2026 Camp Registrants – The Yunion, Inc

#	Date Registered ↕	Child Name ↕	Age ↕	Registered By	Cell
90	May 21, 2026	RyHanna Doze	12	Gemini Doze	(313) 624-7574
89	May 21, 2026	Brooklynn Ulmer	12	Karicia Shorts	(313) 236-6301
88	May 20, 2026	Santana Summers	10	Ka'Nessa Cooper	(313) 854-2601
87	May 20, 2026	Sonia Summers	12	Ka'Nessa Cooper	(313) 854-2601
86	May 20, 2026	Avery Taylor	12	Leslie Wright	(313) 622-4047
85	May 19, 2026	I'Lan Bennett	12	Latanya Satawhite	(313) 953-7945
84	May 17, 2026	Jacey Womack	10	Archemee Womack	(313) 213-5058
83	May 17, 2026	Anjolaoluwa Daramola	12	Jasmine Jones	(313) 457-5509
82	May 16, 2026	Aubree Cadmus	11	Fletchia Brand	(248) 910-4783
81	May 15, 2026	Zoe Franklin	12	Darlene Shropshire	(313) 623-2533
80	May 15, 2026	Aniya Burton	11	Angelique Wilson	(313) 384-6014
79	May 15, 2026	Ameriana Gordon	10	Alisha Jackson	(313) 424-3661
78	May 15, 2026	Kelis Travis	11	Kanieth Travis	(313) 978-6562
77	May 14, 2026	Kristian Travis	12	Erin Gooch	(313) 929-5580
76	May 14, 2026	Yareli Alfaro-Ortiz	10	Marcela Alfaro	(313) 629-6162
75	May 14, 2026	David Alfaro-Ortiz	12	Marcela Alfaro	(313) 629-6162
74	May 13, 2026	Akari Caudill	11	Kyra Whitsell	(313) 953-3426
73	May 12, 2026	Bryce Greene	11	Monet Trammell	(313) 740-3032
72	May 12, 2026	Cole Hobson	12	Shavon Andrews	(313) 926-9131
71	May 12, 2026	Bailey Greene	11	Monet Trammell	(313) 740-3032
70	May 11, 2026	Cayden Theus	13	Crystal Oldham	(586) 823-2786
69	May 8, 2026	Mason Siler	13	Ashley Robinson	(313) 986-3596
68	May 8, 2026	Jeremiah Williams	10	Tarasha jenkins	(313) 338-4013
67	May 8, 2026	Joaiah Williams	10	Tarasha jenkins	(313) 338-4013
66	May 8, 2026	Nasir DeBose	12	Tanisha DeBose	(248) 607-2032
65	May 7, 2026	Kameron Moncreif	10	Hope Jordan	(313) 663-9308
64	May 7, 2026	Jade Robinson	12	Hope Jordan	(313) 663-9308
63	May 7, 2026	MaKenna Reed	13	Shanayl Bennett-Reed	(313) 358-5701
62	May 4, 2026	Serena Buchanon	13	Whitley Buchanon	(248) 200-8811
61	May 3, 2026	Noah White	11	Alise White	(313) 452-2460
60	Apr 30, 2026	Lailah Duncan	12	Saphonia Shorts	(313) 738-4225
59	Apr 30, 2026	Messiah Jones	11	Renita Williams	(313) 989-2086
58	Apr 29, 2026	Rahziel Smith	13	Sherrie Smith	(313) 471-4005
57	Apr 29, 2026	Royal Warr	11	Angela Clay	(313) 900-2800
56	Apr 29, 2026	Landon Amos	12	Kameshea Amos	(313) 766-8406
55	Apr 28, 2026	AYDEN EVANS-MARTIN	12	MICHELLE EVANS	(313) 445-9064
54	Apr 28, 2026	Jaedyn Pitts	10	Jazzmin Pitts	(248) 832-7694
53	Apr 26, 2026	Aiden Turner	12	April Turner	(313) 412-5305
52	Apr 25, 2026	Riyah Coleman	11	Stacey Coleman	(313) 970-3026
51	Apr 25, 2026	Whitney Page	13	Wilmonie Page	(313) 506-2008
50	Apr 23, 2026	Corde Brize	12	Jasmine Brize	(313) 918-7639
49	Apr 23, 2026	Kylee Jenkins	13	Dana McDade	(313) 673-7730
48	Apr 22, 2026	Khaiden Donaldson	13	Ju'elle Donaldson	(313) 703-6618
47	Apr 22, 2026	Jamari Peterson	13	Kimbreya Hicks	(313) 333-5468
