden, Thomas |
| Age | 12 |
| Date of Birth | 2013-06-24 |
| Grade Level this Fall? | 8th |
| School/District | Homeschooled |
| Name of School | Michigan International Prep School |
| Education Type | 504 |
| Does your Child need any additional support? Please specify in comment box below. | Ayden needs help with social skills. He on the computer all day and once he's done he's on the game. He get's overwhelmed easily and shuts down. Ayden doesn't like asking for help he'll rather guess or skip the assignment because of being embarrassed about not knowing something. Ayden has father issues and needs to learn different ways to channel is anger at times. Ayden's low self esteem impacts his participation and confidence. |
| Height | 5'6 |
| Weight | 128lbs. |
| Sex | Male |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 17587 Orleans St., Detroit, Michigan, 48203, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother, Father |
| Who Does the Student Live With? (Check All That Apply) | Mother |
| Are siblings applying to a Yunion camp? | No, they are not applying for a Yunion Camp. |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Name of Parent/Guardian Completing This Form | Toya, Thomas |
| Email Address of Parent/Guardian Completing This Form | toya.thomas@detroitk12.org |
| Your Preferred Method Of Communication | |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 910-6312 |
| Father/Legal Guardian | Derrick, Stalling |
| Father's Address | Empire Ave., eastpointe, Michigan, 48201, United States |
| Father's DOB | 1970-05-13 |
| Father's Mobile Number | (313) 415-5895 |
| Father's Email | derrick@icloud.com |
| Authorized to pick up? | No |
| Mother/Legal Guardian | Toya, Thomas |
| Mother's Address | 17587 Orleans St, Detroit, Michigan, 48203, United States |
| Mother's DOB | 1972-08-04 |
| Mothers Mobile Number | (313) 910-6312 |
| Mother's Email | toya.thomas@detroitk12.org |
| Authorized to pick up? | Yes |
| 1. Your Child’s Strengths | Creativity, Compassion for others, Good sense of humor |
| 2. Areas Where Your Child May Need Support | Sometimes struggles to follow instructions at home |
| Emotional Regulation / Anger (Check all that apply) | Has difficulty controlling anger or frustration, Sometimes shuts down or withdraws when upset |
| Conflict with Others (Check all that apply) | Has been involved in bullying (either as the aggressor or target) |
| School Engagement (Check all that apply) | Struggles to stay focused in class, Has experienced disciplinary action at school, Has received school suspension(s) |
| Curfew / Home Expectations | Sometimes struggles to follow curfew or home rules |
| Has your child ever (Check all that apply): | Been suspended from school |
| How would you describe your child most of the time? | Strong-willed |
| What are you hoping your child gains from CATTA (Check all that apply) | More discipline, Greater respect for authority, Better anger management, Increased confidence, Positive male mentorship, Leadership skills, Stronger faith or spiritual foundation, Better decision making, Academic motivation |
| What concerns you most about your child right now? | My biggest concern right now is my child's self confidence in his abilities. He's comfortable with just getting by and I know that he's capable of better. |
| What kind of future do you hope for your child? | I hope for a future where he feels confident in who he is, believes in his abilities, and is willing to step outside his comfort zone. I want him to develop independence, good self esteem and the confidence he needs to pursue his goals and dreams and to build meaningful relationships. |
| Preferred Hospital for Emergency Treatment | Children's hospital |
| Medical Conditions (check all that apply) | Allergies |
| Food Allergies | NONE |
| Allergic to Bees? | No |
| If medication must be administered during program hours, a medication authorization form must be on file. Parent Initials: | 6a19d7ac275604.86634668.png |
| Additional medical or behavioral information staff should know: | Not at this time. |
| Name | Bobbie Thomas |
| Phone Number | (313) 707-0160 |
| Relationship to Student | Grandmother |
| Authorized for pick up? | Yes |
| Name | Akeeya Thomas |
| Phone Number | 248-275-9685 |
| Relationship to Student | Sister |
| Authorized for pick up? | Yes |
| Name | Alexis Barsaleau |
| Phone Number | 313-738-8986 |
| Relationship to Student | Sister |
| Authorized for pick up? | Yes |
| Emergency Medical Treatment | By checking this box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking this box,I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking this box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking this box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking this box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Mentoring |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 38000 |
| How many dependents are in your family? | 2 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | Yes |
| How did you find out about The Yunion's Summer Camp? | He attended last summer |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Toya Thomas |
| Add Your Signature Here (Please Sign Legibly) | 6a1ee557e96196.67018482.png |
| Child's Name (Printed) | Ayden Thomas |
| Have Your Child Sign His/Her Signature Here (Please Sign Legibly) | 6a1ee55800dbc2.93676761.png |
| 2026 Cave of Adullam Transformational Training Academy Camp | 2026 Cave of Adullam Transformational Training Academy Camp, $0.00, 1 |
| Date | 2026-05-29 |
Briana Polk
Cave of Adullam Transformational Training Academy · June 1, 2026
| Child Name | Briana, Polk |
| Age | 13 |
| Date of Birth | 2012-08-28 |
| Grade Level this Fall? | 9th |
| School/District | Berkley |
| Name of School | Norup |
| Education Type | IEP |
| Does your Child need any additional support? Please specify in comment box below. | extra help with the reading/writing/comprehension |
| Height | 5'4 |
| Weight | 155 |
| Sex | Male |
| Eye Color | Blue |
| Ethnicity | African American |
| Student Address | 26525 Coolidge Hwy, Oak Park, Michigan, 48237, United States |
| County in Which Child Resides | Oakland County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother, Father, Step-Father |
| Who Does the Student Live With? (Check All That Apply) | Mother |
| Are siblings applying to a Yunion camp? | No, they are not applying for a Yunion Camp. |
| Primary Language Other Than English | english |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Name of Parent/Guardian Completing This Form | Briana, Polk |
| Email Address of Parent/Guardian Completing This Form | bpolk1120@yahoo.com |
| Your Preferred Method Of Communication | Phone Call |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 699-0484 |
| Father/Legal Guardian | Chris, Whitted |
| Father's Address | 23191 beechwood ave, eastpointe, Michigan, 48021, United States |
| Father's DOB | 1991-03-28 |
| Father's Mobile Number | (313) 642-3540 |
| Father's Email | cwhitted120@gmail.com |
| Authorized to pick up? | Yes |
| Mother/Legal Guardian | Briana, Polk |
| Mother's Address | 26525 Coolidge Hwy, Oak Park, Michigan, 48237, United States |
| Mother's DOB | 1990-11-20 |
| Mothers Mobile Number | (313) 699-0484 |
| Mother's Email | bpolk1120@yahoo.com |
| Authorized to pick up? | Yes |
| Step-Father | Arkel, Rutledge |
| Step-Father's Mobile Number | (734) 460-1165 |
| Authorized to pick up? | Yes |
| Emergency Medical Treatment | By checking this box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking this box,I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking this box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking this box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking this box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Tutoring (school year only), Mentoring |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 30000 |
| How many dependents are in your family? | -1 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | Yes |
| How did you find out about The Yunion's Summer Camp? | My child attended last year |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Briana Polk |
| Add Your Signature Here (Please Sign Legibly) | 6a1db8e463bed3.04113810.png |
| Child's Name (Printed) | Braylon Whitted |
| Have Your Child Sign His/Her Signature Here (Please Sign Legibly) | 6a1db8e47054b4.23564472.png |
| 2026 Cave of Adullam Transformational Training Academy Camp | 2026 Cave of Adullam Transformational Training Academy Camp, $0.00, 1 |
| Date | 2026-06-01 |
Karson Watkins
Cave of Adullam Transformational Training Academy · June 1, 2026
| Child Name | Karson, Watkins |
| Age | 11 |
| Date of Birth | 2015-02-04 |
| Grade Level this Fall? | 6th Grade |
| School/District | farmington Hills School District |
| Name of School | warner Middle School |
| Education Type | 504 |
| Does your Child need any additional support? Please specify in comment box below. | Karson has ADHD and at times needs redirection |
| Height | 4'11 |
| Weight | 75 |
| Sex | Male |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 32560 Hearthstone Road, Farmington Hills, Michigan, 48334, United States |
| County in Which Child Resides | Oakland County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother |
| Who Does the Student Live With? (Check All That Apply) | Mother |
| Number of Siblings in the Home | 2 |
| Are siblings applying to a Yunion camp? | No, they are not applying for a Yunion Camp. |
| Primary Language Other Than English | English |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Name of Parent/Guardian Completing This Form | Erica, Watkins |
| Email Address of Parent/Guardian Completing This Form | erica@sanctumhouse.org |
| Your Preferred Method Of Communication | Text |
| Cell Phone Number of Parent/Guardian Completing This Form | (248) 445-2521 |
| Mother/Legal Guardian | Erica, Watkins |
| Mother's Address | 32560 Hearthstone Road, Farmington Hills, Michigan, 48334, United States |
| Mother's DOB | 1983-09-27 |
| Mothers Home Number | (248) 445-2521 |
| Mothers Work Number | (248) 574-9373 |
| Mothers Mobile Number | (248) 445-2521 |
| Mother's Email | erica@sanctumhouse.org |
| Authorized to pick up? | Yes |
| Emergency Medical Treatment | By checking this box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking this box,I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking this box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking this box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking this box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Mentoring, Counseling referral, Behavioral support |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 52000 |
| How many dependents are in your family? | 3 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | No |
| Please explain any extenuating circumstances related to your financial need? (100 words or less) | Thank you for your time. I am a single mother, raising three kiddos on my own. I do not receive any child support or state/government assistance and I know this experience will be life changing for my son. I am willing to make whatever sacrifices are needed but I wanted to request support if available. We have been on the waiting list for a very long time, so I do not want finances to keep Karson from participation. I will do what is necessary to find a way. Thank you for your time and consideration. |
| How did you find out about The Yunion's Summer Camp? | On the waiting list for the program |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Erica Watkins |
| Add Your Signature Here (Please Sign Legibly) | 6a1d94fe2ecc01.88149104.png |
| Child's Name (Printed) | Karson Watkins |
| Have Your Child Sign His/Her Signature Here (Please Sign Legibly) | 6a1d94fe39f7b3.69423945.png |
| 2026 Cave of Adullam Transformational Training Academy Camp | 2026 Cave of Adullam Transformational Training Academy Camp, $0.00, 1 |
| Date | 2026-06-01 |
Evan Jenkins Jr
Cave of Adullam Transformational Training Academy · June 1, 2026
| Child Name | Evan, Jenkins Jr |
| Age | 13 |
| Date of Birth | 2012-12-29 |
| Grade Level this Fall? | 8th |
| School/District | Farmington Hills |
| Name of School | Warner |
| Education Type | 504 |
| Does your Child need any additional support? Please specify in comment box below. | no |
| Height | 5'7" |
| Weight | 166 |
| Sex | Male |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 21309 Colgate Street, Farmington Hills, Michigan, 48336, United States |
| County in Which Child Resides | Oakland County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother, Father |
| Who Does the Student Live With? (Check All That Apply) | Mother |
| Number of Siblings in the Home | 1 |
| Are siblings applying to a Yunion camp? | No, they are not applying for a Yunion Camp. |
| List name of youth applying for Yunion Camps | Evan Jenkins Jr |
| Primary Language Other Than English | n/a |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Name of Parent/Guardian Completing This Form | Diamond, Jenkins |
| Email Address of Parent/Guardian Completing This Form | Diamonda.Jenkins@gmail.com |
| Your Preferred Method Of Communication | |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 695-0491 |
| Father/Legal Guardian | Evan, Jenkins |
| Father's Address | 3139 Woodside St, Dearborn, Michigan, 48124, United States |
| Father's DOB | 1986-08-28 |
| Father's Home Number | (248) 259-8313 |
| Father's Mobile Number | (248) 259-8313 |
| Father's Email | evana.jenkins@gmail.com |
| Authorized to pick up? | Yes |
| Mother/Legal Guardian | Diamond, Jenkins |
| Mother's Address | 21309 Colgate St, Michigaa, Michigan, 48336, United States |
| Mother's DOB | 1986-04-10 |
| Mothers Home Number | (313) 695-0491 |
| Mothers Mobile Number | (313) 695-0491 |
| Mother's Email | Diamonda.Jenkins@gmail.com |
| Authorized to pick up? | Yes |
| Emergency Medical Treatment | By checking this box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking this box,I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking this box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking this box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking this box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Tutoring (school year only), Mentoring |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 150000 |
| How many dependents are in your family? | 2 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | Yes |
| Please explain any extenuating circumstances related to your financial need? (100 words or less) | I am a single mother raising two sons and covering all household expenses on a single income. In addition to housing, transportation, food, and healthcare costs, I support my children’s educational, extracurricular, and developmental activities. While I am employed, the rising cost of living has created financial strain, and opportunities such as this camp would provide valuable enrichment that might otherwise be difficult to afford. |
| How did you find out about The Yunion's Summer Camp? | Someone referred me |
| Name of Person/Recruiter Who Referred You | Ronald Lee Jr |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Diamond Jenkins |
| Add Your Signature Here (Please Sign Legibly) | 6a1d8e5fa49047.93525903.png |
| Child's Name (Printed) | Evan Jenkins Jr |
| Have Your Child Sign His/Her Signature Here (Please Sign Legibly) | 6a1d8e5fb0bd56.15711422.png |
| 2026 Cave of Adullam Transformational Training Academy Camp | 2026 Cave of Adullam Transformational Training Academy Camp, $0.00, 1 |
| Date | 2026-06-01 |
Dorian Smothers
Cave of Adullam Transformational Training Academy · June 1, 2026
| Child Name | Dorian, Smothers |
| Age | 13 |
| Date of Birth | 2013-04-29 |
| Grade Level this Fall? | 7th |
| School/District | Detroit Public Schools District |
| Name of School | A.L. Holmes |
| Education Type | IEP |
| Does your Child need any additional support? Please specify in comment box below. | n/a |
| Height | 5'8 |
| Weight | 145 |
| Sex | Male |
| Eye Color | Hazel |
| Ethnicity | African American |
| Student Address | 19940 Waltham, DETROIT, Michigan, 48205, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother |
| Who Does the Student Live With? (Check All That Apply) | Mother |
| Number of Siblings in the Home | 1 |
| Are siblings applying to a Yunion camp? | No, they are not applying for a Yunion Camp. |
| List name of youth applying for Yunion Camps | Dorian Smothers |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Name of Parent/Guardian Completing This Form | Richelle, Smothers |
| Email Address of Parent/Guardian Completing This Form | richelle.smothers@yahoo.com |
| Your Preferred Method Of Communication | Phone Call |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 469-4458 |
| Mother/Legal Guardian | Richelle, Smothers |
| Mother's Address | 19940 Waltham, DETROIT, Michigan, 48205, United States |
| Mother's DOB | 1983-09-16 |
| Mothers Home Number | (313) 469-4458 |
| Mothers Work Number | (313) 866-5644 |
| Mothers Mobile Number | (313) 469-4458 |
| Mother's Email | richelle.smothers@yahoo.com |
| Authorized to pick up? | Yes |
| 1. Your Child’s Strengths | Athletic ability, Compassion for others, Determination, Curiosity / enjoys learning, Good sense of humor, Helpful at home |
| 2. Areas Where Your Child May Need Support | Becomes frustrated or upset when corrected |
| Emotional Regulation / Anger (Check all that apply) | Has difficulty controlling anger or frustration, Reacts strongly to conflict or correction, Sometimes shuts down or withdraws when upset |
| Conflict with Others (Check all that apply) | Has been involved in bullying (either as the aggressor or target) |
| School Engagement (Check all that apply) | Has experienced disciplinary action at school, Has received school suspension(s) |
| Has your child ever (Check all that apply): | Been transferred due to disciplinary issues |
| How would you describe your child most of the time? | Calm and easygoing, Sensitive / emotional, Strong-willed, Quiet or reserved |
| What are you hoping your child gains from CATTA (Check all that apply) | More discipline, Greater respect for authority, Better anger management, Increased confidence, Positive male mentorship, Leadership skills, Stronger faith or spiritual foundation, Better decision making, Academic motivation |
| What concerns you most about your child right now? | His emotions and controlling anger |
| What kind of future do you hope for your child? | A male with confidence and great leadership skills, who has empathy and is caring. |
| Preferred Hospital for Emergency Treatment | Beaumont Hospital |
| Medical Conditions (check all that apply) | Allergies, Vision Impairment |
| Allergic to Bees? | No |
| Name | Stacey Owens |
| Phone Number | (313) 587-0808 |
| Relationship to Student | Aunt |
| Authorized for pick up? | Yes |
| Name | Malik Dawson |
| Phone Number | 313-888-5629 |
| Relationship to Student | Brother |
| Authorized for pick up? | Yes |
| Name | Rakeshia Wright |
| Phone Number | 313-442-3221 |
| Relationship to Student | Aunt |
| Authorized for pick up? | Yes |
