I’m Amazing Registration

2021 Summer Flyer 2021 Program Overview

Name of Participant

First Name

Last Name

Name of Parent/Guardian

First Name

Last Name

Email of Parent/Guardian

Cell Phone of Parent/Guardian

(###)

###

####

Parent/Guardian Relationship to Participant

Participant's Grade as of September 2021

Participant's School in September 2021

Participant's Hometown

Boston

Newton

Other

School staff, parent, or friend who told Participant about I'm Amazing

I will be able to attend all online and in-person meetings with my high school facilitators (See below dates)

Yes

No (List dates unable to attend below)

These are the dates I may not be able to attend because of another commitment:

For Parent/Guardian: What important things would you like your child to gain from participating in I'm Amazing? (Feel free to name more than one!)

I will do all I can to ensure my child attends all online and in-person meetings with her/his high school facilitators and if we're having trouble, we will let the coordinators know in advance

Yes

No

I'm Amazing is open to every family regardless of ability to pay. Adult Organizers are currently volunteering. The money we raise to run the 2021 pilot program will support stipends for the teen facilitators, gift cards for the middle school participants and food. Everyone is welcome to come regardless of ability to pay. However, the more we collect, the more we can pay young people and potentially the adult leaders. This is a pilot program and the adult organizers would like to do this professionally if we raise enough money. Price range is $10, $50, $100, $150 or $200 or more if you’re able to.

Please click the button below to pay. Thank you!