New Member Orientation - October 21st, 2025

New Member Orientation - Registration

First Name

Last Name

Mobile Phone

State

Zip Code

Select Age

Education Level

School Name

School Type

Please confirm your participation for the following event:

I select Program - New Member Orientation on October 21, 2025, 7 PM EDT - 8 PM EDT

Acknowledgement: I hereby acknowledge the above-name Participant as myself, being of at least 13 years of age, have my parent(s) permission to participate in and/or to attend WIN-NextGen™ programming (the “Program”). I further acknowledge WIN-NextGen, Inc., its affiliated individuals, consultants, organizations, companies and their agents, successors and assigns, shall have the irrevocable right with respect to the Program and participants thereof, to film, videotape, photograph, and record the name, address, biographical data, photo, caricature, likeness, appearance, performance, voice and other resemblance (“Likeness”), and to use the results and proceeds thereof in connection with television commercials, article, books, radio broadcasts, audiovisual works and derivative works including, without limitation, the rights to edit, copy, exhibit, transmit, perform, copyright, reproduce, display, publish, license, sell, and otherwise use all or any portion thereof in any and all media, whether now known or hereafter developed, throughout the universe in perpetuity. The rights of publicity provided herein shall not be contingent upon any conditions but solely on participation in the Program. I agree to allow WIN-NextGen™ to release such pictures for publicity purposes. I further agree that, WIN-NextGen™ may share my personal information with trusted third-party strategic partners to deliver targeted outreach, advertising, promotions, and other relevant communications based on my interests and demographics, provided that such sharing is done in accordance with applicable laws and with my prior consent where required.

(Optional) Yes, I would like to get SMS (text) messages about WIN-NextGen™ programs, events, and reminders. Note: You can always opt-out by replying STOP to any message. To receive SMS messages, you must provide your mobile number in the field above.

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A WIN-NextGen™ Partner

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A WIN-NextGen™ Partner

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A WIN-NextGen™ Partner

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A WIN-NextGen™ Partner

STEM-UP

A WIN-NextGen™ Partner

Uplevyl

A WIN-NextGen™ Partner

Jack and Jill of America, Inc.

A WIN-NextGen™ Partner

Smith College

A WIN-NextGen™ Partner

Capitol Technology University

A WIN-NextGen™ Partner

Training Keys

A WIN-NextGen™ Partner

Patriots Technology Training Center

A WIN-NextGen™ Partner

Westside High

A WIN-NextGen™ Partner

Associate Member of American Trucking Associations

A WIN-NextGen™ Partner

Neighborhood Coalition for Shelter

A WIN-NextGen™ Partner

RadNet

A WIN-NextGen™ Partner

ABBA Driving Academy, LLC

A WIN-NextGen™ Partner

Capstone

A WIN-NextGen™ Partner

Smith College

A WIN-NextGen™ Partner

Heights Philadelphia

A WIN-NextGen™ Partner

Jack and Jill of America, Inc.

A WIN-NextGen™ Partner

Uplevyl

A WIN-NextGen™ Partner

Young Women Into Finance

A WIN-NextGen™ Partner

Harrisburg University of Science and Technology

A WIN-NextGen™ Partner

STEM-UP

A WIN-NextGen™ Partner

Training Keys

A WIN-NextGen™ Partner

Capitol Technology University

A WIN-NextGen™ Partner

Prudential Financial, Inc.

A WIN-NextGen™ Partner

Westside High

A WIN-NextGen™ Partner

Associate Member of American Trucking Associations

A WIN-NextGen™ Partner

Neighborhood Coalition for Shelter

A WIN-NextGen™ Partner

RadNet

A WIN-NextGen™ Partner

ABBA Driving Academy, LLC

A WIN-NextGen™ Partner

Capstone

A WIN-NextGen™ Partner

Smith College

A WIN-NextGen™ Partner