| Emergency Medical Treatment | By checking this box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking this box,I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking this box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking this box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking this box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Tutoring (school year only), Mentoring, Family resources |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 23000 |
| How many dependents are in your family? | 2 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | No |
| Please explain any extenuating circumstances related to your financial need? (100 words or less) | Single mother in school full time and works with DPSCD as a support staff member that doesn't receive income in the summer |
| How did you find out about The Yunion's Summer Camp? | Called back for a second year |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Richelle Smothers |
| Add Your Signature Here (Please Sign Legibly) | 6a1ce0a83a69b5.63085124.png |
| Child's Name (Printed) | Dorian Smothers |
| Have Your Child Sign His/Her Signature Here (Please Sign Legibly) | 6a1ce0a847ca43.98483835.png |
| 2026 Cave of Adullam Transformational Training Academy Camp | 2026 Cave of Adullam Transformational Training Academy Camp, $0.00, 1 |
| Date | 2026-05-31 |
Chad Chase Rhodes
Cave of Adullam Transformational Training Academy · May 31, 2026
| Child Name | Chad Chase, Rhodes |
| Age | 11 |
| Date of Birth | 2015-09-25 |
| Grade Level this Fall? | 6 |
| School/District | Detroit Achievement Academy |
| Name of School | Detroit Achievement Academy |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | NA |
| Height | 5'0 |
| Weight | 97 |
| Sex | Male |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 19963 Renfrew St., Detroit, Michigan, 48221, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother, Father |
| Who Does the Student Live With? (Check All That Apply) | Mother |
| Number of Siblings in the Home | 1 |
| Are siblings applying to a Yunion camp? | No, they are not applying for a Yunion Camp. |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Name of Parent/Guardian Completing This Form | Morgan, Hurst |
| Email Address of Parent/Guardian Completing This Form | mlhurst16@gmail.com |
| Your Preferred Method Of Communication | Text |
| Cell Phone Number of Parent/Guardian Completing This Form | (517) 410-4247 |
| Father/Legal Guardian | Chad, Rhodes |
| Father's Address | 19963 Renfrew St., Detroit, Michigan, 48221, United States |
| Father's DOB | 1972-08-21 |
| Father's Mobile Number | (248) 508-7403 |
| Father's Email | Chadrhodes98@gmail.com |
| Authorized to pick up? | Yes |
| Mother/Legal Guardian | Morgan, Hurst |
| Mother's Address | 19963 Renfrew St., Detroit, Michigan, 48221, United States |
| Mother's DOB | 1981-10-16 |
| Mothers Mobile Number | (517) 410-4247 |
| Mother's Email | mlhurst16@gmail.com |
| Authorized to pick up? | Yes |
| 1. Your Child’s Strengths | Leadership potential, Athletic ability, Compassion for others, Determination, Curiosity / enjoys learning, Strong personality / confidence, Good sense of humor, Helpful at home |
| 2. Areas Where Your Child May Need Support | Sometimes struggles to follow instructions at home |
| Emotional Regulation / Anger (Check all that apply) | Sometimes shuts down or withdraws when upset |
| How would you describe your child most of the time? | Calm and easygoing, Quiet or reserved |
| What are you hoping your child gains from CATTA (Check all that apply) | Increased confidence, Positive male mentorship, Leadership skills, Stronger faith or spiritual foundation |
| What concerns you most about your child right now? | building confidence in all areas as he moves into middle school and high school. being able to surround himself with positive supports |
| What kind of future do you hope for your child? | a strong academic future allowing him the ability to create a career that brings him a sense of purpose, happiness, and financial freedom. |
| Preferred Hospital for Emergency Treatment | Childrens Hospital |
| Medical Conditions (check all that apply) | Allergies, Asthma, Requires Epi-Pen |
| Food Allergies | peanut, tree nut |
| Allergic to Bees? | No |
| If medication must be administered during program hours, a medication authorization form must be on file. Parent Initials: | 6a1b79ecc6a733.00104678.png |
| Name | Morgan Hurst |
| Phone Number | (517) 410-4247 |
| Relationship to Student | mother |
| Authorized for pick up? | Yes |
| Name | Sharon Rhodes |
| Phone Number | 313-378-1898 |
| Relationship to Student | grandmother |
| Authorized for pick up? | Yes |
| Name | Rochelle Hurst |
| Phone Number | 517-410-4248 |
| Relationship to Student | grandmother |
| Authorized for pick up? | Yes |
| Emergency Medical Treatment | By checking this box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking this box,I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking this box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking this box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking this box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Not needed at this time |
| May one of our team members contact you with more information about our support services? | Yes |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 120000 |
| How many dependents are in your family? | 2 |
| Are you a single-income family?* | No |
| Does the child for whom you are applying receive child support?* | No |
| How did you find out about The Yunion's Summer Camp? | invitation from the cave academy |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Morgan Hurst |
| Add Your Signature Here (Please Sign Legibly) | 6a1b7acd26b9a8.09266727.png |
| Child's Name (Printed) | Chad Chase Rhodes |
| Have Your Child Sign His/Her Signature Here (Please Sign Legibly) | 6a1b7acd3367b9.21627712.png |
| 2026 Cave of Adullam Transformational Training Academy Camp | 2026 Cave of Adullam Transformational Training Academy Camp, $0.00, 1 |
| Date | 2026-05-30 |
Antonio Brooks
Cave of Adullam Transformational Training Academy · May 29, 2026
| Child Name | Antonio, Brooks |
| Age | 13 |
| Date of Birth | 2013-02-02 |
| Grade Level this Fall? | 7th |
| School/District | UPAD |
| Name of School | UPAD |
| Education Type | IEP |
| Does your Child need any additional support? Please specify in comment box below. | Emotional stability and anger management |
| Height | 5,5 |
| Weight | 150 |
| Sex | Male |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 3818 Clairmount, Detroit, Michigan, 48206, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother, Step-Father |
| Who Does the Student Live With? (Check All That Apply) | Mother, Step-Father |
| Number of Siblings in the Home | 3 |
| Are siblings applying to a Yunion camp? | No, they are not applying for a Yunion Camp. |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Name of Parent/Guardian Completing This Form | Chonquonda, Parrish |
| Email Address of Parent/Guardian Completing This Form | chonquonda734@gmail.com |
| Your Preferred Method Of Communication | Phone Call |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 932-3184 |
| Mother/Legal Guardian | Chonquonda, Parrish |
| Mother's Address | 3818 Clairmount, Detroit, Michigan, 48206, United States |
| Mother's DOB | 1989-11-21 |
| Mothers Work Number | (313) 748-6000 |
| Mothers Mobile Number | (313) 932-3184 |
| Mother's Email | chonquonda734@gmail.com |
| Authorized to pick up? | Yes |
| Step-Father | Samuel, Williams |
| Step-Father's Address | 3818 Clairmount, Detroit, Michigan, 48206, United States |
| Step-Father's Mobile Number | (313) 646-8734 |
| Authorized to pick up? | Yes |
| 1. Your Child’s Strengths | Leadership potential, Athletic ability, Compassion for others, Determination, Curiosity / enjoys learning, Strong personality / confidence, Good sense of humor, Helpful at home |
| 2. Areas Where Your Child May Need Support | Sometimes struggles to follow instructions at home, Sometimes struggles to follow instructions at school, Becomes frustrated or upset when corrected |
| Emotional Regulation / Anger (Check all that apply) | Has difficulty controlling anger or frustration, Reacts strongly to conflict or correction, Sometimes shuts down or withdraws when upset |
| Conflict with Others (Check all that apply) | Has frequent arguments with siblings, peers, or adults, Has been involved in bullying (either as the aggressor or target), Sometimes responds physically when upset |
| School Engagement (Check all that apply) | Struggles to stay focused in class, Has experienced disciplinary action at school, Has received school suspension(s) |
| Leaving Home Without Permission (Check all that apply) | Has stayed away from home longer than expected without permission |
| Has your child ever (Check all that apply): | Been suspended from school |
| How would you describe your child most of the time? | Energetic / high activity level, Sensitive / emotional, Independent, Strong-willed |
| What are you hoping your child gains from CATTA (Check all that apply) | More discipline, Greater respect for authority, Better anger management, Increased confidence, Positive male mentorship, Leadership skills, Stronger faith or spiritual foundation, Better decision making, Academic motivation |
| What concerns you most about your child right now? | I’m concerned about his mental state, I try every single day to understand and support him. But when he doesn’t have his way he explodes by cursing, yelling, slamming doors, screaming, throwing things . |
| What kind of future do you hope for your child? | The kind of future I hope and pray for my child is him to become a well rounded person and respect his mother because he doesn’t respect me, only when it’s beneficial like a phone, snacks, or even saying the word no. |
| Preferred Hospital for Emergency Treatment | Childrens Hospital |
| Medical Conditions (check all that apply) | None |
| If medication must be administered during program hours, a medication authorization form must be on file. Parent Initials: | 6a1a153a409a37.63575833.png |
| Name | Chonquonda Parrish |
| Phone Number | (313) 932-3184 |
| Additional Phone Number | (313) 646-8734 |
| Relationship to Student | Mother |
| Authorized for pick up? | Yes |
| Name | Samuel Williams |
| Phone Number | 3136468734 |
| Relationship to Student | Step father |
| Authorized for pick up? | Yes |
| Emergency Medical Treatment | By checking this box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking this box,I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking this box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking this box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking this box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Tutoring (school year only), Mentoring, Counseling referral, Behavioral support, Family resources |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 40000 |
| How many dependents are in your family? | 4 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | No |
| How did you find out about The Yunion's Summer Camp? | Justin pitts |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Chonquonda Parrish |
| Add Your Signature Here (Please Sign Legibly) | 6a1a15f15a3a98.70377645.png |
| Child's Name (Printed) | Antonio Brooks |
| Have Your Child Sign His/Her Signature Here (Please Sign Legibly) | 6a1a15f163b2b3.46884403.png |
| 2026 Cave of Adullam Transformational Training Academy Camp | 2026 Cave of Adullam Transformational Training Academy Camp, $0.00, 1 |
| Date | 2026-05-29 |
MARCEL MARKHAM
Cave of Adullam Transformational Training Academy · May 29, 2026
| Child Name | MARCEL, MARKHAM |
| Age | 12 |
| Date of Birth | 2013-06-21 |
| Grade Level this Fall? | 8 |
| School/District | Birmingham Public Schools |
| Name of School | Berkshire Middle |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | No |
| Height | 4”11 |
| Weight | 100 |
| Sex | Male |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 31246 Carion Ct, Warren, Michigan, 48092, United States |
| County in Which Child Resides | Macomb County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother, Father |
| Who Does the Student Live With? (Check All That Apply) | Mother, Father |
| Number of Siblings in the Home | 1 |
| Are siblings applying to a Yunion camp? | No, they are not applying for a Yunion Camp. |
| Are you applying for a scholarship? | No, I will pay the full price |
| Name of Parent/Guardian Completing This Form | MARCEL, MARKHAM |
| Email Address of Parent/Guardian Completing This Form | Marcel1248@gmail.com |
| Your Preferred Method Of Communication | Text |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 790-0091 |
| Father/Legal Guardian | MARCEL, MARKHAM |
| Father's Address | 16200 Fairview Cresent DR, Southfield, Michigan, 48076, United States |
| Father's DOB | 1976-11-01 |
| Father's Mobile Number | (313) 790-0091 |
| Father's Email | Marcel1248@gmail.com |
| Authorized to pick up? | Yes |
| Mother/Legal Guardian | Carla, Markham |
| Mother's Address | 31246 Carion Ct, Warren, Michigan, 48092, United States |
| Mother's DOB | 1976-12-27 |
| Mothers Mobile Number | (313) 549-5167 |
| Mother's Email | MrsCarlam@gmail.com |
| Authorized to pick up? | Yes |
| Emergency Medical Treatment | By checking this box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking this box,I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking this box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking this box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking this box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Tutoring (school year only), Mentoring |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| How did you find out about The Yunion's Summer Camp? | Summer Discovery |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Marcel Markham |
| Add Your Signature Here (Please Sign Legibly) | 6a1912a28efce3.45288011.png |
| Child's Name (Printed) | Marcel Markham |
| Have Your Child Sign His/Her Signature Here (Please Sign Legibly) | 6a1912a29b5ad7.19380663.png |
| 2026 Cave of Adullam Transformational Training Academy Camp | 2026 Cave of Adullam Transformational Training Academy Camp, $0.00, 1 |
| Date | 2026-05-29 |
KEVIN ROBERTSON
Cave of Adullam Transformational Training Academy · May 29, 2026
| Child Name | KEVIN, ROBERTSON |
| Age | 13 |
| Date of Birth | 2013-02-15 |
| Grade Level this Fall? | 8TH |
| School/District | CHARTER SCHOOL |
| Name of School | UPSM |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | NO |
| Height | 5 |
| Weight | 8 |
| Sex | Male |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 8597 Meyers Rd, Detroit, Michigan, 48228, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother, Father |
| Who Does the Student Live With? (Check All That Apply) | Mother, Father |
| Number of Siblings in the Home | 2 |
| Are siblings applying to a Yunion camp? | No, they are not applying for a Yunion Camp. |
| List name of youth applying for Yunion Camps | KEVIN ROBERTSON |
| Primary Language Other Than English | ENGLISH |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Name of Parent/Guardian Completing This Form | Evony, Beard-Robertson |
| Email Address of Parent/Guardian Completing This Form | beard_evony@yahoo.com |
| Your Preferred Method Of Communication | Text |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 784-1746 |
| Father/Legal Guardian | Kenneth, Robertson |
| Father's Address | 8597 Meyers Rd, Detroit, Michigan, 48228, United States |
| Father's DOB | 1979-09-13 |
| Father's Home Number | (269) 447-3866 |
| Father's Work Number | (269) 447-3866 |
| Father's Mobile Number | (269) 447-3688 |
| Father's Email | fleetappoline@yahoo.com |
| Authorized to pick up? | Yes |
| Mother/Legal Guardian | Evony, Beard-Robertson |
| Mother's Address | 8597 Meyers Rd, DETROIT, Michigan, 48228, United States |
| Mother's DOB | 1983-05-21 |
| Mothers Home Number | (313) 784-1746 |
| Mothers Work Number | (313) 784-1746 |
| Mothers Mobile Number | (313) 784-1746 |
| Mother's Email | beard_evony@yahoo.com |
| Authorized to pick up? | Yes |
| 1. Your Child’s Strengths | Leadership potential, Athletic ability, Compassion for others, Determination, Strong personality / confidence, Good sense of humor, Helpful at home |
| 2. Areas Where Your Child May Need Support | Sometimes struggles to follow instructions at home |
| Emotional Regulation / Anger (Check all that apply) | Sometimes shuts down or withdraws when upset |
| Conflict with Others (Check all that apply) | Sometimes responds physically when upset |
| School Engagement (Check all that apply) | Struggles to stay focused in class |
| How would you describe your child most of the time? | Calm and easygoing, Energetic / high activity level, Sensitive / emotional, Independent, Strong-willed |
| What are you hoping your child gains from CATTA (Check all that apply) | More discipline, Greater respect for authority, Better anger management, Increased confidence, Positive male mentorship, Leadership skills, Stronger faith or spiritual foundation, Better decision making, Academic motivation |
| What concerns you most about your child right now? | Academics, increase motivation and facts, more responsibility and accountability to became a great teenager. |
| What kind of future do you hope for your child? | I want Kevin to have the skills, character, and determination to create a bright future for himself while remaining kind, respectful, and family- oriented. |
| Preferred Hospital for Emergency Treatment | Henry Ford Hospital |
| Medical Conditions (check all that apply) | Allergies |
| Food Allergies | Penicillin |
| Allergic to Bees? | No |
| If medication must be administered during program hours, a medication authorization form must be on file. Parent Initials: | 6a18e889f33df0.71763324.png |
| Additional medical or behavioral information staff should know: | None |
| Name | Evony Beard-Robertson |
| Phone Number | (313) 784-1746 |
| Additional Phone Number | (269) 447-3688 |
| Relationship to Student | Mother |
| Authorized for pick up? | Yes |
| Name | Kenneth Robertson |
| Phone Number | 2694473688 |
| Relationship to Student | Father |
| Authorized for pick up? | Yes |
| Emergency Medical Treatment | By checking this box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking this box,I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking this box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking this box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking this box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Tutoring (school year only), Mentoring |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 40000 |
| How many dependents are in your family? | 1 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | No |
| Please explain any extenuating circumstances related to your financial need? (100 words or less) | Our family has experienced financial challenges due to the rising cost of living, educational expense, transportation costs, and household obligations. |
| How did you find out about The Yunion's Summer Camp? | Someone referred me |
| Name of Person/Recruiter Who Referred You | Cinnamon Ashford |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Evony Robertson |
| Add Your Signature Here (Please Sign Legibly) | 6a18eb13139622.44395581.png |
| Child's Name (Printed) | Kevin Robertson |
