Young Creators Summer Program

Application

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Spots are limited. Fill out the form below — you'll hear back within 5 business days.

About the Applicant

First Name *

Last Name *

Age *

Grade (Fall 2025)

City / Neighborhood *

School Name

Track Interest (select all that apply)

🎙 Podcast Production

Recording, editing, and hosting audio content

🎤 Media Correspondent

On-camera interviews and live reporting

📱 Social Media Content

Reels, branding, and growing an audience

Parent / Guardian Info

Parent / Guardian Full Name *

Relationship *

Phone Number *

Email Address *

Emergency Contact

Emergency Contact Name *

Relationship *

Emergency Phone *

Health & Safety

Allergies (food, environmental, medication)

Medical Conditions or Accommodations

How Did You Hear About Us?

How did you hear about the program?

Permissions & Agreement

📸 Photo & Video Permission

During the Young Creators Program, participants may be photographed or filmed. This content may be shared on eXpozedTV's social media platforms, website, and promotional materials for the Young Creators program. Content featuring minors will always be shared in a safe and respectful context.

Do you grant eXpozedTV permission to photograph and/or film your child? *

✅ Yes — full permission Group shots only ❌ No permission

📋 Program Agreement

By submitting this form, the parent/guardian confirms that all information provided is accurate, the applicant is between 13–19 years old, the applicant will make a genuine effort to attend all 8 sessions, and that this is a commitment — spots are limited and enrollment is not guaranteed.

I have read and agree to the program terms above *

Parent / Guardian Signature (type full name) *

Today's Date *

Anything Else?

Questions or additional notes

Spots are limited. Completing this form does not guarantee enrollment. You will receive a confirmation email within 5 business days. Questions? info@expozedtv.com

Application received.

Thank you for applying to the Young Creators Program. We'll review your application and be in touch within 5 business days.

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