SCEC Young Professional Registration 2026

All students attending any SCEC Young Professional Event/Program/Camps need a current registration fillled out. This registration is valid for Summer 2025 through Spring 2026.

Please fill out this form and click submit.

Eligibility Requirements & Code of Conduct:
Both the Student and Parent/Legal Guardian must read and sign below.
SCEC is a private entity that serves students without regard to race, color, sex, age, residency, national or ethnic origin, religion, sexual orientation, ancestry, or any other protected status. Students must meet the criteria listed below to qualify for programs and events at SCEC Young Professionals. Otherwise, qualified persons are not subject to discrimination.
In order to participate in the Young Professionals Program, students should currently be in 6th-12th grade (Can begin in summer, entering 6th grade through summer after HS graduation) AND be at least 11, but less than 19 years of age.

Adhere to the code of conduct and always respect staff and volunteers.
Function independently during programs and events.
Communicate effectively with adults and other students.
Not require SCEC to make fundamental alterations to and/or disrupt the harmony of programs and events. Not undermine the safety of staff, volunteers, students, or themselves.
SCEC reserves the right to deny service at any time based on any of the aforementioned eligibility requirements or for any other reason, including the actions of the student, parent, or guardian. These eligibility requirements are subject to change without notice.
At SCEC, we maintain a safe and fun atmosphere for students based on the following Code of Conduct:

The following conduct is prohibited:
1) Abusive language towards a staff member, volunteer, or another participant
2) Possession or use of alcoholic beverages or illegal drugs on SCEC property or reporting to the
program while under the influence of drugs or alcohol
3) Bringing dangerous or unauthorized materials such as explosives, firearms, weapons, or other similar items to SCEC
4) Verbal, physical, or visual harassment of another participant, staff member, or volunteer
5) Actual or threatened violence toward any individual or group
6) Conduct endangering the life, safety, health, or well-being of others
7) Failure to follow any agency policy or procedure
8) Bullying or taking unfair advantage of any participant
9) Failing to cooperate with an adult staff/volunteer

If students fail to adhere to the Code of Conduct and commit repeated or extreme infractions, SCEC reserves the right to contact the student's guardian/parent(s) and/or the authorities. SCEC also reserves the right to suspend enrollment privileges, require community service to regain membership privileges, or terminate membership at the discretion of the SCEC staff.

Student's Name

Middle Name

Preferred Name

Birthdate

This address will receive a confirmation email

Student's Cell Phone

Address

Sex

Grade

Race/Ethnicity

White African American Hispanic/Latino Asian Multiracial Native American Pacific Islander Other Race/Ethnicity

T-shirt Size

Parent/Guardian's Name

Parent/Guardian's Cell Phone

Does the student have an IEP at school?

Yes No

School that student attends:

Please check boxes.

I give permission to release school grades. I authorize SCEC permission to obtain copies of my child's grades and other educational materials to assist SCEC to provide my child with tutoring assistance, pre-college information and job training skills.

I signify that I give permission for my child to be transported as necessary to off-site SCEC events.

SCEC has permission to photograph/video the student for the purpose of promotion of SCEC.

Medical Information

Emergency Contact:

Emergency Contact Phone:

Emergency Contact Relationship

Primary Insurance Name

Primary Insurance Policy Number

Family Physician

Family Physician Phone Number

Any known allergies

Check any health conditions ADHD Asthma Diabetes Seizures

I, legal guardian and or parent of the aforementioned minor, hereby authorize and give my consent that in my absence and ability to be reached or be present that the above named minor be admitted to any medical facility for diagnosis and treatment. In the event of an emergency I authorize the transportation of my child via ambulance and any and all medical treatment by ambulance staff and all emergency personnel. I hereby request and authorize any duly licensed medical staff to perform any and all medically necessary procedures on the above minor. I hereby authorize that in my absence or inability to be reached that SCEC and or its representative be granted the authority to make any and all necessary medical decisions (using best judgment and upon advice of such medical or emergency personnel) for my minor child and hereby agree to hold SCEC and/or its personal representatives, agents, assigns and/or directors harmless for the resulting consequences of such decisions. I recognize that as a result of medical treatment and care costs may be incurred. I hereby recognize and acknowledge any medical payments and or costs for such medical treatment incurred, including but not limited to deductibles, medical services, prescriptions and co-payments, are my responsibility. I agree that under no circumstance will I seek any contribution from South Carolina Empowerment Centre, their insurer or hold them responsible for any costs as a result of medical expenses occurred for treatment.

AUTHORIZATION RELEASE FOR PARENT/GUARDIAN OF MINORS. I do hereby state that I have legal custody of this child, a minor, who resides with me. While this minor is a registered participant at any South Carolina Empowerment Centre Event, I hereby authorize any director, counselor, nurse, dean, lifeguard, or other responsible person of said Event to consent to any X-ray, examinations, anesthetic, medical or surgical treatment, and hospital care, to be rendered to this minor under the general or special supervision and on the advise of any physician or surgeon licensed to practice in the state of South Carolina, when such medical or surgical treatment is necessary. I am aware that the administration of non prescription medications (Tylenol, anti-acids, etc.) may be necessary. I willfully consent for my child to receive these if deemed necessary.

SCEC Young Professional Registration 2026

Description

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