| Have Your Child Sign His/Her Signature Here (Please Sign Legibly) | 6a18eb131d9928.62548758.png |
| 2026 Cave of Adullam Transformational Training Academy Camp | 2026 Cave of Adullam Transformational Training Academy Camp, $0.00, 1 |
| Date | 2026-05-28 |
Myles Gardner
Cave of Adullam Transformational Training Academy · May 26, 2026
| Child Name | Myles, Gardner |
| Age | 13 |
| Date of Birth | 2013-06-05 |
| Grade Level this Fall? | 8 |
| School/District | Plymouth Canton |
| Name of School | Discovery |
| Education Type | 504 |
| Does your Child need any additional support? Please specify in comment box below. | He has dyslexia so struggles with reading a little bit, but we are working with him. |
| Height | 5'0 |
| Weight | 115 |
| Sex | Male |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 4445 Pond Run, Canton, Michigan, 48188, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother, Father |
| Who Does the Student Live With? (Check All That Apply) | Mother, Father |
| Number of Siblings in the Home | 1 |
| Are siblings applying to a Yunion camp? | Yes, they are applying for the Level Up Workforce & Leadership Development Camp. |
| Are you applying for a scholarship? | No, I will pay the full price |
| Name of Parent/Guardian Completing This Form | Kanye, Gardner |
| Email Address of Parent/Guardian Completing This Form | Kgar120@gmail.com |
| Your Preferred Method Of Communication | Text |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 587-6936 |
| Father/Legal Guardian | Kanye, Gardner |
| Father's Address | 4445 Pond Run, Canton, Michigan, 48188, United States |
| Father's DOB | 1979-01-20 |
| Father's Home Number | (313) 587-6936 |
| Father's Mobile Number | (313) 587-6936 |
| Father's Email | Kgar120@gmail.com |
| Authorized to pick up? | Yes |
| Mother/Legal Guardian | Chanuda, Gardner |
| Mother's Address | 4445 Pond Run, Canton, Michigan, 48188, United States |
| Mother's DOB | 1978-12-07 |
| Mothers Mobile Number | (248) 854-1668 |
| Mother's Email | Kgar120@gmail.com |
| Authorized to pick up? | Yes |
| 1. Your Child’s Strengths | Leadership potential, Athletic ability, Determination, Curiosity / enjoys learning, Strong personality / confidence, Helpful at home |
| 2. Areas Where Your Child May Need Support | Sometimes struggles to follow instructions at home, Sometimes struggles to follow instructions at school, Becomes frustrated or upset when corrected |
| Emotional Regulation / Anger (Check all that apply) | Has difficulty controlling anger or frustration, Reacts strongly to conflict or correction, Sometimes shuts down or withdraws when upset |
| Conflict with Others (Check all that apply) | Has frequent arguments with siblings, peers, or adults, Has been involved in bullying (either as the aggressor or target), Sometimes responds physically when upset |
| School Engagement (Check all that apply) | Struggles to stay focused in class, Has received school suspension(s) |
| Has your child ever (Check all that apply): | Been suspended from school |
| How would you describe your child most of the time? | Energetic / high activity level, Sensitive / emotional, Strong-willed, Quiet or reserved |
| What are you hoping your child gains from CATTA (Check all that apply) | Better anger management, Positive male mentorship, Leadership skills, Stronger faith or spiritual foundation, Better decision making |
| What concerns you most about your child right now? | As a father, I strive to be a strong foundation for my son, but growing up in Canton means he has very few positive Black male role models outside of our household. In eight years of organized sports, he has only ever been coached by two Black men. This gap in representation, paired with the emotional toll of being bullied at school for his smaller size, has impacted both his academic focus and his confidence. We are dedicated to building his strength through sports and guidance, but he deeply needs a broader community of mentorship and positive representation to help him navigate these challenges. |
| What kind of future do you hope for your child? | Growth & Resilience: When he faces setbacks—whether it’s dealing with school bullies, navigating a tough game, or feeling isolated—you want him to have the emotional tools to bounce back stronger. Integrity & Toughness: You want him to develop a quiet, unbreakable inner strength so that his self-worth is never defined by his physical size, but by the size of his character and his work ethic. I want him to be surrounded by a strong village—a brotherhood of positive Black male role models, mentors, and coaches who validate his identity, speak into his life, and show him the standard of excellent manhood. I him to move through life knowing he belongs in every room he enters. |
| Preferred Hospital for Emergency Treatment | The quickest one. We have health insurance. |
| Medical Conditions (check all that apply) | None |
| Additional medical or behavioral information staff should know: | He listens He may need to be guided, coached, and reminded because of the ADHD, but he's a coachable kid. |
| Name | Kanye L Gardner |
| Phone Number | (313) 587-6936 |
| Relationship to Student | Father |
| Authorized for pick up? | Yes |
| Name | Kanye L Gardner |
| Phone Number | 3135876936 |
| Emergency Medical Treatment | By checking this box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking this box,I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking this box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking this box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking this box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Mentoring, Behavioral support |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| How did you find out about The Yunion's Summer Camp? | Someone referred me |
| Name of Person/Recruiter Who Referred You | Kevin Collins |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Kanye Gardner |
| Add Your Signature Here (Please Sign Legibly) | 6a15d21cad3113.40248822.png |
| Child's Name (Printed) | Myles Gardner |
| Have Your Child Sign His/Her Signature Here (Please Sign Legibly) | 6a15d21cb875b4.82240395.png |
| 2026 Cave of Adullam Transformational Training Academy Camp | 2026 Cave of Adullam Transformational Training Academy Camp, $0.00, 1 |
| Date | 2026-05-26 |
Jeremy Johnson
Cave of Adullam Transformational Training Academy · May 21, 2026
| Child Name | Jeremy, Johnson |
| Age | 13 |
| Date of Birth | 2013-04-04 |
| Grade Level this Fall? | 8th |
| School/District | Homeschooled |
| Name of School | Homeschool |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | N/A |
| Height | 5ft |
| Weight | 113 |
| Sex | Male |
| Eye Color | Hazel |
| Ethnicity | African American |
| Student Address | 28600 Emerson, Inkster, Michigan, 48141, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother, Step-Father |
| Who Does the Student Live With? (Check All That Apply) | Mother |
| Number of Siblings in the Home | 1 |
| Are siblings applying to a Yunion camp? | No, they are not applying for a Yunion Camp. |
| List name of youth applying for Yunion Camps | Jeremy Johnson |
| Primary Language Other Than English | N/A |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Name of Parent/Guardian Completing This Form | Melinda, McCoy |
| Email Address of Parent/Guardian Completing This Form | melindamccoy11@gmail.com |
| Your Preferred Method Of Communication | Phone Call |
| Cell Phone Number of Parent/Guardian Completing This Form | (248) 707-4588 |
| Mother/Legal Guardian | Melinda, McCoy |
| Mother's Address | 28600 Emerson, Inkster, Michigan, 48141, United States |
| Mother's DOB | 1988-04-20 |
| Mothers Work Number | (248) 707-4588 |
| Mothers Mobile Number | (248) 707-4588 |
| Mother's Email | melindamccoy11@gmail.com |
| Authorized to pick up? | Yes |
| Step-Father | Durronte, Robinson |
| Step-Father's Mobile Number | (313) 828-7500 |
| Step-Father's Email | vytlinc@gmail.com |
| Authorized to pick up? | Yes |
| 1. Your Child’s Strengths | Leadership potential, Athletic ability, Compassion for others, Strong personality / confidence, Helpful at home |
| 2. Areas Where Your Child May Need Support | Sometimes struggles to follow instructions at home, Sometimes struggles to follow instructions at school, Becomes frustrated or upset when corrected |
| Emotional Regulation / Anger (Check all that apply) | Has difficulty controlling anger or frustration, Reacts strongly to conflict or correction |
| Conflict with Others (Check all that apply) | Has frequent arguments with siblings, peers, or adults, Has been involved in bullying (either as the aggressor or target) |
| School Engagement (Check all that apply) | Has experienced disciplinary action at school |
| Has your child ever (Check all that apply): | Been transferred due to disciplinary issues |
| How would you describe your child most of the time? | Energetic / high activity level, Sensitive / emotional, Independent, Strong-willed |
| What are you hoping your child gains from CATTA (Check all that apply) | More discipline, Greater respect for authority, Better anger management, Positive male mentorship, Leadership skills, Better decision making |
| What concerns you most about your child right now? | Lack of respect to authority. |
| What kind of future do you hope for your child? | I hope for my son to be a good listener, a human with integrity, kindness, & patience. |
| Preferred Hospital for Emergency Treatment | Garden City Hospital |
| Medical Conditions (check all that apply) | None |
| Name | Terry Parker |
| Phone Number | (313) 784-5284 |
| Relationship to Student | Grandfather |
| Authorized for pick up? | Yes |
| Name | Tonya Lilly |
| Phone Number | 3138287442 |
| Relationship to Student | Grandmother |
| Authorized for pick up? | Yes |
| Name | Larry Luckett |
| Phone Number | 3134095108 |
| Relationship to Student | Great Uncle |
| Authorized for pick up? | Yes |
| Emergency Medical Treatment | By checking this box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking this box,I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking this box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking this box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking this box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Mentoring, Counseling referral, Behavioral support |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | No, my school doesn't have that program |
| What is the annual income of your family? | 55000 |
| How many dependents are in your family? | 2 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | No |
| Please explain any extenuating circumstances related to your financial need? (100 words or less) | N/a |
| How did you find out about The Yunion's Summer Camp? | Someone referred me |
| Name of Person/Recruiter Who Referred You | Current Robinson |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Melinda McCoy |
| Add Your Signature Here (Please Sign Legibly) | 6a0eec89f1a419.10576223.png |
| Child's Name (Printed) | Jeremy Johnson |
| Have Your Child Sign His/Her Signature Here (Please Sign Legibly) | 6a0eec8a0a2881.04857243.png |
| 2026 Cave of Adullam Transformational Training Academy Camp | 2026 Cave of Adullam Transformational Training Academy Camp, $0.00, 1 |
| Date | 2026-05-21 |
Dylan Herron
Cave of Adullam Transformational Training Academy · May 12, 2026
| Child Name | Dylan, Herron |
| Age | 13 |
| Date of Birth | 2012-07-03 |
| Grade Level this Fall? | 8 |
| School/District | Birmingham |
| Name of School | Berkshire |
| Education Type | IEP |
| Does your Child need any additional support? Please specify in comment box below. | no |
| Height | 5'11 |
| Weight | 148 |
| Sex | Male |
| Eye Color | Green |
| Ethnicity | African American |
| Student Address | 232 Charing Cross Ct., Bloomfield Hills, Michigan, 48304, United States |
| County in Which Child Resides | Oakland County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother, Father |
| Who Does the Student Live With? (Check All That Apply) | Mother, Father |
| Number of Siblings in the Home | 3 |
| Are siblings applying to a Yunion camp? | No, they are not applying for a Yunion Camp. |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Name of Parent/Guardian Completing This Form | Jessica, Herron |
| Email Address of Parent/Guardian Completing This Form | jessicamherron1@gmail.com |
| Your Preferred Method Of Communication | Text |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 477-1869 |
| Father/Legal Guardian | David, Herron |
| Father's Address | 232 Charing Cross Ct., Bloomfield Hills, Michigan, 48304, United States |
| Father's DOB | 1984-06-17 |
| Father's Mobile Number | (330) 219-9954 |
| Father's Email | dherron2258@gmail.com |
| Authorized to pick up? | Yes |
| Mother/Legal Guardian | Jessica, Herron |
| Mother's Address | 232 Charing Cross Ct., Bloomfield Hills, Michigan, 48304, United States |
| Mother's DOB | 1987-06-16 |
| Mothers Mobile Number | (313) 477-1869 |
| Mother's Email | jessicamherron1@gmail.com |
| Authorized to pick up? | Yes |
| Emergency Medical Treatment | By checking this box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking this box,I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking this box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking this box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking this box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Mentoring |
| May one of our team members contact you with more information about our support services? | Yes |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 300000 |
| How many dependents are in your family? | 4 |
| Are you a single-income family?* | No |
| Does the child for whom you are applying receive child support?* | No |
| How did you find out about The Yunion's Summer Camp? | |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | David Herron |
| Add Your Signature Here (Please Sign Legibly) | 6a037368e97be4.40878279.png |
| Child's Name (Printed) | Dylan Herron |
| Have Your Child Sign His/Her Signature Here (Please Sign Legibly) | 6a037368f3c837.82693519.png |
| 2026 Cave of Adullam Transformational Training Academy Camp | 2026 Cave of Adullam Transformational Training Academy Camp, $0.00, 1 |
| Date | 2026-05-12 |
Malachi Mengesha
Cave of Adullam Transformational Training Academy · May 7, 2026
| Child Name | Malachi, Mengesha |
| Age | 11 |
| Date of Birth | 2014-10-25 |
| Grade Level this Fall? | 6 |
| School/District | West Bloomfield |
| Name of School | Sheiko |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | Fifth grade Malachi's current year is the first fully general education class that he has had but with still some hybrid IEP Support, he is high functioning autistic |
| Height | 5 5 |
| Weight | 110 |
| Sex | Male |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 16587 Linwood, Detroit, Michigan, 48221, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother |
| Who Does the Student Live With? (Check All That Apply) | Mother |
| Number of Siblings in the Home | 3 |
| Are siblings applying to a Yunion camp? | Yes, they are applying for the Level Up Workforce & Leadership Development Camp. |
| List name of youth applying for Yunion Camps | Malachi Mengesha Matthew Mengesha Judah Mengesha |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Name of Parent/Guardian Completing This Form | Nicole, Mengesha |
| Email Address of Parent/Guardian Completing This Form | nmdandridge@gmail.com |
| Your Preferred Method Of Communication | Text |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 671-1575 |
| Mother/Legal Guardian | Nicole, Mengesha |
| Mother's Address | 16587 Linwood, Detroit, Michigan, 48221, United States |
| Mother's DOB | 1973-05-26 |
| Mothers Mobile Number | (313) 671-1575 |
| Mother's Email | nmdandridge@gmail.com |
| Authorized to pick up? | Yes |
| 1. Your Child’s Strengths | Leadership potential, Creativity, Compassion for others, Determination, Curiosity / enjoys learning, Strong personality / confidence, Other strengths |
| Other strengths: | Malachi loves to create and build robotics. He loves all things sea creatures, all things, Godzilla. |
| 2. Areas Where Your Child May Need Support | Sometimes struggles to follow instructions at home, Sometimes struggles to follow instructions at school, Becomes frustrated or upset when corrected |
| Emotional Regulation / Anger (Check all that apply) | Has difficulty controlling anger or frustration, Reacts strongly to conflict or correction |
| Conflict with Others (Check all that apply) | Has frequent arguments with siblings, peers, or adults |
| How would you describe your child most of the time? | Calm and easygoing, Sensitive / emotional, Independent, Strong-willed |
| What are you hoping your child gains from CATTA (Check all that apply) | More discipline, Greater respect for authority, Better anger management, Increased confidence, Positive male mentorship, Leadership skills, Better decision making, Academic motivation |
| What concerns you most about your child right now? | What concerns me most is Malachi learning how to function in daily activities life skills also keeping the purity of all three of my children sexually I have taught them to keep their bodies until marriage because that is what we believe biblically and I have not exposed them to any perversion, so I'm concerned about them being taught so that as they encounter in the world that they make the right decisions I am concerned that Malachi needs more tools to self regulate when he gets overwhelmed so he does not crash out and break down as he has a tendency to do when he is overwhelmed sensory overload as a high functioning, autistic boy. He is also having a hard time dealing with that diagnosis as he is recently becoming aware of it. |
| What kind of future do you hope for your child? | I would hope Malachi walks in what God has called him to do as a prophetic voice that he's uncompromising in sharing what God has laid on his heart that he knows the word and leaves the word that he knows how to function as a strong, godly man that he has good godly Mentors to follow him throughout his life that he walks and forgiveness when he's offended and learns how to hold onto to rest the way the God says rest and hold onto his peace so that he is not full of anxiety. I wish that for all three of my boys. |
| Preferred Hospital for Emergency Treatment | Same hospital West Bloomfield, Henry Ford or Novi Henry |
| Medical Conditions (check all that apply) | None |
| If medication must be administered during program hours, a medication authorization form must be on file. Parent Initials: | 69fc9fa012f173.65297891.png |
| Additional medical or behavioral information staff should know: | Malachi presents himself very well. He does sometimes struggle with any window in between the lines. He is black and white in his stinking rigid and in flexible so he will need sometimes communication in more details and he is for an autistic very self-aware and will talk through his overwhelming moments or his breakdown moments he will talk through it and calm down. He needs male positive reassurance in those moments to help him regulate his emotion. |
| Name | Judy Nunley |
| Phone Number | (313) 399-6414 |