46	Apr 20, 2026	Levi Andrews	11	Allyson Andrews	(313) 888-1444
45	Apr 20, 2026	Brandon Andrews	12	Allyson Andrews	(313) 888-1444
44	Apr 20, 2026	Marcel Reid	13	Veronica Scott	(734) 560-0637
43	Apr 19, 2026	Akeem Crowder	13	Asia Crowder	(313) 334-9159
42	Apr 18, 2026	Maison Corley	11	Martise Corley	(313) 826-5689
41	Apr 18, 2026	Amir Taylor	11	Alisia Taylor	(313) 613-3400
40	Apr 18, 2026	Ariel Taylor	13	Alisia Taylor	(313) 613-3400
39	Apr 17, 2026	Zariyah Jones	11	Chantele Willis	(313) 671-0032
38	Apr 17, 2026	Jeremiah Howard	13	Kendra Wade	(313) 283-0919
37	Apr 17, 2026	Harper Rice	11	Margrit Allen	(248) 205-9948
36	Apr 17, 2026	Cristión Matthews	11	Kendra Matthews	(248) 781-5874
35	Apr 16, 2026	Ava Navarro	10	Tiara Rouse	(313) 736-7534
34	Apr 16, 2026	Londyn McGee	13	Kristana Parker	(313) 646-1995
33	Apr 16, 2026	Raylan Royal	12	Stephanie Greenlaw	(248) 752-4784
32	Apr 15, 2026	Lacey Walker	13	Donshay Williams	(586) 945-4091
31	Apr 15, 2026	Jace Holt	11	Candise Holt	(313) 930-0633
30	Apr 15, 2026	Seven Anthony	10	Chauncey Anthony	(313) 633-3354
29	Apr 15, 2026	Azure Anthony	12	Chauncey Anthony	(313) 633-3354
28	Apr 14, 2026	Xzavier Oliver	11	Wanda Dukes	(313) 682-2533
27	Apr 14, 2026	Elijah Pace	13	Kelly Pace	(248) 514-1007
26	Apr 14, 2026	Romelle Pace Jr	13	Kelly Pace	(248) 514-1007
25	Apr 14, 2026	Kaya Webb	11	Patricia Quaglia	(313) 422-5644
24	Apr 14, 2026	Maurice Webb	13	Patricia Quaglia	(313) 422-5644
23	Apr 13, 2026	Kennedie Garrett	13	Whitley Buchanon	(248) 200-8811
22	Apr 13, 2026	Aiden Lipsey	11	Lakeisha Lipsey	(248) 812-6817
21	Apr 13, 2026	Ronald Richardson III	12	Mildred Richardson	(313) 932-8685
20	Apr 13, 2026	Aniya Porter	13	Jela Morris	(313) 333-3727
19	Apr 13, 2026	Tyrel Toney	13	Renee Toney	(313) 655-1500
18	Apr 13, 2026	Christian Keeler	13	Rolanda Edwards	(248) 455-9062
17	Apr 13, 2026	Gabby Buford	13	Keith Buford	(248) 752-0698
16	Apr 13, 2026	Jaiden Townsend	12	Alyssa Landcaster	(734) 833-8228
15	Apr 13, 2026	Dayonna Banks	12	Brittney DuBose	(248) 993-6227
14	Apr 13, 2026	London Loving	12	Tawanna Burns	(586) 854-2704
13	Apr 12, 2026	Destini-Paul Lawson	13	NaKisha Kimble	(313) 408-8660
12	Apr 12, 2026	Joi Brown	11	Tiffany Hudson	(586) 571-4343
11	Apr 11, 2026	Brielle Rambus	10	Sumara Rambus	(947) 282-3064
10	Apr 11, 2026	Loghan Carthage	10	LaTasha Carthage	(313) 492-6663
9	Apr 10, 2026	Eli James	12	Tianna James	(313) 303-1339
8	Apr 10, 2026	Layla Cheek	12	Jasmine Cunningham-Cheek	(248) 514-4888
7	Apr 10, 2026	Ayden Smith	10	Ochga Smith	(313) 805-5487
6	Apr 9, 2026	Rayonna Banks	12	Richard Cantrell	(313) 761-8103
5	Apr 9, 2026	Sebastian Johnson	11	Nakia Middleton	(313) 471-1887
4	Apr 9, 2026	Paige Elliott	12	Marie Durham	(810) 830-8714
3	Apr 9, 2026	Skylur Addison	13	Nakia Middleton	(313) 400-5445
2	Apr 9, 2026	Ronald Lee III	13	Ronald Lee Jr.	(313) 549-3531
1	Apr 9, 2026	Chandler Duckett	13	Erica Duckett	(313) 742-1751

