NSYEP Registration Form

Friends of Atwood Online Registration Form

Please select your
participation level:

Fill in the required spaces below:

Name:

Address:

I want to participate but I need help. (Check if applicable)

Organization:

City:

What group is this registration affiliated with?

State:

Phone:

Zip:

Email:

Parent:
If applicant is
under 18

Date of Birth:

Age:

mm/dd/yyyy

Sex:

Male

Female

Large

XXL

T-Shirt Size (Each member will receive one):

Medium

Parent/Guardian's Name:

Parent/Guardian's Email:

Parent/Guardian's Phone:

Emergency Contact Name:

Emergency Contact Phone:

Comments/Suggestions:

NOTE: After submitting this form, you will be sent a PayPal invoice to
finalize payment of your $35 annual registration fee.

Atwood Community Gardens
779 Atwood Street SW
Atlanta, GA 30310

NSYEP Headquarters
1890-A Briarcliff Circle NE
Atlanta, GA 30329

Contact: Events@nextstepsyep.org
678.570.0398
www.nextstepsyep.org

Using the transferable skills within the urban agriculture industry to
introduce at-risk students to career pathways in science, technology,
engineering and mathematics (S.T.E.M.)

"Embracing Empowerment"

Atwood Community Gardens

Share:

Click on the VolunteerMatch and Hands On Atlanta logos to visit
our volunteer registration pages.
To schedule a group or youth training activity, click here.
To become a Friend of Atwood Garden Member, click here.
Our Combined Federal Campaign Donor# 97485

Join The Friends of Atwood
Garden Club

NSYEP is a 501c3 tax exempt non-profit organization and a service
program of the Richard Basil Foundation, the Vigor Consortium and the
National Black Men's Health Network