| Additional Phone Number | (313) 399-7794 |
| Relationship to Student | Grandmother and uncle Antonio Gregory |
| Authorized for pick up? | Yes |
| Emergency Medical Treatment | By checking this box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking this box,I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking this box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking this box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking this box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Tutoring (school year only), Mentoring, Behavioral support, Family resources |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | No, we don't qualify |
| What is the annual income of your family? | 59000 |
| How many dependents are in your family? | 3 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | Yes |
| Please explain any extenuating circumstances related to your financial need? (100 words or less) | As I said in the previous form for Judah, I have less hours and I have to actually go home twice a pay period so double less hours and I am now dealing with half child support after May. Also regrouping from having to pay for a new boiler in our home at the beginning of the year. |
| How did you find out about The Yunion's Summer Camp? | Someone referred me |
| Name of Person/Recruiter Who Referred You | Darius Samples |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Nicole Mengesha |
| Add Your Signature Here (Please Sign Legibly) | 69fca06aa6be49.56988389.png |
| Child's Name (Printed) | Malachi Mengesha |
| Have Your Child Sign His/Her Signature Here (Please Sign Legibly) | 69fca06ab17820.17744234.png |
| 2026 Cave of Adullam Transformational Training Academy Camp | 2026 Cave of Adullam Transformational Training Academy Camp, $0.00, 1 |
| Date | 2026-05-07 |
Nigel Butts
Cave of Adullam Transformational Training Academy · May 7, 2026
| Child Name | Nigel, Butts |
| Age | 12 |
| Date of Birth | 2013-09-22 |
| Grade Level this Fall? | 8th |
| School/District | Detroit Public Schools |
| Name of School | Thirkell Elementary |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | Reading |
| Height | 5”3 |
| Weight | 110 lbs |
| Sex | Male |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 24290 W 7 Mile Rd, Detroit, Michigan, MI, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother, Father |
| Who Does the Student Live With? (Check All That Apply) | Mother, Father |
| Number of Siblings in the Home | 1 |
| Are siblings applying to a Yunion camp? | Yes, they are applying for the Keys Performing Arts Camp. |
| List name of youth applying for Yunion Camps | Noah Butts |
| Primary Language Other Than English | English |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Name of Parent/Guardian Completing This Form | Latoria, Relford |
| Email Address of Parent/Guardian Completing This Form | toyab322@gmail.com |
| Your Preferred Method Of Communication | Text |
| Cell Phone Number of Parent/Guardian Completing This Form | (248) 660-8613 |
| Father/Legal Guardian | Nico, Butts |
| Father's Address | 16606 Mark Twain, Detroit, Michigan, 48235, United States |
| Father's DOB | 1995-07-18 |
| Father's Mobile Number | (313) 575-0890 |
| Father's Email | nico40377@gmail.com |
| Authorized to pick up? | Yes |
| Mother/Legal Guardian | Latoria, Relford |
| Mother's Address | 24290 W 7 Mile Rd Apt 40, Detroit, Michigan, 48219, United States |
| Mother's DOB | 1996-03-02 |
| Mothers Mobile Number | (248) 660-8613 |
| Mother's Email | toyab322@gmail.com |
| Authorized to pick up? | Yes |
| 1. Your Child’s Strengths | Leadership potential, Creativity, Athletic ability, Compassion for others, Curiosity / enjoys learning, Strong personality / confidence, Helpful at home |
| 2. Areas Where Your Child May Need Support | Other |
| Other areas where support may be needed | Having compassion for sibling and expressing his emotions more. |
| Emotional Regulation / Anger (Check all that apply) | Sometimes shuts down or withdraws when upset |
| Conflict with Others (Check all that apply) | Has frequent arguments with siblings, peers, or adults, Has been involved in bullying (either as the aggressor or target) |
| School Engagement (Check all that apply) | Struggles to stay focused in class |
| Has your child ever (Check all that apply): | Been suspended from school |
| How would you describe your child most of the time? | Calm and easygoing, Independent, Strong-willed, Quiet or reserved |
| What are you hoping your child gains from CATTA (Check all that apply) | Increased confidence, Positive male mentorship, Academic motivation |
| What concerns you most about your child right now? | Academic motivation with reading and how to handle bullying. |
| What kind of future do you hope for your child? | I hope my son can excel academically so that he can succeed in the career path he wants and become a honorable man. |
| Preferred Hospital for Emergency Treatment | Children’s Hospital |
| If medication must be administered during program hours, a medication authorization form must be on file. Parent Initials: | 69fc7d27492020.87707468.png |
| Additional medical or behavioral information staff should know: | He has had hernia surgery in his lower abdomen that hurts from time to time. |
| Name | Chris Butts |
| Phone Number | (313) 215-5600 |
| Additional Phone Number | (313) 450-5540 |
| Relationship to Student | Grandfather |
| Authorized for pick up? | Yes |
| Name | Twila Beckom |
| Phone Number | 3134505540 |
| Relationship to Student | Grandmother |
| Authorized for pick up? | Yes |
| Emergency Medical Treatment | By checking this box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking this box,I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking this box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking this box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking this box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Tutoring (school year only), Mentoring, Counseling referral |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 36000 |
| How many dependents are in your family? | 2 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | No |
| How did you find out about The Yunion's Summer Camp? | |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Latoria Relford |
| Add Your Signature Here (Please Sign Legibly) | 69fc7dfd2e6f18.53989585.png |
| Child's Name (Printed) | Nigel Butts |
| Have Your Child Sign His/Her Signature Here (Please Sign Legibly) | 69fc7dfd3959e0.94132953.png |
| 2026 Cave of Adullam Transformational Training Academy Camp | 2026 Cave of Adullam Transformational Training Academy Camp, $0.00, 1 |
| Date | 2026-05-07 |
Dylan Jones
Cave of Adullam Transformational Training Academy · May 7, 2026
| Child Name | Dylan, Jones |
| Age | 11 |
| Date of Birth | 2015-02-09 |
| Grade Level this Fall? | 6th |
| School/District | 4 |
| Name of School | Ronald Brown Academy |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | No |
| Height | 4”3 |
| Weight | 75 |
| Sex | Male |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 10845 Stratman, Detroit, Michigan, MI, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother |
| Who Does the Student Live With? (Check All That Apply) | Mother |
| Number of Siblings in the Home | 3 |
| Are siblings applying to a Yunion camp? | No, they are not applying for a Yunion Camp. |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Name of Parent/Guardian Completing This Form | Diamond, Waller |
| Email Address of Parent/Guardian Completing This Form | katemarcob@gmail.com |
| Your Preferred Method Of Communication | Text |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 622-4763 |
| Mother/Legal Guardian | Diamond, Waller |
| Mother's Address | 10845 Stratman, Detroit, Michigan, 48224, United States |
| Mother's DOB | 1996-04-11 |
| Mothers Home Number | (313) 622-4763 |
| Mothers Work Number | (313) 622-4763 |
| Mothers Mobile Number | (313) 622-4763 |
| Mother's Email | katemarcob@gmail.com |
| Authorized to pick up? | Yes |
| 1. Your Child’s Strengths | Athletic ability, Determination, Curiosity / enjoys learning, Strong personality / confidence, Helpful at home |
| 2. Areas Where Your Child May Need Support | Becomes frustrated or upset when corrected |
| Emotional Regulation / Anger (Check all that apply) | Sometimes shuts down or withdraws when upset |
| Conflict with Others (Check all that apply) | Sometimes responds physically when upset |
| How would you describe your child most of the time? | Calm and easygoing, Strong-willed, Quiet or reserved |
| What are you hoping your child gains from CATTA (Check all that apply) | More discipline, Better anger management, Positive male mentorship, Leadership skills, Stronger faith or spiritual foundation, Better decision making, Academic motivation |
| What concerns you most about your child right now? | Needs A great male role model to see things from a male perspective lack of male role model |
| What kind of future do you hope for your child? | I hope that my child stays away from the jail system and becomes a respectable responsible young man , choosing a positive lifestyle and the ride to success. |
| Preferred Hospital for Emergency Treatment | Children’s hospital |
| Medical Conditions (check all that apply) | None |
| Name | Mom Diamond Waller |
| Phone Number | (313) 622-4763 |
| Additional Phone Number | (313) 622-4763 |
| Relationship to Student | 3136224763 |
| Authorized for pick up? | Yes |
| Name | Diamond Waller |
| Phone Number | 3136224763 |
| Relationship to Student | Mom |
| Authorized for pick up? | Yes |
| Name | Diamond mom |
| Phone Number | 3136224763 |
| Relationship to Student | Mom |
| Authorized for pick up? | Yes |
| Emergency Medical Treatment | By checking this box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking this box,I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking this box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking this box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking this box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Tutoring (school year only), Mentoring |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 42000 |
| How many dependents are in your family? | 5 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | No |
| Please explain any extenuating circumstances related to your financial need? (100 words or less) | As the sole provider for my household, I am facing ongoing financial hardship while caring for my four children and managing all household responsibilities alone. My income is stretched across essential expenses including rent, food, transportation, school-related costs, and daily necessities, leaving very little flexibility for emergencies or unexpected bills. |
| How did you find out about The Yunion's Summer Camp? | Google Search |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Diamond Waller |
| Add Your Signature Here (Please Sign Legibly) | 69fc06d2cc3171.42178904.png |
| Child's Name (Printed) | Dylan Jones |
| Have Your Child Sign His/Her Signature Here (Please Sign Legibly) | 69fc06d2df0225.23706591.png |
| 2026 Cave of Adullam Transformational Training Academy Camp | 2026 Cave of Adullam Transformational Training Academy Camp, $0.00, 1 |
| Date | 2026-05-06 |
Ryan Fields
Cave of Adullam Transformational Training Academy · May 7, 2026
| Child Name | Ryan, Fields |
| Age | 13 |
| Date of Birth | 2013-03-28 |
| Grade Level this Fall? | 8th |
| School/District | Lincoln unified School district |
| Name of School | Sierra Middle School |
| Education Type | IEP |
| Does your Child need any additional support? Please specify in comment box below. | Ryan receives assistance with his reading and math |
| Height | 5'10" |
| Weight | 158lbs |
| Sex | Male |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 737 Elaine Dr., Stockton, California, 95207, United States |
| County in Which Child Resides | San Joaquin county |
| Parents/Guardian the Student Has (Check All That Apply) | Mother |
| Who Does the Student Live With? (Check All That Apply) | Mother |
| Number of Siblings in the Home | 4 |
| Are siblings applying to a Yunion camp? | Yes, they are applying for the Level Up Workforce & Leadership Development Camp. |
| List name of youth applying for Yunion Camps | Randy R. Fields |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Name of Parent/Guardian Completing This Form | Janelle, Fields |
| Email Address of Parent/Guardian Completing This Form | l8dijai@gmail.com |
| Your Preferred Method Of Communication | |
| Cell Phone Number of Parent/Guardian Completing This Form | (209) 513-4114 |
| Mother/Legal Guardian | Janelle, Fields |
| Mother's Address | 737 Elaine Dr., Stockton, California, 95207, United States |
| Mother's DOB | 1978-04-14 |
| Mothers Work Number | (209) 943-2000 |
| Mothers Mobile Number | (209) 513-4114 |
| Mother's Email | l8dijai@gmail.com |
| Authorized to pick up? | Yes |
| Emergency Medical Treatment | By checking this box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking this box,I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking this box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking this box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking this box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Tutoring (school year only), Mentoring, Counseling referral, Behavioral support, Family resources |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 62000 |
| How many dependents are in your family? | 5 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | Yes |
| Please explain any extenuating circumstances related to your financial need? (100 words or less) | I am a single mom of five and also in the process of adopting my nephew. My divorce was just completed after 24 years. And I'm honestly struggling to keep my head above water. I need assistance and guidance for my twin boys that are 13 years of age. |
| How did you find out about The Yunion's Summer Camp? | |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Janelle N. Fields |
| Add Your Signature Here (Please Sign Legibly) | 69fbeaf34d3671.53682506.png |
| Child's Name (Printed) | Ryan P.J. Fields |
| Have Your Child Sign His/Her Signature Here (Please Sign Legibly) | 69fbeaf3590bc7.22826244.png |
| 2026 Cave of Adullam Transformational Training Academy Camp | 2026 Cave of Adullam Transformational Training Academy Camp, $0.00, 1 |
| Date | 2026-05-06 |
Randy Fields
Cave of Adullam Transformational Training Academy · May 7, 2026
| Child Name | Randy, Fields |
| Age | 13 |
| Date of Birth | 2013-03-28 |
| Grade Level this Fall? | 8th |
| School/District | Lincoln Unified |
| Name of School | Sierra Middle School |
| Education Type | IEP |
| Does your Child need any additional support? Please specify in comment box below. | He received supportive services for math and reading |
| Height | 5'q0" |
| Weight | 203lbs |
| Sex | Male |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 737 Elaine Dr., Stockton, California, 95207, United States |
| County in Which Child Resides | San Joaquin county |
| Parents/Guardian the Student Has (Check All That Apply) | Mother |
| Who Does the Student Live With? (Check All That Apply) | Mother |
| Number of Siblings in the Home | 4 |
| Are siblings applying to a Yunion camp? | Yes, they are applying for the Level Up Workforce & Leadership Development Camp. |
| List name of youth applying for Yunion Camps | Ryan Fields |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Name of Parent/Guardian Completing This Form | Janelle, Fields |
| Email Address of Parent/Guardian Completing This Form | l8dijai@gmail.com |
| Your Preferred Method Of Communication | |
| Cell Phone Number of Parent/Guardian Completing This Form | (209) 513-4114 |
| Mother/Legal Guardian | Janelle, Fields |
| Mother's Address | 737 Elaine Dr., Stockton, California, 95207, United States |
| Mother's DOB | 1978-04-14 |
| Mothers Work Number | (209) 943-2000 |
| Mothers Mobile Number | (209) 513-4114 |
| Mother's Email | l8dijai@gmail.com |
| Authorized to pick up? | Yes |
| Emergency Medical Treatment | By checking this box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking this box,I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking this box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking this box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking this box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Tutoring (school year only), Mentoring, Counseling referral, Behavioral support |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 62000 |
| How many dependents are in your family? | 5 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | Yes |
| Please explain any extenuating circumstances related to your financial need? (100 words or less) | I am a single mom of five and also in the process of adopting my nephew. My divorce was just completed after 24 years. And I'm honestly struggling to keep my head above water. I need assistance and guidance for my twin boys that are 13 years of age. |
| How did you find out about The Yunion's Summer Camp? | |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Janelle N. Fields |
| Add Your Signature Here (Please Sign Legibly) | 69fbe8e4c15eb4.49370481.png |
| Child's Name (Printed) | Randy J. Fields |
| Have Your Child Sign His/Her Signature Here (Please Sign Legibly) | 69fbe8e4cd0588.96291085.png |
| 2026 Cave of Adullam Transformational Training Academy Camp | 2026 Cave of Adullam Transformational Training Academy Camp, $0.00, 1 |
| Date | 2026-05-06 |
Rayshard Futrell
Cave of Adullam Transformational Training Academy · May 7, 2026
| Child Name | Rayshard, Futrell |
| Age | 12 |
| Date of Birth | 2013-10-23 |
| Grade Level this Fall? | 8 |
| School/District | Chippewa Valley |
| Name of School | Seneca |
| Education Type | IEP |
| Does your Child need any additional support? Please specify in comment box below. | My son needs help with confidence building and emotional regulation. |
| Height | 5’ |
| Weight | 100 |
| Sex | Male |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 21850 gailes drive, Macomb, Michigan, 48044, United States |
| County in Which Child Resides | Macomb County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother, Father, Step-Mother |
| Who Does the Student Live With? (Check All That Apply) | Mother |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Name of Parent/Guardian Completing This Form | Kembria, Tolbert |
| Email Address of Parent/Guardian Completing This Form | tkembria@gmail.com |
| Your Preferred Method Of Communication | |
| Cell Phone Number of Parent/Guardian Completing This Form | (586) 224-8091 |
| Father/Legal Guardian | Rayshard, Futrell |
| Father's Address | 32056 Cheboygan, Westland, Michigan, 48186, United States |
| Father's DOB | 1992-06-22 |
| Father's Mobile Number | (313) 728-5548 |
| Father's Email | unknown@gmail.com |
| Authorized to pick up? | Yes |
| Mother/Legal Guardian | Kembria, Tolbert |
| Mother's Address | 21850 Gailes drive, Macomb, Michigan, 48044, United States |
| Mother's DOB | 1990-03-01 |
| Mothers Mobile Number | (586) 224-8091 |
| Mother's Email | tkembria@gmail.com |
| Authorized to pick up? | Yes |
| Step-Mother's Address | United States |