#	Date Registered ↕	Child Name ↕	Age ↕	Registered By	Cell
44	May 20, 2026	Aaron Peppers	15	Ceara Hagwood	(313) 687-6886
43	May 20, 2026	Isaiah Brissett	13	Neil Brissett	(734) 759-7405
42	May 15, 2026	Taleah Mcfolley	15	Tajuana Mcfolley	(313) 293-8298
41	May 15, 2026	Damonie Campbell	14	Talissa Campbell	(313) 439-8903
40	May 14, 2026	Harmoni Coakley	14	Ashley Coakley	(734) 334-3507
39	May 14, 2026	Aijia pronounced Asia Simpson	15	Joyceline Simpson	(313) 452-2902
38	May 14, 2026	Jordan Simpson	15	Jacqueline Simpson	(313) 452-7212
37	May 13, 2026	Shalom Eagan	16	John Eagan	(734) 674-9806
36	May 12, 2026	Levi Eagan	14	John Eagan	(734) 674-9806
35	May 12, 2026	Kingston Mix	14	Kristen Jones	(313) 525-0360
34	May 11, 2026	Prince Khazyr	14	Michelle Ross	(313) 649-9701
33	May 11, 2026	Kobe Moore	15	Toia Williams	(586) 744-0515
32	May 11, 2026	Cayden Theus	16	Crystal Oldham	(586) 823-2786
31	May 11, 2026	Aubrey Johnson	15	April Johnson	(586) 823-6893
30	May 8, 2026	Prince Uche	13	Cherita Webb	(313) 452-4867
29	May 8, 2026	Jacob Hearns	16	Natasha Barnes	(313) 978-9860
28	May 7, 2026	Bradyn Webb	14	Cherita Webb	(313) 452-4867
27	May 7, 2026	Michael Flowers	15	Lisa Flowers	(313) 434-2691
26	May 5, 2026	Chase McDaniel	14	Fallen Turner	(313) 778-1393
25	May 5, 2026	Asa Carithers	14	Lashella Carithers	(313) 828-7915
24	May 4, 2026	Nylah Motley	14	Shalandria Cooper	(313) 939-1440
23	May 1, 2026	Ethan Harrison	13	JaNae Harrison	(248) 636-7047
22	May 1, 2026	Edina Respress	14	Havana Respress	(313) 218-4016
21	Apr 30, 2026	Jordan Winfield	14	Christina Nabongo	(313) 515-4130
20	Apr 30, 2026	Domingius Villarreal	14	Rosalinda Villarreal	(616) 366-1622
19	Apr 27, 2026	Jalen Brown	14	Kawana Brown	(313) 304-3094
18	Apr 27, 2026	Mack Hall	13	Jaimee Guider	(313) 455-1615
17	Apr 24, 2026	Elliott Simpson	15	Cierra Simpson	(734) 657-9122
16	Apr 24, 2026	Bruce Buckson III	13	Cierra Simpson	(734) 657-9122
15	Apr 22, 2026	Ethan Gillery	14	Linsey Gillery	(313) 289-1546
14	Apr 21, 2026	Elias Brissett	15	Neil Brissett	(734) 759-7405
13	Apr 18, 2026	Jy'Aire Spivey	16	Suantane Shepard	(313) 766-3479
12	Apr 18, 2026	Judah Hackney	14	Tanaya Hackney	(313) 671-6498
11	Apr 17, 2026	Zharia Jones	15	Chantele Willis	(313) 671-0032
10	Apr 17, 2026	Ronald Betts III	13	Ryan Dunbar	(248) 416-9047
9	Apr 17, 2026	Rian Jones	13	Chantele Willis	(313) 671-0032
8	Apr 17, 2026	Adrien Redd	13	April Redd	(586) 220-3887
7	Apr 16, 2026	Sariyah Royal	13	Stephanie Greenlaw	(248) 752-4784
6	Apr 14, 2026	Dominick Garrett	13	Whitley Buchanon	(248) 200-8811
5	Apr 13, 2026	Kalnard Will	13	Keesha Pridgeon	(313) 338-9060
4	Apr 12, 2026	Amaria Harris	13	Aimee Harris	(313) 285-7277
3	Apr 11, 2026	Aaron Peppers	13	Ceara Hagwood	(313) 687-6886
2	Apr 10, 2026	Cam’Marie Avery	13	Carmen Avery	(313) 974-9794
1	Apr 9, 2026	Jaquaia Thomas	13	Laquaia Thomas	(313) 770-8065

