Date: July 10. Location: A.D. Lewis Community Center, Huntington, W.Va. Applicants: Must be 6th-11th graders. Deadline:.July 10.

Name*                                                                      Age*                              Gender (M/F)*

Address (include zip code)*

Applicant phone # (include area code)*

Parents name*

Parents phone # (include area code)*


School*                                                                              Grade*


Favorite team

T-Shirt Size*                                                   Parent permission to attend (Y/N)*                  Bring a friend (Y/N -- Name)

*Required field

Mission Statement
The program is designed to inspire and educate Huntington area youth through various channels
such as speakers and practical applications. It addresses the importance of setting goals, having aspirations and
being able to achieve those goals/aspirations through clear and concise directions, hard work and unwavering dedication.