| Emergency Medical Treatment | By checking this box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking this box,I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking this box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking this box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking this box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Mentoring |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | No, my school doesn't have that program |
| What is the annual income of your family? | 35000 |
| How many dependents are in your family? | 1 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | No |
| Please explain any extenuating circumstances related to your financial need? (100 words or less) | There are none. |
| How did you find out about The Yunion's Summer Camp? | YouTube |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Kembria Tolbert |
| Add Your Signature Here (Please Sign Legibly) | 69fbe2becb5d94.69468633.png |
| Child's Name (Printed) | Rayshard Futrell |
| Have Your Child Sign His/Her Signature Here (Please Sign Legibly) | 69fbe2bed5dfd1.58741490.png |
| 2026 Cave of Adullam Transformational Training Academy Camp | 2026 Cave of Adullam Transformational Training Academy Camp, $0.00, 1 |
| Date | 2026-05-06 |
Mondale Jones
Cave of Adullam Transformational Training Academy · May 7, 2026
| Child Name | Mondale, Jones |
| Age | 12 |
| Date of Birth | 2013-12-01 |
| Grade Level this Fall? | 7th |
| School/District | 4 Detroit mi |
| Name of School | Ronald Brown Academy |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | No |
| Height | 4”11 |
| Weight | 95 pounds |
| Sex | Male |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 10845 Stratman, Detroit, Michigan, 48224, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother |
| Who Does the Student Live With? (Check All That Apply) | Mother |
| Number of Siblings in the Home | 3 |
| Are siblings applying to a Yunion camp? | No, they are not applying for a Yunion Camp. |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Name of Parent/Guardian Completing This Form | Diamond, Waller |
| Email Address of Parent/Guardian Completing This Form | katemarcob@gmail.com |
| Your Preferred Method Of Communication | Text |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 622-4763 |
| Mother/Legal Guardian | Diamond, Waller |
| Mother's Address | 10845 Stratman, Detroit, Michigan, 48224, United States |
| Mother's DOB | 1996-04-11 |
| Mothers Home Number | (313) 622-4763 |
| Mothers Work Number | (313) 622-4763 |
| Mothers Mobile Number | (313) 622-4763 |
| Mother's Email | katemarcob@gmail.com |
| Authorized to pick up? | Yes |
| 1. Your Child’s Strengths | Creativity, Compassion for others, Curiosity / enjoys learning, Good sense of humor, Helpful at home |
| 2. Areas Where Your Child May Need Support | Sometimes struggles to follow instructions at school, Other |
| Other areas where support may be needed | Confidence |
| Emotional Regulation / Anger (Check all that apply) | Sometimes shuts down or withdraws when upset |
| School Engagement (Check all that apply) | Struggles to stay focused in class, Has experienced disciplinary action at school |
| Has your child ever (Check all that apply): | Been suspended from school |
| How would you describe your child most of the time? | Energetic / high activity level, Sensitive / emotional |
| What are you hoping your child gains from CATTA (Check all that apply) | More discipline, Greater respect for authority, Increased confidence, Positive male mentorship, Leadership skills, Stronger faith or spiritual foundation, Better decision making, Academic motivation |
| What concerns you most about your child right now? | Grades , confidence believing in himself, not wanting to be active in sports , the proper male structure and guidance is needed. |
| What kind of future do you hope for your child? | I hope that my child becomes a respectful, intelligent, successful person society, always giving back to the community, helping other others being successful in a great career. |
| Preferred Hospital for Emergency Treatment | Children’s Hospital |
| Medical Conditions (check all that apply) | Allergies, Asthma |
| Food Allergies | Peanuts and cats |
| Allergic to Bees? | No |
| Name | None |
| Phone Number | (313) 622-4763 |
| Relationship to Student | None |
| Authorized for pick up? | Yes |
| Emergency Medical Treatment | By checking this box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking this box,I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking this box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking this box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking this box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Tutoring (school year only), Mentoring |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 42000 |
| How many dependents are in your family? | 5 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | No |
| Please explain any extenuating circumstances related to your financial need? (100 words or less) | I am a single mother of four who experiences financial hardship because one income often must cover all household expenses for five people, including rent, utilities, food, transportation/gas clothing, school supplies, and and other things that may come up unexpectedly also Rising living costs can make it difficult to keep up with monthly bills, while unexpected expenses such as car repairs or medical emergencies may create additional debt and financial stress. While Balancing work and parenting. |
| How did you find out about The Yunion's Summer Camp? | Google Search |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Diamond Waller |
| Add Your Signature Here (Please Sign Legibly) | 69fbdc78927402.38568809.png |
| Child's Name (Printed) | Mondale Jones |
| Have Your Child Sign His/Her Signature Here (Please Sign Legibly) | 69fbdc789d4331.88925952.png |
| 2026 Cave of Adullam Transformational Training Academy Camp | 2026 Cave of Adullam Transformational Training Academy Camp, $0.00, 1 |
| Date | 2026-05-06 |
Dean Cole
Cave of Adullam Transformational Training Academy · May 7, 2026
| Child Name | Dean, Cole |
| Age | 12 |
| Date of Birth | 2013-07-25 |
| Grade Level this Fall? | 8th |
| School/District | Public Charter |
| Name of School | Detroit Prep |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | N/A |
| Height | 5'4" |
| Weight | 117 |
| Sex | Male |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 21477 Curie Avenue, Warren, Michigan, 48091, United States |
| County in Which Child Resides | Macomb County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother, Father |
| Who Does the Student Live With? (Check All That Apply) | Mother, Father |
| Number of Siblings in the Home | 1 |
| Are siblings applying to a Yunion camp? | No, they are not applying for a Yunion Camp. |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Name of Parent/Guardian Completing This Form | Jesse, Cole |
| Email Address of Parent/Guardian Completing This Form | jessespeaks@gmail.com |
| Your Preferred Method Of Communication | |
| Cell Phone Number of Parent/Guardian Completing This Form | (248) 917-2777 |
| Father/Legal Guardian | Jesse, Cole |
| Father's Address | 21477 Curie Avenue, Warren, Michigan, 48091, United States |
| Father's DOB | 1978-12-20 |
| Father's Mobile Number | (248) 917-2777 |
| Father's Email | jessespeaks@gmail.com |
| Authorized to pick up? | Yes |
| Mother/Legal Guardian | Shaleena, Cole |
| Mother's Address | 21477 Curie Avenue, Warren, Michigan, 48091, United States |
| Mother's DOB | 1980-08-18 |
| Mothers Mobile Number | (313) 516-5254 |
| Mother's Email | cole.shaleena@gmail.com |
| Authorized to pick up? | Yes |
| Emergency Medical Treatment | By checking this box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking this box,I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking this box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking this box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking this box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Tutoring (school year only), Mentoring |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | No, we don't qualify |
| What is the annual income of your family? | 80000 |
| How many dependents are in your family? | 2 |
| Are you a single-income family?* | No |
| Does the child for whom you are applying receive child support?* | No |
| Please explain any extenuating circumstances related to your financial need? (100 words or less) | Our family’s income fluctuates monthly because we are solopreneurs. While we are committed to investing in our son’s growth and are willing to contribute toward the cost, financial assistance would help make this opportunity more manageable during slower income periods. We believe this camp would provide meaningful personal and leadership development for him, and any support would be greatly appreciated. |
| How did you find out about The Yunion's Summer Camp? | |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Jesse A. Cole, Jr. |
| Add Your Signature Here (Please Sign Legibly) | 69fbd9fb9bdb38.07387671.png |
| Child's Name (Printed) | Dean Cole |
| Have Your Child Sign His/Her Signature Here (Please Sign Legibly) | 69fbd9fba69af8.24451893.png |
| 2026 Cave of Adullam Transformational Training Academy Camp | 2026 Cave of Adullam Transformational Training Academy Camp, $0.00, 1 |
| Date | 2026-05-06 |
Judah Mengesha
Cave of Adullam Transformational Training Academy · May 6, 2026
| Child Name | Judah, Mengesha |
| Age | 13 |
| Date of Birth | 2013-01-26 |
| Grade Level this Fall? | 8 |
| School/District | Southfield |
| Name of School | Southfield Christian |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | He needs Brother Malachi in same camp . Im unsure if workforce leadership is the one they chose or arts .... i think they can benefit from work force . Please advise and ask them. |
| Height | 5 6 |
| Weight | 125 |
| Sex | Male |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 16587 Linwood, Detroit, Michigan, 48221, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother |
| Who Does the Student Live With? (Check All That Apply) | Mother |
| Number of Siblings in the Home | 3 |
| Are siblings applying to a Yunion camp? | Yes, they are applying for the Keys Performing Arts Camp. |
| List name of youth applying for Yunion Camps | Malachi Mengesha |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Name of Parent/Guardian Completing This Form | Nicole, Mengesha |
| Email Address of Parent/Guardian Completing This Form | nmdandridge@gmail.com |
| Your Preferred Method Of Communication | Text |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 671-1575 |
| Mother/Legal Guardian | Nicole, Mengesha |
| Mother's Address | 16587 Linwood, Detroit, Michigan, 48221, United States |
| Mother's DOB | 1973-05-26 |
| Mothers Work Number | (313) 671-1575 |
| Mothers Mobile Number | (313) 671-1575 |
| Mother's Email | nmdandridge@gmail.com |
| Authorized to pick up? | Yes |
| 1. Your Child’s Strengths | Leadership potential, Creativity, Compassion for others, Curiosity / enjoys learning, Strong personality / confidence, Good sense of humor, Other strengths |
| Other strengths: | Building , communicating |
| 2. Areas Where Your Child May Need Support | Sometimes struggles to follow instructions at home, Becomes frustrated or upset when corrected |
| Conflict with Others (Check all that apply) | Has frequent arguments with siblings, peers, or adults |
| How would you describe your child most of the time? | Calm and easygoing, Sensitive / emotional, Quiet or reserved |
| What are you hoping your child gains from CATTA (Check all that apply) | More discipline, Better anger management, Positive male mentorship, Stronger faith or spiritual foundation, Better decision making, Academic motivation |
| What concerns you most about your child right now? | More independence finding his way in his desire for his future, what he may want to do being prepared in everyday life skills for a man needing that strong male influence, godly influence |
| What kind of future do you hope for your child? | I hope for my child to be hard-working, not be lazy and do all things unto God to follow the Lord Jesus Christ, and all things to seek his face to be completely devoted to the message of the gospel as the Lord has called him to be an evangelist I want him to rightly divide the word precept to preset and for him to also have a practical knowledge of being a good store over himself and over The things that he does in his life I want him to learn how to function in the world as a godly man, a hard |
| Preferred Hospital for Emergency Treatment | Hospital treatment sent him to West Bloomfield hospital Henry Ford Novi |
| Medical Conditions (check all that apply) | None |
| If medication must be administered during program hours, a medication authorization form must be on file. Parent Initials: | 69fbd48a59cb76.97474926.png |
| Additional medical or behavioral information staff should know: | Judah has attention deficit so he has to be redirected. I've been training him to be intentional about having a journal in writing what he needs down so he doesn't forget. |
| Name | Judy Nunley |
| Phone Number | (313) 399-6414 |
| Additional Phone Number | (313) 399-7794 |
| Relationship to Student | Grandmother and uncle, second number Antonio Gregory |
| Authorized for pick up? | Yes |
| Name | Antonio Gregory or Tiffany Gregory |
| Phone Number | 3133997794 |
| Relationship to Student | Uncle |
| Authorized for pick up? | Yes |
| Emergency Medical Treatment | By checking this box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking this box,I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking this box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking this box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking this box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Mentoring, Not needed at this time |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | No, my school doesn't have that program |
| What is the annual income of your family? | 59000 |
| How many dependents are in your family? | 3 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | Yes |
| Please explain any extenuating circumstances related to your financial need? (100 words or less) | My spouse Support has ended this month. The child support is now cutt in half this month. I am actively seeking a second job as my hours have been cut on my job for two days for pay period. |
| How did you find out about The Yunion's Summer Camp? | Someone referred me |
| Name of Person/Recruiter Who Referred You | Darius Samples |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Nicole Mengesha |
| Add Your Signature Here (Please Sign Legibly) | 69fbd5d32a6d65.30207335.png |
| Child's Name (Printed) | Judah Mengesha |
| Have Your Child Sign His/Her Signature Here (Please Sign Legibly) | 69fbd5d3368b20.41154506.png |
| 2026 Cave of Adullam Transformational Training Academy Camp | 2026 Cave of Adullam Transformational Training Academy Camp, $0.00, 1 |
| Date | 2026-05-06 |
Messiah Pettway
Cave of Adullam Transformational Training Academy · May 6, 2026
| Child Name | Messiah, Pettway |
| Age | 13 |
| Date of Birth | 2013-04-14 |
| Grade Level this Fall? | 8th |
| School/District | Detroit |
| Name of School | GESU |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | Need improved focus and discipline |
| Height | 5’6” |
| Weight | 135 |
| Sex | Male |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 26956 N Monroe Dr, Southfield, Michigan, 48034, United States |
| County in Which Child Resides | Oakland County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother, Father |
| Who Does the Student Live With? (Check All That Apply) | Mother, Father |
| Number of Siblings in the Home | 1 |
| Are siblings applying to a Yunion camp? | No, they are not applying for a Yunion Camp. |
| Are you applying for a scholarship? | No, I will pay the full price |
| Name of Parent/Guardian Completing This Form | Starr, Allen-Pettway |
| Email Address of Parent/Guardian Completing This Form | spettway3119@gmail.com |
| Your Preferred Method Of Communication | Text |
| Cell Phone Number of Parent/Guardian Completing This Form | (248) 331-5096 |
| Father/Legal Guardian | Henry, Pettway, III |
| Father's Address | 26956 N Monroe Dr, Southfield, Michigan, 48034, United States |
| Father's DOB | 1976-06-21 |
| Father's Home Number | (313) 695-1141 |
| Father's Work Number | (313) 695-1141 |
| Father's Mobile Number | (313) 695-1141 |
| Father's Email | hpiii760@gmail.com |
| Authorized to pick up? | Yes |
| Mother/Legal Guardian | Starr, Allen-Pettway |
| Mother's Address | 26956 N Monroe Dr, Southfield, Michigan, 48034, United States |
| Mother's DOB | 1977-12-04 |
| Mothers Home Number | (248) 331-5096 |
| Mothers Work Number | (313) 962-5255 |
| Mothers Mobile Number | (248) 331-5096 |
| Mother's Email | spettway3119@gmail.com |
| Authorized to pick up? | Yes |
| Emergency Medical Treatment | By checking this box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking this box,I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking this box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking this box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking this box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Mentoring |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| How did you find out about The Yunion's Summer Camp? | |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Starr Allen-Pettway |
| Add Your Signature Here (Please Sign Legibly) | 69fbd25d9dfa48.81559382.png |
| Child's Name (Printed) | Messiah Pettway |
| Have Your Child Sign His/Her Signature Here (Please Sign Legibly) | 69fbd25da7bfa3.56370841.png |
| 2026 Cave of Adullam Transformational Training Academy Camp | 2026 Cave of Adullam Transformational Training Academy Camp, $0.00, 1 |
| Date | 2026-05-06 |
Darryl Looney
Cave of Adullam Transformational Training Academy · May 5, 2026
| Child Name | Darryl, Looney |
| Age | 13 |
| Date of Birth | 2012-12-31 |
| Grade Level this Fall? | 8th |
| School/District | University Preparatory Science And Math Middle School |
| Name of School | University Preparatory Science And Math Middle School |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | None |
| Height | 5'2 |
| Weight | 95lbs |
| Sex | Male |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 4186 Cadillac Blvd, Detroit, Michigan, 48214, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother, Father |
| Who Does the Student Live With? (Check All That Apply) | Mother |
| Are siblings applying to a Yunion camp? | No, they are not applying for a Yunion Camp. |
| List name of youth applying for Yunion Camps | Summer Camp |
| Primary Language Other Than English | None |
| Are you applying for a scholarship? | No, I will pay the full price |
| Name of Parent/Guardian Completing This Form | Rosa, Pratcher |
| Email Address of Parent/Guardian Completing This Form | rpratcher92@gmail.com |
| Your Preferred Method Of Communication | Phone Call |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 739-9394 |
| Father/Legal Guardian | Darryl, Looney Sr |
| Father's Address | 14944 Novara St, Detroit, Michigan, 48205, United States |
| Father's DOB | 1992-05-13 |
