Clone of 2025 Michigan Registration Form and Deposit

1
Student's Name* This field is required.
First Name
Last Name
2
Gender* This field is required.
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3
Email of Student* This field is required.Please use your personal email address below as we are unable to send information to school addresses.
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4
Student's Phone Number* This field is required.
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5
Address* This field is required.
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Street Address Line 2
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Afghanistan
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6
Current School* This field is required.Please spell correctly i.e.: James Madison High School
Please spell correctly i.e.: James Madison High School
7
Current Grade * This field is required.
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Please Select
9th
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8
Select T- Shirt Size * This field is required.
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Adult XSmall
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9
Parent's Name* This field is required.
First Name
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10
Parent's Email* This field is required.Please double check the email address to make sure it is correct
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11
Parent's Phone Number* This field is required.
Please enter a valid phone number.
12
PLEASE MAKE A SELECTION* This field is required.
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My Bag
1
My Bag
Great Product Name
$20
Quantity:1
Size:Small
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Great Product Name
$20
Quantity:1
Size:Small
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Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
Great Product Name
$20
Quantity:1
Size:Small
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ORDER SUMMARY
Processing FeeUSD
SubtotalUSD
Total costUSD
2026 MI HBCU Tour Deposit $200 This payment is NON-REFUNDABLE
$200.00Edit
Back
2026 MI HBCU Tour Make It A Full Payment of $850This additional payment is not required. This option is for those who would like to complete the full payment today!
$650.00Edit
Back
Enter Coupon
Total cost $0.00
Payment Methods
Credit Card
First Name
Last Name
Cash App
After submitting the form, you will be redirected to the Cash App Pay to complete the payment process.
Google Pay
After submitting the form, you will be redirected to the Google Pay to complete the payment process.
Apple Pay
After submitting the form, you will be redirected to the Apple Pay to complete the payment.
13
"I acknowledge and agree to the payment schedule outlined for the trip. I understand that the deposit of $200 is non-refundable under any circumstance. Furthermore, I acknowledge that failure to make payments as scheduled will result in the forfeiture of my spot on the 2025 HBCU Tour. I am aware of, understand, and adhere to the Payment Schedule below. And I give The Motivational Foundation permission to access student academic and student conduct records, if necessary."* This field is required.Spring Break 2026 College Tour Payment Plan: Total Cost per Student: $850 Registration Fee: $200 due at the time of registration Remaining Balance: $650 Payment Schedule: November 1, 2025 – $325 due January 1, 2026 – $325 due February 1, 2026 – Make-Up Payment Window for any missed or outstanding balances
I agree to the terms and conditions above.
14
Please verify that you are human* This field is required.
15
Invoice ID
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