Next In Line Enrollment Form

Applicant Information

*First Name

*Last Name

*Date of Birth (MM/DD/YYYY)

*Age (must be between 6 and 18)

*Parent/Guardian Name (if under 18)

*Parent/Guardian Contact Number

*Applicant Email Address (or Parent/Guardian Email if applicable)

*Home Address

*City

*State

*Zip Code

School Name

Current Grade Level

How did you hear about this program

Personal Interest

1. Why are you interested in participating in the “Next In Line” Youth Program?

2. Have you ever participated in a mentorship or shadowing program before? Yes No

If yes, please describe briefly

Emergency Contact Information

Emergency Contact Name

Relationship to Applicant

Emergency Contact Phone Number

Any allergies, health conditions, or special accommodations we should be aware of?

Acknowledgment

*I understand that participation requires availability during the scheduled three-day summer session.

*I acknowledge that my parent/guardian approves my participation in this program.

*I acknowledge that a parent or guardian must always be present with the minor throughout the duration of the program.

*Signature (Parent/Guardian if under 18):

Date

By clicking this box, I agree to receive in-person or automated telemarketing calls and texts from The Devenere Law Collective at the number I entered. I understand that my consent is not required for purchase.

Request Consultation

Call 713-254-1157 or fill out the form below.

Next In Line Enrollment Form

Applicant Information

Personal Interest

Emergency Contact Information

Acknowledgment

Always Professional, Never Traditional

Request Consultation

Request Consultation

Always Professional,
Never Traditional