| Father's Mobile Number | (313) 854-9708 |
| Father's Email | N/A@gmail.com |
| Authorized to pick up? | Yes |
| Mother/Legal Guardian | Rosa, Pratcher |
| Mother's Address | 4186 Cadillac Blvd, Detroit, Michigan, 48214, United States |
| Mother's DOB | 1992-11-13 |
| Mothers Mobile Number | (313) 739-9394 |
| Mother's Email | rpratcher92@gmail.com |
| Authorized to pick up? | Yes |
| 1. Your Child’s Strengths | Athletic ability, Compassion for others, Determination, Curiosity / enjoys learning, Good sense of humor, Helpful at home |
| 2. Areas Where Your Child May Need Support | Becomes frustrated or upset when corrected |
| Emotional Regulation / Anger (Check all that apply) | Sometimes shuts down or withdraws when upset |
| How would you describe your child most of the time? | Quiet or reserved |
| What are you hoping your child gains from CATTA (Check all that apply) | More discipline, Increased confidence, Positive male mentorship, Leadership skills, Better decision making, Academic motivation |
| What concerns you most about your child right now? | My son not having the confidence within himself and giving up easy when tasks get challenging. Not having positive male role models around him. Getting frustrated. |
| What kind of future do you hope for your child? | That he will have a successful future with everything he hopes for and desire to become. |
| Preferred Hospital for Emergency Treatment | None |
| Medical Conditions (check all that apply) | Allergies, Asthma |
| Food Allergies | Peanuts |
| Name | Elizabeth Pratcher |
| Phone Number | (313) 282-1342 |
| Relationship to Student | Grandmother |
| Authorized for pick up? | Yes |
| Emergency Medical Treatment | By checking this box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking this box,I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking this box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking this box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking this box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| How did you find out about The Yunion's Summer Camp? | Seen this program on tv |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Rosa Pratcher |
| Add Your Signature Here (Please Sign Legibly) | 69fa83946f0f45.10734262.png |
| Child's Name (Printed) | Darryl Looney |
| Have Your Child Sign His/Her Signature Here (Please Sign Legibly) | 69fa83947878e6.52562394.png |
| 2026 Cave of Adullam Transformational Training Academy Camp | 2026 Cave of Adullam Transformational Training Academy Camp, $0.00, 1 |
| Date | 2026-05-05 |
Thomas Reed
Cave of Adullam Transformational Training Academy · May 5, 2026
| Child Name | Thomas, Reed |
| Age | 13 |
| Date of Birth | 2012-08-22 |
| Grade Level this Fall? | 7th |
| School/District | Warren |
| Name of School | Warrendale Academy |
| Education Type | 504 |
| Does your Child need any additional support? Please specify in comment box below. | Na |
| Height | 5’4 |
| Weight | 250 |
| Sex | Male |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 34457 Giannetti, Sterling Heights, Michigan, 48312, United States |
| County in Which Child Resides | Macomb County |
| Parents/Guardian the Student Has (Check All That Apply) | Guardian |
| Who Does the Student Live With? (Check All That Apply) | Other |
| Who Does the Student Live With? | Aunt |
| Are siblings applying to a Yunion camp? | No, they are not applying for a Yunion Camp. |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Name of Parent/Guardian Completing This Form | Maxine, Matthews |
| Email Address of Parent/Guardian Completing This Form | tdkrn1@gmail.com |
| Your Preferred Method Of Communication | |
| Cell Phone Number of Parent/Guardian Completing This Form | (248) 470-0311 |
| Emergency Medical Treatment | By checking this box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking this box,I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking this box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking this box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking this box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Tutoring (school year only), Mentoring, Behavioral support |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | No, my school doesn't have that program |
| What is the annual income of your family? | 20000 |
| How many dependents are in your family? | 1 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | No |
| Please explain any extenuating circumstances related to your financial need? (100 words or less) | Mother is incarcerated. Father is not in his life. I am a senior citizen raising a teen. I need help. |
| How did you find out about The Yunion's Summer Camp? | Other news coverage about this great mentor group. |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Tonya Kennedy |
| Add Your Signature Here (Please Sign Legibly) | 69fa81175636b6.38247310.png |
| Child's Name (Printed) | Thomas Reed |
| Have Your Child Sign His/Her Signature Here (Please Sign Legibly) | 69fa81266d8c08.52646181.png |
| 2026 Cave of Adullam Transformational Training Academy Camp | 2026 Cave of Adullam Transformational Training Academy Camp, $0.00, 1 |
| Date | 2026-05-05 |
Dylan Lavant
Cave of Adullam Transformational Training Academy · May 5, 2026
| Child Name | Dylan, Lavant |
| Age | 12 |
| Date of Birth | 2015-06-08 |
| Grade Level this Fall? | 5 |
| School/District | Forsyth |
| Name of School | Chestatee Elementary School |
| Education Type | IEP |
| Does your Child need any additional support? Please specify in comment box below. | Ni |
| Height | 5 |
| Weight | 1 |
| Sex | Male |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 5320 tomahawk terrace, Gainesville, Georgia, 30506, United States |
| County in Which Child Resides | Forsyth |
| Parents/Guardian the Student Has (Check All That Apply) | Mother, Step-Father |
| Who Does the Student Live With? (Check All That Apply) | Mother |
| Number of Siblings in the Home | 6 |
| Are siblings applying to a Yunion camp? | No, they are not applying for a Yunion Camp. |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Name of Parent/Guardian Completing This Form | Rachel, Alexander |
| Email Address of Parent/Guardian Completing This Form | risbyrachel1@gmail.com |
| Your Preferred Method Of Communication | |
| Cell Phone Number of Parent/Guardian Completing This Form | (678) 993-3276 |
| Mother/Legal Guardian | Rachel, Alexander |
| Mother's Address | 5320 Tomahawk Terr, Gainesville, Georgia, 30506, United States |
| Mother's DOB | 1995-02-16 |
| Mothers Mobile Number | (678) 993-3276 |
| Mother's Email | risbyrachel1@gmail.com |
| Authorized to pick up? | Yes |
| Step-Father | Billy, Alexander |
| Step-Father's Mobile Number | (678) 769-7891 |
| Authorized to pick up? | Yes |
| Emergency Medical Treatment | By checking this box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking this box,I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking this box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking this box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking this box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Not needed at this time |
| May one of our team members contact you with more information about our support services? | No |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 30000 |
| How many dependents are in your family? | 7 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | No |
| How did you find out about The Yunion's Summer Camp? | Google Search |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Rachel Alexander |
| Add Your Signature Here (Please Sign Legibly) | 69fa7d5f396564.38507948.png |
| Child's Name (Printed) | Dylan Lavant |
| Have Your Child Sign His/Her Signature Here (Please Sign Legibly) | 69fa7d5f4be113.85919484.png |
| 2026 Cave of Adullam Transformational Training Academy Camp | 2026 Cave of Adullam Transformational Training Academy Camp, $0.00, 1 |
| Date | 2026-05-05 |
Matthew Risby
Cave of Adullam Transformational Training Academy · May 5, 2026
| Child Name | Matthew, Risby |
| Age | 13 |
| Date of Birth | 2013-05-03 |
| Grade Level this Fall? | 7 |
| School/District | Forsyth |
| Name of School | Little mill middle school |
| Education Type | IEP |
| Does your Child need any additional support? Please specify in comment box below. | No |
| Height | 5 |
| Weight | 8 |
| Sex | Male |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 5320 tomahawk terrace, Gainesville, Georgia, 30506, United States |
| County in Which Child Resides | Forsyth County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother, Step-Father |
| Who Does the Student Live With? (Check All That Apply) | Mother |
| Number of Siblings in the Home | 6 |
| Are siblings applying to a Yunion camp? | No, they are not applying for a Yunion Camp. |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Name of Parent/Guardian Completing This Form | Rachel, Alexander |
| Email Address of Parent/Guardian Completing This Form | rachelnrisby@yahoo.com |
| Your Preferred Method Of Communication | |
| Cell Phone Number of Parent/Guardian Completing This Form | (678) 993-3276 |
| Mother/Legal Guardian | Rachel, Alexander |
| Mother's Address | 5320 Tomahawk Terr, Gainesville, Georgia, 30506, United States |
| Mother's DOB | 1995-02-16 |
| Mothers Mobile Number | (678) 993-3276 |
| Mother's Email | rachelnrisby@yahoo.com |
| Authorized to pick up? | Yes |
| Step-Father | Billy, Alexander |
| Step-Father's Mobile Number | (678) 769-7891 |
| Authorized to pick up? | Yes |
| Emergency Medical Treatment | By checking this box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking this box,I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking this box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking this box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking this box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| May one of our team members contact you with more information about our support services? | No |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 30000 |
| How many dependents are in your family? | 7 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | Yes |
| How did you find out about The Yunion's Summer Camp? | Google Search |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Rachel Alexander |
| Add Your Signature Here (Please Sign Legibly) | 69fa7c46b70173.85910517.png |
| Child's Name (Printed) | Matthew Risby |
| Have Your Child Sign His/Her Signature Here (Please Sign Legibly) | 69fa7c46c27908.51585979.png |
| 2026 Cave of Adullam Transformational Training Academy Camp | 2026 Cave of Adullam Transformational Training Academy Camp, $0.00, 1 |
| Date | 2026-05-05 |
Jeremiah Howell
Cave of Adullam Transformational Training Academy · May 4, 2026
| Child Name | Jeremiah, Howell |
| Age | 11 |
| Date of Birth | 2015-09-30 |
| Grade Level this Fall? | 6 |
| School/District | Summit academy north |
| Name of School | Summit academy north middle |
| Education Type | IEP |
| Does your Child need any additional support? Please specify in comment box below. | Repeated instruction |
| Height | 5'1 |
| Weight | 174 |
| Sex | Male |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 35201 Richard St, Wayne, Michigan, 48184, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother, Father |
| Who Does the Student Live With? (Check All That Apply) | Mother, Father, Other |
| Who Does the Student Live With? | Mom, dad, brother, aunt |
| Number of Siblings in the Home | 1 |
| Are siblings applying to a Yunion camp? | Yes, they are applying for the Level Up Workforce & Leadership Development Camp. |
| List name of youth applying for Yunion Camps | Johnathan Howell, II |
| Primary Language Other Than English | N/a |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Name of Parent/Guardian Completing This Form | Erika, Howell |
| Email Address of Parent/Guardian Completing This Form | Estokes25@gmail.com |
| Your Preferred Method Of Communication | Text |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 802-0061 |
| Father/Legal Guardian | Johnathan, Howell |
| Father's Address | 35201 Richard St, Wayne, Michigan, 48184, United States |
| Father's DOB | 1982-03-05 |
| Father's Mobile Number | (313) 544-3976 |
| Father's Email | johnhowellsr35@gmail.com |
| Authorized to pick up? | Yes |
| Mother/Legal Guardian | Erika, Howell |
| Mother's Address | 35201 Richard St, Wayne, Michigan, 48184, United States |
| Mother's DOB | 1986-03-04 |
| Mothers Mobile Number | (313) 802-0061 |
| Mother's Email | Estokes25@gmail.com |
| Authorized to pick up? | Yes |
| 1. Your Child’s Strengths | Creativity, Compassion for others, Curiosity / enjoys learning, Good sense of humor |
| 2. Areas Where Your Child May Need Support | Sometimes struggles to follow instructions at home, Sometimes struggles to follow instructions at school, Becomes frustrated or upset when corrected |
| Emotional Regulation / Anger (Check all that apply) | Has difficulty controlling anger or frustration, Sometimes shuts down or withdraws when upset |
| Conflict with Others (Check all that apply) | Has been involved in bullying (either as the aggressor or target) |
| School Engagement (Check all that apply) | Struggles to stay focused in class |
| How would you describe your child most of the time? | Calm and easygoing, Sensitive / emotional |
| What are you hoping your child gains from CATTA (Check all that apply) | Increased confidence, Leadership skills, Better decision making, Academic motivation |
| What concerns you most about your child right now? | Jeremiah cares more about his personal desires of how he wants to spend his time vs. Doing things that he needs to do. We are at a place because we know that he learns differently, if he doesn't understand or if he's being manipulative. Either way, he lacks the motivation to do things that are healthy for him (eating, learning, movement). |
| What kind of future do you hope for your child? | I think Jeremiah is very smart and could be very independent and very much a leader. We need help giving him the confidence to be responsible while being himself. |
| Preferred Hospital for Emergency Treatment | University of michigan |
| Medical Conditions (check all that apply) | Physical Limitation |
| If medication must be administered during program hours, a medication authorization form must be on file. Parent Initials: | 69f8bcf3d8e512.95103614.png |
| Additional medical or behavioral information staff should know: | He gets tired quickly and will complain about his chest hurting. Hes fine. Hes had a stress test and he's just not used to physical activity. |
| Name | Sheryl Stokes |
| Phone Number | (313) 802-6787 |
| Relationship to Student | Grandma |
| Authorized for pick up? | Yes |
| Emergency Medical Treatment | By checking this box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking this box,I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking this box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking this box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking this box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Mentoring, Behavioral support |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | No, we don't qualify |
| What is the annual income of your family? | 140000 |
| How many dependents are in your family? | 5 |
| Are you a single-income family?* | No |
| Does the child for whom you are applying receive child support?* | No |
| Please explain any extenuating circumstances related to your financial need? (100 words or less) | We have recently had a family member move in and mom has had a drop in income. Any assistance would help. |
| How did you find out about The Yunion's Summer Camp? | Brother is a CATTA alumni |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Erika Howell |
| Add Your Signature Here (Please Sign Legibly) | 69f8bdd1b9e4d6.69885955.png |
| Child's Name (Printed) | Jeremiah Howell |
| Have Your Child Sign His/Her Signature Here (Please Sign Legibly) | 69f8bdd1c4b5f8.07717117.png |
| 2026 Cave of Adullam Transformational Training Academy Camp | 2026 Cave of Adullam Transformational Training Academy Camp, $0.00, 1 |
| Date | 2026-05-04 |
Chase White-Favers
Cave of Adullam Transformational Training Academy · April 30, 2026
| Child Name | Chase, White-Favers |
| Age | 12 |
| Date of Birth | 2013-09-13 |
| Grade Level this Fall? | 8 |
| School/District | UPSM |
| Name of School | UPSM Middle School |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | My son struggles with expressing himself emotionally. Father is a FaceTime father that has caused emotional trauma. He also struggles with being a leader. He is easily influenced by peers regardless of teaching at home. |
| Height | 5 |
| Weight | 3 |
| Sex | Male |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 18213 Robson St., Detroit, Michigan, 48235, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother, Step-Mother |
| Who Does the Student Live With? (Check All That Apply) | Mother, Step-Mother |
| Are siblings applying to a Yunion camp? | No, they are not applying for a Yunion Camp. |
| Are you applying for a scholarship? | No, I will pay the full price |
| Name of Parent/Guardian Completing This Form | Mia, White |
| Email Address of Parent/Guardian Completing This Form | miawhi32@gmail.com |
| Your Preferred Method Of Communication | |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 214-5054 |
| Mother/Legal Guardian | Mia, White |
| Mother's Address | 18213 Robson St., Detroit, Michigan, 48235, United States |
| Mother's DOB | 1990-03-29 |
| Mothers Home Number | (313) 214-5054 |
| Mothers Work Number | (475) 352-7696 |
| Mothers Mobile Number | (313) 214-5054 |
| Mother's Email | miawhi32@gmail.com |
| Authorized to pick up? | Yes |
| Step-Mother | Brittany, White-Cornish |
| Step-Mother's Address | 18213 Robson St., Detroit, Michigan, 48235, United States |
| Authorized to pick up? | Yes |
| 1. Your Child’s Strengths | Athletic ability, Compassion for others, Strong personality / confidence, Good sense of humor |
| 2. Areas Where Your Child May Need Support | Sometimes struggles to follow instructions at home, Sometimes struggles to follow instructions at school, Becomes frustrated or upset when corrected |
| Emotional Regulation / Anger (Check all that apply) | Sometimes shuts down or withdraws when upset |
| Other | Conflict with others he shuts down and becomes withdrawn |
| Conflict with Others (Check all that apply) | Other |
| School Engagement (Check all that apply) | Struggles to stay focused in class, Has experienced disciplinary action at school, Has received school suspension(s) |
| Curfew / Home Expectations | Sometimes struggles to follow curfew or home rules |
| Has your child ever (Check all that apply): | Been suspended from school |
| How would you describe your child most of the time? | Calm and easygoing |
| What are you hoping your child gains from CATTA (Check all that apply) | More discipline, Positive male mentorship, Leadership skills, Better decision making, Academic motivation |
| What concerns you most about your child right now? | Lack of motivation, Difficulty following directions at home and school, overly affectionate does nit respect boundaries |