#	Date Registered ↕	Child Name ↕	Age ↕	Registered By	Cell
29	May 21, 2026	Jeremy Johnson	13	Melinda McCoy	(248) 707-4588
28	May 12, 2026	Dylan Herron	13	Jessica Herron	(313) 477-1869
27	May 7, 2026	Matthew Mengesha	11	Nicole Mengesha	(313) 671-1575
26	May 7, 2026	Malachi Mengesha	11	Nicole Mengesha	(313) 671-1575
25	May 7, 2026	Nigel Butts	12	Latoria Relford	(248) 660-8613
24	May 7, 2026	Dylan Jones	11	Diamond Waller	(313) 622-4763
23	May 7, 2026	Ryan Fields	13	Janelle Fields	(209) 513-4114
22	May 7, 2026	Randy Fields	13	Janelle Fields	(209) 513-4114
21	May 7, 2026	Rayshard Futrell	12	Kembria Tolbert	(586) 224-8091
20	May 7, 2026	Mondale Jones	12	Diamond Waller	(313) 622-4763
19	May 7, 2026	Dean Cole	12	Jesse Cole	(248) 917-2777
18	May 6, 2026	Judah Mengesha	13	Nicole Mengesha	(313) 671-1575
17	May 6, 2026	Messiah Pettway	13	Starr Allen-Pettway	(248) 331-5096
16	May 5, 2026	Darryl Looney	13	Rosa Pratcher	(313) 739-9394
15	May 5, 2026	Thomas Reed	13	Maxine Matthews	(248) 470-0311
14	May 5, 2026	Dylan Lavant	12	Rachel Alexander	(678) 993-3276
13	May 5, 2026	Matthew Risby	13	Rachel Alexander	(678) 993-3276
12	May 4, 2026	Jeremiah Howell	11	Erika Howell	(313) 802-0061
11	Apr 30, 2026	Chase White-Favers	12	Mia White	(313) 214-5054
10	Apr 30, 2026	Josiah Simmons	12	Claudina Brown	(917) 535-4722
9	Apr 30, 2026	Skyler Johnson	12	DeAnna Johnson	(734) 883-3235
8	Apr 30, 2026	Jeremiah Howard	13	Kendra Wade	(313) 283-0919
7	Apr 29, 2026	Talan Tidwell	12	Courtney Tidwell	(313) 826-8394
6	Apr 29, 2026	Enoch Wood	12	Angela Smith	(734) 737-1570
5	Apr 29, 2026	Roman Calevro	13	Jennifer Fields	(252) 481-3030
4	Apr 29, 2026	Amari Hill	12	Aretina Hill	(313) 828-0310
3	Apr 29, 2026	Thomas Walker Jr	11	Shannon Walker	(586) 457-5247
2	Apr 29, 2026	Thomas Reed	11	Maxine Matthews	(248) 470-0311
1	Apr 24, 2026	Justin Pitts	13	Justin Pitts	(313) 878-6092

