Youth Empowerment Program (YEP) Cabin Experience

The Allen Blash Foundation (ABF) is excited to offer the Youth Empowerment Program (YEP) Cabin Experience — a multi-day overnight leadership and development experience designed to challenge, inspire, and grow our youth. This experience will take place in a cabin setting and will include a combination of mentorship, leadership development, outdoor activities, and team-building experiences that push students outside of their comfort zones and into growth. Participants will engage in activities focused on: Building confidence and self-awareness, strengthening leadership and decision-making skills, developing positive peer relationships, exploring identity, responsibility, and future goals!! This is not just a camp — it is a structured growth experience designed for students who are ready to elevate how they think, act, and lead. ⚠️ Important Information: This is an overnight program with limited spots available. All students must complete this application to be considered. A separate scholarship application is required for financial assistance (if applicable). Acceptance is not guaranteed and is based on readiness, behavior, and commitment. Selected participants will receive additional details regarding program expectations, packing list, schedule and more details. We are looking for students who are ready to grow, lead, and represent themselves and their community at a higher level.
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
Youth Empowerment Program (YEP) Cabin Experience: Scholarship Requirement (Read Before Continuing)

The total cost for the YEP Cabin Experience is $225 per student. A scholarship opportunity is available to help reduce the cost. You must complete the scholarship application before continuing.

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

Copy & Paste or Click the link below to complete the scholarship application:

Scholarship Link: https://form.jotform.com/260957962898078

Steps to Follow:

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

Important:

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

YesNo
Consent & Authorization – YEP Cabin Experience

I, the parent/guardian of the above-named student, give permission for my child to participate in The Allen Blash Foundation (ABF) Youth Empowerment Program (YEP) Cabin Experience, taking place in Spartanburg, SC and Pigeon Forge, TN.

I understand that this is a multi-day overnight camp experience (5–6 days) that includes transportation, lodging, outdoor activities, mentorship programming, 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 at all times. I understand that this is a structured, overnight leadership experience, and inappropriate behavior—including threats, aggression, or noncompliance—may result in disciplinary action, including immediate dismissal from the program at my expense.

2. Medical Authorization
In the event of illness or injury, I authorize ABF staff to seek emergency medical treatment for my child if I cannot be reached. I understand that I am financially responsible for any medical care provided.

3. Liability Acknowledgment
I understand that participation in this camp includes travel, outdoor recreation, and group-based activities, which carry inherent risks. While ABF will take all reasonable precautions to ensure safety, I acknowledge these risks and agree not to hold The Allen Blash Foundation, its staff, volunteers, or partners liable for injuries, accidents, or unforeseen incidents that may occur.

4. Transportation Permission
I give permission for my child to be transported to and from all program locations, including out-of-town travel (Pigeon Forge, TN), as well as to participate in all scheduled activities during the experience.

5. Overnight Stay & Lodging
I understand that my child will be staying overnight in shared cabin-style lodging with other participants and under the supervision of ABF staff. I acknowledge that this is a group living environment and agree to my child participating under these conditions.

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

7. 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.

8. Commitment to Full Participation
I understand this is a structured leadership and development experience. My child is expected to fully participate in all scheduled activities, including group sessions, outings, and mentorship components, unless otherwise approved by ABF staff.

By signing 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