| What kind of future do you hope for your child? | Well balanced mentally and physically healthy adult is the goal. |
| Preferred Hospital for Emergency Treatment | Henry Ford Hospital |
| Medical Conditions (check all that apply) | None |
| If medication must be administered during program hours, a medication authorization form must be on file. Parent Initials: | 69f3ab7909d523.49355189.png |
| Name | Gail White |
| Phone Number | (313) 595-7658 |
| Relationship to Student | Grandmother |
| Authorized for pick up? | Yes |
| Name | Floyd White Sr. |
| Phone Number | 3134925735 |
| Relationship to Student | Grandfather |
| Authorized for pick up? | Yes |
| Name | Brittany Cornish-White |
| Phone Number | 7349266599 |
| Additional Phone Number | (734) 510-0911 |
| Relationship to Student | Step Mother |
| Authorized for pick up? | Yes |
| Emergency Medical Treatment | By checking this box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking this box,I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking this box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking this box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking this box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Mentoring, Counseling referral, Behavioral support, Family resources |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| How did you find out about The Yunion's Summer Camp? | Someone referred me |
| Name of Person/Recruiter Who Referred You | Danielle Dix |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Mia B. White |
| Add Your Signature Here (Please Sign Legibly) | 69f3de35ba20b1.78541799.png |
| Child's Name (Printed) | Chase White-Favers |
| Have Your Child Sign His/Her Signature Here (Please Sign Legibly) | 69f3de35c5af76.05220677.png |
| 2026 Cave of Adullam Transformational Training Academy Camp | 2026 Cave of Adullam Transformational Training Academy Camp, $0.00, 1 |
| Date | 2026-04-30 |
Josiah Simmons
Cave of Adullam Transformational Training Academy · April 30, 2026
| Child Name | Josiah, Simmons |
| Age | 12 |
| Date of Birth | 2013-10-11 |
| Grade Level this Fall? | 7th |
| School/District | Norwood |
| Name of School | Coakley Middle School |
| Education Type | IEP |
| Does your Child need any additional support? Please specify in comment box below. | Therapy, IHT |
| Height | 5’6 |
| Weight | 130 |
| Sex | Male |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 165 Lenox Street apt 311, Norwood, Massachusetts, 02062, United States |
| County in Which Child Resides | Essex |
| Parents/Guardian the Student Has (Check All That Apply) | Mother |
| Who Does the Student Live With? (Check All That Apply) | Mother, Other |
| Who Does the Student Live With? | Mom and sister |
| Number of Siblings in the Home | 1 |
| Are siblings applying to a Yunion camp? | No, they are not applying for a Yunion Camp. |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Name of Parent/Guardian Completing This Form | Claudina, Brown |
| Email Address of Parent/Guardian Completing This Form | claudinabrown03@gmail.com |
| Your Preferred Method Of Communication | |
| Cell Phone Number of Parent/Guardian Completing This Form | (917) 535-4722 |
| Mother/Legal Guardian | Claudina, Brown |
| Mother's Address | 165 Lenox Street apt 311, Norwood, Massachusetts, 02062, United States |
| Mother's DOB | 1995-03-14 |
| Mothers Mobile Number | (917) 535-4722 |
| Mother's Email | claudinabrown6@gmail.com |
| Authorized to pick up? | Yes |
| Emergency Medical Treatment | By checking this box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking this box,I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking this box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking this box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking this box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Behavioral support |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| How many dependents are in your family? | 2 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | No |
| How did you find out about The Yunion's Summer Camp? | |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Claudina Brown |
| Add Your Signature Here (Please Sign Legibly) | 69f36246823be8.22238469.png |
| Child's Name (Printed) | Josiah Simmons |
| Have Your Child Sign His/Her Signature Here (Please Sign Legibly) | 69f362468d1c79.91628762.png |
| 2026 Cave of Adullam Transformational Training Academy Camp | 2026 Cave of Adullam Transformational Training Academy Camp, $0.00, 1 |
| Date | 2026-04-30 |
Skyler Johnson
Cave of Adullam Transformational Training Academy · April 30, 2026
| Child Name | Skyler, Johnson |
| Age | 12 |
| Date of Birth | 2013-08-08 |
| Grade Level this Fall? | 8 |
| School/District | Taylor |
| Name of School | Taylor Exemplar Academy |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | No |
| Height | R555’555562&!,!@191590370 |
| Weight | 115 |
| Sex | Male |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 9214 E. Pickwick Circle, Taylor, Michigan, 48180, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother, Father |
| Who Does the Student Live With? (Check All That Apply) | Mother, Father |
| Number of Siblings in the Home | 3 |
| Are siblings applying to a Yunion camp? | No, they are not applying for a Yunion Camp. |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Name of Parent/Guardian Completing This Form | DeAnna, Johnson |
| Email Address of Parent/Guardian Completing This Form | larvae58coot@icloud.com |
| Your Preferred Method Of Communication | |
| Cell Phone Number of Parent/Guardian Completing This Form | (734) 883-3235 |
| Father/Legal Guardian | Samuel, Johnson |
| Father's Address | 9214 E. Pickwick Circle, Taylor, Michigan, 48180, United States |
| Father's DOB | 1984-09-19 |
| Father's Home Number | (734) 754-1518 |
| Father's Mobile Number | (734) 754-1518 |
| Father's Email | the3rdsamuel@gmail.com |
| Authorized to pick up? | Yes |
| Mother/Legal Guardian | DeAnna, Johnson |
| Mother's Address | 9214 Pickwick Circle E, Taylor, Michigan, 48180, United States |
| Mother's DOB | 1984-07-20 |
| Mothers Mobile Number | (734) 883-3235 |
| Mother's Email | larvae58coot@icloud.com |
| Authorized to pick up? | Yes |
| 1. Your Child’s Strengths | Leadership potential, Creativity, Athletic ability, Determination |
| 2. Areas Where Your Child May Need Support | Becomes frustrated or upset when corrected |
| Emotional Regulation / Anger (Check all that apply) | Sometimes shuts down or withdraws when upset |
| Curfew / Home Expectations | Sometimes struggles to follow curfew or home rules |
| How would you describe your child most of the time? | Calm and easygoing |
| What are you hoping your child gains from CATTA (Check all that apply) | Positive male mentorship, Stronger faith or spiritual foundation, Better decision making |
| What concerns you most about your child right now? | That he won’t be the leader I know he can be because he chooses to follow the wrong crowd. |
| What kind of future do you hope for your child? | God fearing man who is creative, and passionate about leading people to Christ. |
| Preferred Hospital for Emergency Treatment | Corewell |
| Medical Conditions (check all that apply) | Allergies, Asthma |
| Allergic to Bees? | No |
| If medication must be administered during program hours, a medication authorization form must be on file. Parent Initials: | 69f3462d57aaa8.11929954.png |
| Name | DeAnna Johnson |
| Phone Number | (734) 883-3235 |
| Relationship to Student | Mother |
| Authorized for pick up? | Yes |
| Emergency Medical Treatment | By checking this box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking this box,I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking this box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking this box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking this box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Mentoring |
| May one of our team members contact you with more information about our support services? | No |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 53000 |
| How many dependents are in your family? | 6 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | No |
| Please explain any extenuating circumstances related to your financial need? (100 words or less) | My husband doesn’t have/keep a stable job. |
| How did you find out about The Yunion's Summer Camp? | Someone referred me |
| Name of Person/Recruiter Who Referred You | Samuel |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | DeAnna Johnson |
| Add Your Signature Here (Please Sign Legibly) | 69f346e56d9287.40001664.png |
| Child's Name (Printed) | Skyler Johnson |
| Have Your Child Sign His/Her Signature Here (Please Sign Legibly) | 69f346e578da66.23767793.png |
| 2026 Cave of Adullam Transformational Training Academy Camp | 2026 Cave of Adullam Transformational Training Academy Camp, $0.00, 1 |
| Date | 2026-04-30 |
Jeremiah Howard
Cave of Adullam Transformational Training Academy · April 30, 2026
| Child Name | Jeremiah, Howard |
| Age | 13 |
| Date of Birth | 2012-12-14 |
| Grade Level this Fall? | 8 |
| School/District | L'Anse Cruese |
| Name of School | L'Anse Cruese middle school south |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | N/A |
| Height | 5'7" |
| Weight | 120 |
| Sex | Male |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 28252 Hillview, Roseville, Michigan, 48066, United States |
| County in Which Child Resides | Macomb County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother, Step-Father |
| Who Does the Student Live With? (Check All That Apply) | Mother, Step-Father |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Name of Parent/Guardian Completing This Form | Kendra, Wade |
| Email Address of Parent/Guardian Completing This Form | k.wade91@yahoo.com |
| Your Preferred Method Of Communication | |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 283-0919 |
| Mother/Legal Guardian | Kendra, Wade |
| Mother's Address | 28252 Hillview St, Roseville, Michigan, 48066, United States |
| Mother's DOB | 1991-05-27 |
| Mothers Mobile Number | (313) 283-0919 |
| Mother's Email | k.wade91@yahoo.com |
| Authorized to pick up? | Yes |
| Step-Father | David, Coleman |
| Step-Father's Address | 28252 Hillview St, Roseville, Michigan, 48066, United States |
| Step-Father's Mobile Number | (586) 459-8017 |
| Authorized to pick up? | Yes |
| Emergency Medical Treatment | By checking this box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking this box,I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking this box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking this box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking this box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Tutoring (school year only), Mentoring, Counseling referral, Behavioral support, Family resources |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 40000 |
| How many dependents are in your family? | 2 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | No |
| How did you find out about The Yunion's Summer Camp? | Summer Discovery |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Kendra Wade |
| Add Your Signature Here (Please Sign Legibly) | 69f2b97f796a73.49678866.png |
| Child's Name (Printed) | Jeremiah Howard |
| Have Your Child Sign His/Her Signature Here (Please Sign Legibly) | 69f2b97f855441.78271647.png |
| 2026 Cave of Adullam Transformational Training Academy Camp | 2026 Cave of Adullam Transformational Training Academy Camp, $0.00, 1 |
| Date | 2026-04-29 |
Talan Tidwell
Cave of Adullam Transformational Training Academy · April 29, 2026
| Child Name | Talan, Tidwell |
| Age | 12 |
| Date of Birth | 2014-03-05 |
| Grade Level this Fall? | 7 |
| School/District | Grosse Pointe Schools |
| Name of School | Pierce Middle |
| Education Type | IEP |
| Does your Child need any additional support? Please specify in comment box below. | Talan is a very unique child. He’s very artistic and creative. However, recently, I adopted my nephew and he gets in trouble a lot and has a lot of suspension from school. I feel that talent believes that he’s overlooked. I’m a single mother and talents. Dad is not in his life for reasons unknown. Tyler has always struggled with that but now I think that with having Nathan around Talan has begun to be more emotional and often lashes out at Nathan. I try to be a listening ear for talent, but nowadays, he doesn’t seem to want to communicate with me as much. He went from being a good kid who had his problems like we all do to being more emotional and depressed. I want talent to participate in the program because I feel like he needs a space where he could be around other positive black male role models. Currently at his school, he is in a very small minority, and there are not a lot of spaces where he can just exist as a black man and learn how to become himself. |
| Height | 6’4 |
| Weight | 120 |
| Sex | Male |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 1107 Wayburn St, Grosse Pointe Park, Michigan, 48230, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother |
| Who Does the Student Live With? (Check All That Apply) | Mother |
| Number of Siblings in the Home | 1 |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Name of Parent/Guardian Completing This Form | Courtney, Tidwell |
| Email Address of Parent/Guardian Completing This Form | courtney.tidwell@douglasj.edu |
| Your Preferred Method Of Communication | Phone Call |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 826-8394 |
| Mother/Legal Guardian | Courtney, Tidwell |
| Mother's Address | 1107 Wayburn St, Grosse Pointe Park, Michigan, 48230, United States |
| Mother's DOB | 1989-11-24 |
| Mothers Mobile Number | (313) 826-8394 |
| Mother's Email | courtney.tidwell@douglasj.edu |
| Authorized to pick up? | Yes |
| 1. Your Child’s Strengths | Creativity, Athletic ability, Compassion for others, Determination, Curiosity / enjoys learning |
| 2. Areas Where Your Child May Need Support | Sometimes struggles to follow instructions at home, Becomes frustrated or upset when corrected |
| Emotional Regulation / Anger (Check all that apply) | Has difficulty controlling anger or frustration, Sometimes shuts down or withdraws when upset |
| Conflict with Others (Check all that apply) | Has been involved in bullying (either as the aggressor or target), Sometimes responds physically when upset |
| School Engagement (Check all that apply) | Struggles with school attendance, Struggles to stay focused in class, Has received school suspension(s) |
| Has your child ever (Check all that apply): | Been suspended from school |
| How would you describe your child most of the time? | Calm and easygoing, Sensitive / emotional, Quiet or reserved |
| What are you hoping your child gains from CATTA (Check all that apply) | More discipline, Greater respect for authority, Better anger management, Increased confidence, Positive male mentorship, Leadership skills, Stronger faith or spiritual foundation, Better decision making, Academic motivation |
| What concerns you most about your child right now? | What concerns me the most right now about Talan is that I feel like he doesn’t have an outlet or a space to just exist as himself in this world. We have family that help us out, but there are no real positive black role models around. Another major concern is that I recently adopted my nephew who is the same age. Nathan has his own struggles but Talan and Nathan also have two different personalities. I know it’s hard to go from being an only child to suddenly having a “sibling”, but Talan has really been taken that transition hard as well. I think Talan feels like he does good and he’s overlooked whereas Nathan isn’t and gets a lot of attention because he’s doing bad things. |
| What kind of future do you hope for your child? | I know that Talan is a very creative person. He’s an artist at heart I love to create a place in the world where he can just exist and do his art and focus on that adolescence has proved challenging for him, and I feel like he’s lost in the sauce. |
| Preferred Hospital for Emergency Treatment | Henry Ford Hospital |
| Medical Conditions (check all that apply) | Seizures |
| If medication must be administered during program hours, a medication authorization form must be on file. Parent Initials: | 69f2857f611406.79658183.png |
| Additional medical or behavioral information staff should know: | Talan has juvenile epilepsy, but it is well controlled with his medication |
| Name | Antonette Tidwell |
| Phone Number | (313) 492-3693 |
| Relationship to Student | Grandma |
| Authorized for pick up? | Yes |
| Name | Elizabeth Hunt |
| Phone Number | 3135754269 |
| Relationship to Student | Aunt |
| Authorized for pick up? | Yes |
| Name | Simone Hunt |
| Phone Number | 3137360071 |
| Relationship to Student | Aunt |
| Authorized for pick up? | Yes |
| Emergency Medical Treatment | By checking this box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking this box,I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking this box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking this box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking this box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Tutoring (school year only), Mentoring, Counseling referral, Behavioral support, Family resources |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 40000 |
| How many dependents are in your family? | 2 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | Yes |
| Please explain any extenuating circumstances related to your financial need? (100 words or less) | I’m a flight attendant and I can always pick up more trips to make money but that requires me to be away from the home. My mom keeps the boys while I’m away for work. |
| How did you find out about The Yunion's Summer Camp? | I saw a new segment years ago |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Courtney Tidwell |
| Add Your Signature Here (Please Sign Legibly) | 69f28600dfdc98.25934401.png |
| Child's Name (Printed) | Talan Tidwell |
| Have Your Child Sign His/Her Signature Here (Please Sign Legibly) | 69f28600eb91d3.11021548.png |
| 2026 Cave of Adullam Transformational Training Academy Camp | 2026 Cave of Adullam Transformational Training Academy Camp, $0.00, 1 |
| Date | 2026-04-29 |
Enoch Wood
Cave of Adullam Transformational Training Academy · April 29, 2026
| Child Name | Enoch, Wood |
| Age | 12 |
| Date of Birth | 2014-03-04 |
| Grade Level this Fall? | 7th |
| School/District | Canton/Plymouth |
| Name of School | Canton Prep |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | No |
| Height | 4’8 |
| Weight | 125 |
| Sex | Male |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 7261 Heron Way, Canton, Michigan, 48187, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother, Father |
| Who Does the Student Live With? (Check All That Apply) | Mother |
| Number of Siblings in the Home | 2 |
| Are siblings applying to a Yunion camp? | No, they are not applying for a Yunion Camp. |
| List name of youth applying for Yunion Camps | Enoch Wood |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Name of Parent/Guardian Completing This Form | Angela, Smith |
| Email Address of Parent/Guardian Completing This Form | angelays313@gmail.com |