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

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?	Facebook
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

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

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

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?	Instagram
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

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

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	Email
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

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

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

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	Email
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

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	Email
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

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	Email
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

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	Email
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

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

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	Email
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

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	Email
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

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	Email
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

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	Email
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

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

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	Email
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

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	Email
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?	Facebook
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

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

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	Email
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

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	Email
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

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	Email
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

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

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

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

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?	Facebook
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

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	Email
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

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

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?	Facebook
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

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	Email
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

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

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?	Instagram
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

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	Email
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

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	Email
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

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	Email
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

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	Email
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

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

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	Email
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

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?	Facebook
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

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	Email
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

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

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	Email
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

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	Email
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

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	Email
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

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

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

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

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

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?	Facebook
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

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	Email
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

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	Email
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

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	Email
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

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

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

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

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

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	Email
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

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	Email
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

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	Email
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

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?	Facebook
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

Child Name	Elijah, Pace
Age	13
Date of Birth	2012-06-04
Grade Level this Fall?	9th
School/District	Michigan k12
Name of School	home schooled
Education Type	IEP
Does your Child need any additional support? Please specify in comment box below.	yes autism but highly functioning
Height	51
Weight	120
Sex	Male
Eye Color	Brown
Ethnicity	African American
Student Address	16154 Sunderland rd., 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	2
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	Kelly, Pace
Email Address of Parent/Guardian Completing This Form	kpace453@gmail.com
Your Preferred Method Of Communication	Email
Cell Phone Number of Parent/Guardian Completing This Form	(248) 514-1007
Mother/Legal Guardian	Kelly, Pace
Mother's Address	16154 Sunderland rd., Detroit, Michigan, 48219, United States
Mother's DOB	1980-01-13
Mother's Email	kpace453@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, Helpful at home
2. Areas Where Your Child May Need Support	Other
Other	needs extra guidance but hé is very blessant and Carling. very
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
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, Other
Other goals	The way to stick up for himself with staying in his character
What concerns you most about your child right now?	His safety and denial about life. Hé needs toi sée things for what they are
What kind of future do you hope for your child?	I hope that his productive and can work and live indépendantly even if it is with some assistance from me.
Preferred Hospital for Emergency Treatment	childrens hospital
Medical Conditions (check all that apply)	Diabetes
If medication must be administered during program hours, a medication authorization form must be on file. Parent Initials:	69dd9dfde8a993.07239559.png
Additional medical or behavioral information staff should know:	He has eoe stomach disease.
Name	Jason Leslie
Phone	(313) 208-4560
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:	Family Insight Form
Do you participate in the free lunch program at your school?	Yes
What is the annual income of your family?	21000
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 am receiving disability for Multiple Sclerosis.
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)	Kelly Pace
Add Your Signature Here	69dd9eca0f9f89.58271710.png
Child's Name (Printed)	Elijah Pace
Have Your Child Sign His/Her Signature Here	69dd9eca1c1018.14792724.png
2026 Keys2Life Performing Arts Camp	2026 Keys2Life Performing Arts Camp, $0.00, 1
Date	2026-04-13

