2019-2020 Venture application form

Applications will not be processed until a payment of $295 ($250 before August 15th) is received. Payments may be made online through the link provided below this form or by check (payable to "Petawa" with memo Venture), mailed to "Venture 1331 N. Astor St. Milwaukee, WI 53202"

Participant's Grade *
Date of Birth *
Date of Birth
Street Address *
Street Address
Participant's Cell Phone (if applicable)
Participant's Cell Phone (if applicable)
Father's Name
Father's Name
Father's Cell Phone
Father's Cell Phone
Mother's Name
Mother's Name
Mother's Cell Phone
Mother's Cell Phone
Home Phone (if applicable)
Home Phone (if applicable)
By entering my name, I understand that I am signing as a parent or legal guardian of the participant. In signing, I authorize Venture Leadership Program staff to seek medical assistance for my daughter, should the need arise. In addition, I authorize any photography that includes my daughter to be used for the purpose of promoting Venture. I understand that such photography remains property of Venture Leadership Program.
By entering my name, I understand that I am signing as a parent or legal guardian of the participant. In signing, I authorize Venture Leadership Program staff to seek medical assistance for my daughter, should the need arise. In addition, I authorize any photography that includes my daughter to be used for the purpose of promoting Venture. I understand that such photography remains property of Venture Leadership Program.
 

payment:

  • $250 on or before August 15th

  • $295 after August 15th

$100 deposit due upon registration

Total program fee due on or before September 21st

*Fee also payable by check written out to "Petawa" with memo "Venture", mailed to "Venture 1331 N. Astor St. Milwaukee, WI 53202"