| Your Preferred Method Of Communication | Text |
| Cell Phone Number of Parent/Guardian Completing This Form | (734) 737-1570 |
| Father/Legal Guardian | Joel, Wood |
| Father's Address | 23625 scotia rd, Oak Park, Michigan, 48187, United States |
| Father's Mobile Number | (313) 595-3983 |
| Father's Email | joelwood2020@gmail.com |
| Authorized to pick up? | Yes |
| Mother/Legal Guardian | Angela, Smith |
| Mother's Address | 7261 Heron Way, Canton, Michigan, 48187, United States |
| Mother's DOB | 1980-11-07 |
| Mothers Mobile Number | (734) 737-1570 |
| Mother's Email | angelays313@gmail.com |
| Authorized to pick up? | Yes |
| 1. Your Child’s Strengths | Leadership potential, Creativity, Athletic ability, Compassion for others, Curiosity / enjoys learning, Good sense of humor, Helpful at home |
| 2. Areas Where Your Child May Need Support | Sometimes struggles to follow instructions at home, Becomes frustrated or upset when corrected |
| Emotional Regulation / Anger (Check all that apply) | Other |
| Other | I’ve been noticing more arguments with his sister. |
| School Engagement (Check all that apply) | Struggles to stay focused in class |
| How would you describe your child most of the time? | Calm and easygoing, Quiet or reserved |
| What are you hoping your child gains from CATTA (Check all that apply) | More discipline, Greater respect for authority, Increased confidence, Positive male mentorship, Leadership skills, Stronger faith or spiritual foundation, Better decision making, Academic motivation |
| What concerns you most about your child right now? | Lack of fatherhood. His father is not where he should be spiritually and I worry because I am not married. He is surrounded by good, godly men yet they don’t really spend time with him. My son needs to be around strong, mighty men in the faith who can teach and lead him during his preteen stage. |
| What kind of future do you hope for your child? | I hope for my son to desire his own personal relationship with God. I hope that he will be a standard bearer for his peers/generation and not succumb to the ungodly pressures of this world. I hope for my son to pursue holiness and all that God has called him to be. |
| Preferred Hospital for Emergency Treatment | Corwell |
| If medication must be administered during program hours, a medication authorization form must be on file. Parent Initials: | 69f2820dc3afe6.90092975.png |
| Name | Ellis Smith |
| Phone Number | (313) 585-0070 |
| Relationship to Student | Grandfather |
| Authorized for pick up? | Yes |
| Name | Maria smith |
| Phone Number | 3135876418 |
| Relationship to Student | Grandma |
| Authorized for pick up? | Yes |
| Name | Marcellis Smith |
| Phone Number | 3135871570 |
| Relationship to Student | Uncle |
| Authorized for pick up? | Yes |
| Emergency Medical Treatment | By checking this box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking this box,I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking this box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking this box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking this box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Tutoring (school year only), Mentoring, Counseling referral, Family resources |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 12000 |
| How many dependents are in your family? | 3 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | No |
| Please explain any extenuating circumstances related to your financial need? (100 words or less) | I’m a single Mom who works part time so i can be home for my children and I also have a few hustles on the side. I’m very thankful for any consideration toward a discount especially in this economy today. |
| How did you find out about The Yunion's Summer Camp? | |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Angela Smith |
| Add Your Signature Here (Please Sign Legibly) | 69f28433311ad0.66081063.png |
| Child's Name (Printed) | Enoch Wood |
| Have Your Child Sign His/Her Signature Here (Please Sign Legibly) | 69f284333bf173.34867839.png |
| 2026 Cave of Adullam Transformational Training Academy Camp | 2026 Cave of Adullam Transformational Training Academy Camp, $0.00, 1 |
| Date | 2026-04-29 |
Roman Calevro
Cave of Adullam Transformational Training Academy · April 29, 2026
| Child Name | Roman, Calevro |
| Age | 13 |
| Date of Birth | 2012-05-10 |
| Grade Level this Fall? | 9 |
| School/District | Chatham County NC |
| Name of School | Haw River Christian School |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | No |
| Height | 5 |
| Weight | 5 |
| Sex | Male |
| Eye Color | Brown |
| Ethnicity | Black/White |
| Student Address | 103 Shadow Ridge Way, Pittsboro, North Carolina, 27312, United States |
| County in Which Child Resides | Chatham County NC |
| Parents/Guardian the Student Has (Check All That Apply) | Mother |
| Who Does the Student Live With? (Check All That Apply) | Mother |
| Are siblings applying to a Yunion camp? | No, they are not applying for a Yunion Camp. |
| List name of youth applying for Yunion Camps | NA |
| Primary Language Other Than English | NA |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Name of Parent/Guardian Completing This Form | Jennifer, Fields |
| Email Address of Parent/Guardian Completing This Form | jennifer_fields@icloud.com |
| Your Preferred Method Of Communication | Text |
| Cell Phone Number of Parent/Guardian Completing This Form | (252) 481-3030 |
| Mother/Legal Guardian | Jennifer, Fields |
| Mother's Address | 103 Shadow Ridge Way, Pittsboro, North Carolina, 27312, United States |
| Mother's DOB | 1983-04-19 |
| Mothers Home Number | (252) 481-3030 |
| Mothers Mobile Number | (252) 481-3030 |
| Mother's Email | jennifer_fields@icloud.com |
| Authorized to pick up? | Yes |
| Emergency Medical Treatment | By checking this box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking this box,I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking this box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking this box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking this box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Mentoring |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | No, my school doesn't have that program |
| What is the annual income of your family? | 85000 |
| How many dependents are in your family? | 1 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | Yes |
| Please explain any extenuating circumstances related to your financial need? (100 words or less) | I am business owner. I am rebuilding as a single mom until God says otherwise. The economy has taken a toll but the Lord has had to rebuild me and now the businesses that were dismantled in the process of rebuilding me. |
| How did you find out about The Yunion's Summer Camp? | YouTube |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Jennifer Fields |
| Add Your Signature Here (Please Sign Legibly) | 69f2762f880d86.09392882.png |
| Child's Name (Printed) | Roman Calevro |
| Have Your Child Sign His/Her Signature Here (Please Sign Legibly) | 69f2762f930e09.13669841.png |
| 2026 Cave of Adullam Transformational Training Academy Camp | 2026 Cave of Adullam Transformational Training Academy Camp, $0.00, 1 |
| Date | 2026-04-29 |
Amari Hill
Cave of Adullam Transformational Training Academy · April 29, 2026
| Child Name | Amari, Hill |
| Age | 12 |
| Date of Birth | 2013-06-05 |
| Grade Level this Fall? | 7th |
| School/District | Fraser |
| Name of School | Arts Academy |
| Education Type | IEP |
| Does your Child need any additional support? Please specify in comment box below. | Redirection issues on focusing, learning disabilities |
| Height | 45 |
| Weight | 120 |
| Sex | Male |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 24256 Teppert, Eastpointe, Michigan, 48021, United States |
| County in Which Child Resides | Macomb County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother, Father |
| Who Does the Student Live With? (Check All That Apply) | Mother, Father |
| Are siblings applying to a Yunion camp? | No, they are not applying for a Yunion Camp. |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Name of Parent/Guardian Completing This Form | Aretina, Hill |
| Email Address of Parent/Guardian Completing This Form | aretina1228@icloud.com |
| Your Preferred Method Of Communication | Text |
| Cell Phone Number of Parent/Guardian Completing This Form | (313) 828-0310 |
| Father/Legal Guardian | Marvin, Brewer |
| Father's Address | 24256 Teppert Ave, Eastpointe, Michigan, 48021, United States |
| Father's DOB | 1970-07-31 |
| Father's Home Number | (313) 269-3628 |
| Father's Mobile Number | (313) 269-3628 |
| Father's Email | mbrewer1970@icloud.com |
| Authorized to pick up? | Yes |
| Mother/Legal Guardian | Aretina, Hill |
| Mother's Address | 24256 Teppert Ave, Eastpointe, Michigan, 48021, United States |
| Mother's DOB | 1980-12-28 |
| Mothers Home Number | (313) 828-0310 |
| Mothers Mobile Number | (313) 828-0310 |
| Mother's Email | aretina1228@icloud.com |
| Authorized to pick up? | Yes |
| Emergency Medical Treatment | By checking this box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking this box,I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking this box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking this box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking this box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Tutoring (school year only) |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | No, my school doesn't have that program |
| What is the annual income of your family? | 50000 |
| How many dependents are in your family? | 1 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | No |
| Please explain any extenuating circumstances related to your financial need? (100 words or less) | His father his currently ill and applied for disability. I am employed but currently off on worker’s compensation |
| How did you find out about The Yunion's Summer Camp? | |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Aretina Hill |
| Add Your Signature Here (Please Sign Legibly) | 69f257c7d3bdb0.01223006.png |
| Child's Name (Printed) | Amari Hill |
| Have Your Child Sign His/Her Signature Here (Please Sign Legibly) | 69f257c7df5950.31709755.png |
| 2026 Cave of Adullam Transformational Training Academy Camp | 2026 Cave of Adullam Transformational Training Academy Camp, $0.00, 1 |
| Date | 2026-04-29 |
Thomas Walker Jr
Cave of Adullam Transformational Training Academy · April 29, 2026
| Child Name | Thomas, Walker Jr |
| Age | 11 |
| Date of Birth | 2013-12-05 |
| Grade Level this Fall? | 8 |
| School/District | Grosse Pointe |
| Name of School | Parcells |
| Education Type | Regular Education |
| Does your Child need any additional support? Please specify in comment box below. | No |
| Height | 53 |
| Weight | 130 |
| Sex | Male |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 20608 Lennon Street, Harper Woods, Michigan, 48225, United States |
| County in Which Child Resides | Wayne County |
| Parents/Guardian the Student Has (Check All That Apply) | Mother, Father |
| Who Does the Student Live With? (Check All That Apply) | Mother, Father |
| Number of Siblings in the Home | 4 |
| Are siblings applying to a Yunion camp? | Yes, they are applying for the Level Up Workforce & Leadership Development Camp. |
| List name of youth applying for Yunion Camps | William Walker , Tyler Walker |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Name of Parent/Guardian Completing This Form | Shannon, Walker |
| Email Address of Parent/Guardian Completing This Form | sbrittany.nesbitt@gmail.com |
| Your Preferred Method Of Communication | Text |
| Cell Phone Number of Parent/Guardian Completing This Form | (586) 457-5247 |
| Father/Legal Guardian | Thomas, Walker Sr. |
| Father's Address | 20608 Lennon St, Harper Woods, Michigan, 48225-1606, United States |
| Father's DOB | 1980-06-08 |
| Father's Home Number | (248) 802-6862 |
| Father's Mobile Number | (248) 802-6862 |
| Father's Email | Twalker6880@gmail.com |
| Authorized to pick up? | Yes |
| Mother/Legal Guardian | Shannon, Walker |
| Mother's Address | 20608 Lennon Street, Harper Woods, Michigan, 48225, United States |
| Mother's DOB | 1987-07-31 |
| Mothers Home Number | (586) 457-5247 |
| Mothers Mobile Number | (586) 457-5247 |
| Mother's Email | sbrittany.nesbitt@gmail.com |
| Authorized to pick up? | Yes |
| 1. Your Child’s Strengths | Creativity, Compassion for others, Helpful at home |
| 2. Areas Where Your Child May Need Support | Sometimes struggles to follow instructions at school |
| Conflict with Others (Check all that apply) | Has frequent arguments with siblings, peers, or adults |
| How would you describe your child most of the time? | Calm and easygoing |
| What are you hoping your child gains from CATTA (Check all that apply) | Increased confidence, Positive male mentorship, Better decision making, Academic motivation |
| What concerns you most about your child right now? | Academic encouragement Confidence |
| What kind of future do you hope for your child? | A successful and happy future where he leads his family and puts God first |
| Preferred Hospital for Emergency Treatment | Children's Downtown |
| Medical Conditions (check all that apply) | None |
| If medication must be administered during program hours, a medication authorization form must be on file. Parent Initials: | 69f232b62af505.31329842.png |
| Name | Shannon B Walker |
| Phone Number | (586) 457-5247 |
| Additional Phone Number | (248) 802-6862 |
| Relationship to Student | Parent |
| Authorized for pick up? | Yes |
| Name | Tracey Holt |
| Phone Number | 3135987198 |
| Additional Phone Number | (313) 675-2812 |
| Relationship to Student | Grandmother |
| Authorized for pick up? | Yes |
| Emergency Medical Treatment | By checking this box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking this box,I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking this box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking this box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking this box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Tutoring (school year only) |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | Yes |
| What is the annual income of your family? | 150000 |
| How many dependents are in your family? | 5 |
| Are you a single-income family?* | No |
| Does the child for whom you are applying receive child support?* | No |
| Please explain any extenuating circumstances related to your financial need? (100 words or less) | We have 5 sons one in college one on the way to college and we are paying for it |
| How did you find out about The Yunion's Summer Camp? | |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Shannon Walker |
| Add Your Signature Here (Please Sign Legibly) | 69f2339a20b018.36903390.png |
| Child's Name (Printed) | Thomas Walker Jr |
| Have Your Child Sign His/Her Signature Here (Please Sign Legibly) | 69f2339a2d1f60.22368304.png |
| 2026 Cave of Adullam Transformational Training Academy Camp | 2026 Cave of Adullam Transformational Training Academy Camp, $0.00, 1 |
| Date | 2026-04-29 |
Thomas Reed
Cave of Adullam Transformational Training Academy · April 29, 2026
| Child Name | Thomas, Reed |
| Age | 11 |
| Date of Birth | 2023-08-22 |
| Grade Level this Fall? | 7th |
| School/District | Sterling Heights |
| Name of School | Warren Consolodated |
| Education Type | 504 |
| Does your Child need any additional support? Please specify in comment box below. | Refuses to go to school daily. |
| Height | 5 |
| Weight | 4 |
| Sex | Male |
| Eye Color | Brown |
| Ethnicity | African American |
| Student Address | 34457 Giannetti, 34457 Giannetti, Michigan, Sterling Heights, United States |
| County in Which Child Resides | Macomb County |
| Parents/Guardian the Student Has (Check All That Apply) | Guardian |
| Who Does the Student Live With? (Check All That Apply) | Other |
| Who Does the Student Live With? | Aunt |
| Are siblings applying to a Yunion camp? | No, they are not applying for a Yunion Camp. |
| List name of youth applying for Yunion Camps | NA |
| Primary Language Other Than English | English |
| Are you applying for a scholarship? | Yes, I desire a discounted camp cost if I qualify |
| Name of Parent/Guardian Completing This Form | Maxine, Matthews |
| Email Address of Parent/Guardian Completing This Form | TDKRN1@gmail.com |
| Your Preferred Method Of Communication | |
| Cell Phone Number of Parent/Guardian Completing This Form | (248) 470-0311 |
| Emergency Medical Treatment | By checking this box, I authorize program staff to secure emergency medical treatment for my child if needed. |
| Family Handbook | By checking this box,I acknowledge receipt of the Family Handbook and agree to program policies. |
| Field Trips | By checking this box, I give permission for my child to attend program field trips. |
| Topical Applications | By checking this box, I give permission for sunscreen, insect repellent, and basic wound care when needed. |
| Attendance Expectations | By checking this box, I understand that enrollment in this program is voluntary and regular attendance is expected for program success. |
| I understand that The Yunion may collect program data (surveys, attendance, evaluation) to improve youth outcomes and comply with grant reporting requirements. | By checking this box, I grant permission for photos or video of my child to be used for program promotion. |
| Would you like additional information about our support services for your child? | Tutoring (school year only), Mentoring, Behavioral support |
| May one of our team members contact you with more information about our support services? | Yes |
| If yes: | The Yunion |
| Do you participate in the free lunch program at your school? | No, my school doesn't have that program |
| What is the annual income of your family? | 20000 |
| How many dependents are in your family? | -2 |
| Are you a single-income family?* | Yes |
| Does the child for whom you are applying receive child support?* | No |
| Please explain any extenuating circumstances related to your financial need? (100 words or less) | I am the Aunt to the student. His mother is incarcerated and his father is not active in his life. Thomas refuses to go to school, does not follow directions, has aggressive behavior towards me, and does not follow our house rules. |
| How did you find out about The Yunion's Summer Camp? | Other Saw you on TV a few years ago |
| Program Participation Consent | Electronic Signature |
| Parent Orientation & Training Day Policy | I agree to the Parent Training Day policy |
| Refund & Cancellation Policy | I agree to the refund & cancellation policy. |
| Key Camp Daily Attendance | By checking this box, I acknowledge that daily attendance is necessary to maintain my child's scholarship in good standing. |
| Parent/Guardian Name (Printed) | Maxine Matthews |
| Add Your Signature Here (Please Sign Legibly) | 69f22f74755373.17561781.png |
| Child's Name (Printed) | Thomas Reed |
| Have Your Child Sign His/Her Signature Here (Please Sign Legibly) | 69f22f7481ac25.79413986.png |
| 2026 Cave of Adullam Transformational Training Academy Camp | 2026 Cave of Adullam Transformational Training Academy Camp, $0.00, 1 |
| Date | 2026-04-29 |