Child Name	Romelle, Pace Jr
Age	13
Date of Birth	2010-09-16
Grade Level this Fall?	10th
School/District	livonia school district
Name of School	Franklin high school
Education Type	Regular Education
Does your Child need any additional support? Please specify in comment box below.	no
Height	59
Weight	240
Sex	Male
Eye Color	Brown
Ethnicity	African American
Student Address	16154 Sunderland 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	2
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	Kelly, Pace
Email Address of Parent/Guardian Completing This Form	kpace453@gmail.com
Your Preferred Method Of Communication	Email
Cell Phone Number of Parent/Guardian Completing This Form	(248) 514-1007
Mother/Legal Guardian	Kelly, Pace
Mother's Address	16154 Sunderland rd., Detroit, Michigan, 48219, United States
Mother's DOB	1980-01-13
Mothers Home Number	(248) 514-1007
Mother's Email	kpace453@gmail.com
Authorized for pick up?	Yes
1. Your Child’s Strengths	Leadership potential, Creativity, Athletic ability, Compassion for others, Determination, 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, 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?	motivation
What kind of future do you hope for your child?	U hope my son reaches his potentiel and complète his goals hé so hopes to bé in his life.
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:	69dd98a836d8e0.89229922.png
Name	Jason Leslie
Phone	(313) 208-4560
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?	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?	21000
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 am on disability due to me having Multiple Sclerosis and a single mom.
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)	Kelly Pace
Add Your Signature Here	69dd99695bb378.67637241.png
Child's Name (Printed)	Romelle Pace Jr.
Have Your Child Sign His/Her Signature Here	69dd9969662956.43526029.png
2026 Keys2Life Performing Arts Camp	2026 Keys2Life Performing Arts Camp, $0.00, 1
Date	2026-04-13

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

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

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

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

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

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	Email
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

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

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	Email
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

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	Email
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

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

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	Email
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

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

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?	Facebook
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

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

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

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	Email
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?	Instagram
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

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	Email
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?	Instagram
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

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

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

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	Email
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

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

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	Email
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

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

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	Email
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

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

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

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	Email
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

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	Email
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

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	Email
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

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

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	Email
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

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	Email
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

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

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

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	Email
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

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	Email
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

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	Email
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

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	Email
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?	Facebook
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

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	Email
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

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	Email
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

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

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	Email
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

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

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	Email
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?	Instagram
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

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

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	Email
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

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

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

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

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	Email
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

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

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	Email
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

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	Email
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

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	Email
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

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

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	Email
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

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

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

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?	Facebook
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

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	Email
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

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?	Facebook
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

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	Email
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

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

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

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	Email
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

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	Email
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?	Instagram
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

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	Email
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

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?	Instagram
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

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?	Facebook
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

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

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?	Instagram
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

