ABF City Exposure Experience: Atlanta

The Allen Blash Foundation (ABF) is proud to offer the City Exposure Experience: Atlanta — a 2-day overnight leadership and exposure opportunity designed to expand how students see the world—and themselves. From July 15–17, selected students will travel to Atlanta for a structured experience focused on real-world exposure, mentorship, and personal growth. During this experience, students will engage in:🌆 City exploration and cultural experiences🎓 College and career exposure🤝 Team bonding and relationship building🎯 Personal growth and confidence development. This is not a regular trip — it is a selective opportunity for students who are ready to step outside their comfort zone, grow as leaders, and represent themselves and ABF with excellence.⚠️ Important Information: This is a 2-day overnight experience (July 15–17) Spots are limited and not guaranteed. Students must complete this application to be considered. A separate scholarship application is required for financial assistance (if applicable). Selected participants will receive next steps, including program expectations, travel details, and more detailed information. We are looking for students who are ready to explore more, elevate their mindset, and experience something bigger than their everyday environment.
Student Full Name*

First NameLast Name
Student Age*
Grade Level*
T-Shirt Size (Adult Sizes)*
Parent / Guardian Name*

First NameLast Name
Parent / Guardian Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Parent / Guardian Email Address*
example@example.com
Emergency Contact Name*

First NameLast Name
Emergency Contact Phone*
Please enter a valid phone number.Format: (000) 000-0000.
Any allergies?*

YesNo
If yes, please explain your allergies.*
Any medical conditions?*

YesNo
If yes, please explain your medical conditions.*
Permission & Participation
I understand and agree*

Student must follow behavior expectationsStudent must stay with assigned groupABF staff will supervise throughout tripThis is a full-day outdoor activity
Pickup Information
Who will pick up the student?*
Pickup Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Scholarship Requirement & Camp Payment
Scholarship Requirement (Read Before Continuing)
The total cost for the City Exposure Experience: Atlanta is $225. The SAM scholarship covers $200 of this total. You must complete the scholarship application before continuing.

You MUST complete the scholarship application first before finishing this registration.

Click Apply Here to complete the SAM scholarship application.

Steps to Follow:

Complete the scholarship application using the link above
Once submitted, return to this form
Complete your camp registration
Submit your payment based on your selection below

Important:

You do NOT need to send proof of scholarship approval
ABF works directly with SAM to verify submissions
If you choose NOT to apply, you will be responsible for the full $225
Have you completed the SAM Scholarship Application?*

YesNo
Consent & Authorization

I, the parent/guardian of the above-named student, give permission for my child to participate in The Allen Blash Foundation (ABF) City Exposure Experience: Atlanta, taking place July 15–17 in Atlanta.

I understand that this is a 2-day overnight trip that includes transportation, lodging, mentorship activities, and supervised group experiences.

By signing below, I acknowledge and agree to the following:

1. Supervision & Conduct
My child is expected to follow all rules, instructions, and behavioral expectations set by ABF staff. I understand that inappropriate behavior may result in disciplinary action, including possible dismissal from the trip at my expense.

2. Medical Authorization
In the event of an emergency, I authorize ABF staff to seek medical treatment for my child if I cannot be reached. I understand that I am responsible for any medical expenses incurred.

3. Liability Acknowledgment
I understand that participation in this trip includes travel and group activities. While ABF will take all reasonable precautions to ensure safety, I acknowledge that there are inherent risks and agree not to hold The Allen Blash Foundation, its staff, volunteers, or partners liable for unforeseen incidents.

4. Transportation Permission
I give permission for my child to be transported to and from Atlanta, GA, as well as to participate in all scheduled activities during the trip.

5. Media Release
I grant permission for ABF to capture photos and videos of my child during the trip for use in promotional materials, social media, and program documentation.

6. Financial Responsibility
I understand that submission of this application does not guarantee acceptance. If selected, I agree to meet all payment deadlines or complete the scholarship application process. I understand that failure to do so may result in forfeiture of my child’s spot.

7. Commitment to Participation
I understand this is a structured leadership experience, and my child is expected to fully participate in all scheduled activities unless otherwise approved.

By typing my name below, I confirm that I have read, understood, and agree to all terms outlined above.
Parent/Guardian Signature*
Date Signed*

MonthDayYear
Date
Select the Correct Payment Option

$25 – SAM Scholarship Rate
Select this option ONLY if you have already applied for the SAM

(Spartanburg Academic Movement) scholarship.

$225 – Full Program Cost
Select this option if you have NOT applied for the SAM scholarship.
⚠️ Important: If you have not applied for the SAM scholarship, you must select the $225 option. Incorrect selections may delay or cancel your registration.*
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Scholarship Requirement & Camp Payment