Child Name	Matthew, Mengesha
Age	11
Date of Birth	2018-01-03
Grade Level this Fall?	3
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.	Matthew is at the top of his class academically. He is off the charts is testing beyond his age. Matthew has an emotional intelligence of a young adult. Matthew does not meet the age requirement, but I am asking if there are considerations as he tags along even in the cave, his brother's will be in the summer camp, and if there may be a camp available for his age, please consider him as he will notice their absence and feel left out
Height	48
Weight	80
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	Matthew , Malachi and 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) 671-1578
Mother's Email	nmdandridge@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
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, 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?	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, Stronger faith or spiritual foundation, Better decision making, Academic motivation
What concerns you most about your child right now?	I am prayerful that there is a program that will allow him to come. His brothers have been given scholarships for the camp. Matthew is beyond his years and his academics. And his emotional intelligence, although he has big emotions, he can talk through them. His anger is a issue that I'm very concerned with and not being impulsive. When he gets those moments, he will sometimes scratching himself and self harm out of anger and rage.
What kind of future do you hope for your child?	I hope for Matthew that he will walk, and what God has called him to do pasting those who God tells him to faster I hope and pray that he succeed in every area in his academics, as well as being balanced with his emotions, and I hope that he will walk honesty and purity and holiness a man all three of them I hope and pray will be good husband
Preferred Hospital for Emergency Treatment	West Bloomfield, Henry Ford, Hospital or 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:	69fcb8ad673db0.84124151.png
Additional medical or behavioral information staff should know:	Matthew has an issue with listening to me, but this is very clearly to mail authority and all three boys desire to have a father in the home and have voiced this they are really looking up to male mentorship as their dad has stopped seeing them as of 2023. There is a father wound. Please consider having him . Thank you in advance for consider.
Name	Judy Nunley Antonio Gregory
Phone Number	(313) 399-6414
Additional Phone Number	(313) 399-7794
Relationship to Student	Grandmother and 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, 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 their brothers application, my child support has been cut my days and hours have been cut at work.
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)	69fcb94cbd7369.24962989.png
Child's Name (Printed)	Matthew Mengesha
Have Your Child Sign His/Her Signature Here (Please Sign Legibly)	69fcb94cc70291.61162037.png
2026 Cave of Adullam Transformational Training Academy Camp	2026 Cave of Adullam Transformational Training Academy Camp, $0.00, 1
Date	2026-05-07

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

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?	Instagram
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

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

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	Email
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?	Facebook
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

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	Email
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?	Facebook
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

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	Email
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

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

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	Email
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?	Facebook
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

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

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?	Instagram
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

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

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	Email
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

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	Email
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

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	Email
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

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

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	Email
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

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	Email
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?	Email
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

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	Email
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

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	Email
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

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

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?	Instagram
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

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

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?	Facebook
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

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?	Instagram
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

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	Email
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

Child Name	Justin, Pitts
Age	13
Date of Birth	1994-05-21
Grade Level this Fall?	graduated
School/District	DPSD
Name of School	HHS
Education Type	Regular Education
Does your Child need any additional support? Please specify in comment box below.	no
Height	6'0
Weight	205
Sex	Male
Eye Color	Brown
Ethnicity	African American
Student Address	31190 Portside dr apt 4104, Novi, Michigan, 48377, United States
County in Which Child Resides	Oakland 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	-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	Justin Pitts
Primary Language Other Than English	Spanish
Are you applying for a scholarship?	No, I will pay the full price
Name of Parent/Guardian Completing This Form	Justin, Pitts
Email Address of Parent/Guardian Completing This Form	justinapitts83@gmail.com
Your Preferred Method Of Communication	Email
Cell Phone Number of Parent/Guardian Completing This Form	(313) 878-6092
Father/Legal Guardian	Justin, Pitts
Father's Address	31190 Portside dr apt 4104, Novi, Michigan, 48377, United States
Father's DOB	1958-05-31
Father's Mobile Number	(313) 878-6092
Father's Email	justinapitts83@gmail.com
Authorized to pick up?	Yes
Mother/Legal Guardian	Brianna, Pitts
Mother's Address	31190 Portside dr apt 4104, Novi, Michigan, 48377, United States
Mother's DOB	1995-12-19
Mothers Home Number	(313) 878-6092
Mothers Mobile Number	(313) 878-6092
Mother's Email	justinapitts83@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
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)	Justin PITTS
Add Your Signature Here (Please Sign Legibly)	69ebe43fd2cbf3.59288409.png
Child's Name (Printed)	JUSTIN PITTS
Have Your Child Sign His/Her Signature Here (Please Sign Legibly)	69ebe43fddbcc2.33734445.png
2026 Cave of Adullam Transformational Training Academy Camp	2026 Cave of Adullam Transformational Training Academy Camp, $0.00, 1
Date	2026-04-24