The Tourette Association of America’s Teen Summit is a unique opportunity for teens ages 13–17 with Tourette Syndrome and other Tic Disorders to connect with peers from across the country, build confidence, and strengthen self-advocacy skills. Through interactive sessions, group discussions, and engaging activities, participants will explore topics that matter most to them while gaining tools to navigate school, relationships, and everyday life in a supportive and empowering environment.

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* 1. Please enter your First Name

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* 2. Please enter your Last Name

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* 3. Type in your Email Address

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* 4. Type in your Gender

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* 5. Type in your Race

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* 6. Date of Birth

Date

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* 7. What type of residential community do you live in?

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* 8. Address

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* 9. Are you a Youth Ambassador?

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* 10. Do you have a diagnosis of Tourette Syndrome or another Tic Disorder?

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* 11. If not, do you know someone diagnosed with Tourette Syndrome or another Tic Disorder? Please describe your relationship to them.

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* 12. Have you been involved in any Tourette Association activities or events?(If so, please specify)

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* 13. Please tell us in your own words why attending the 2026 TAA Teen Summit is important to you (Approx. 50 - 100 words)

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* 14. Parent/Guardian First Name (List the name and information for the guardian who will be attending the 2026 Teen Summit)

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* 15. Parent/Guardian Last Name

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* 17. Parent/Guardian Cell Phone Number(s)

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* 18. I give permission for my child's picture, name, state, and likeness to be used by the Tourette Association in any and all publications.

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* 19. If this application is accepted and my child is selected to attend the 2026 Teen Summit in Nashville, TN, I understand that, as the parent/adult guardian who will be chaperoning my child, I am responsible for supervising my child at all times, including the time my child spends at the event venue and if/when my child leaves the premises for any reason. The event is being held in Nashville, and as such, my child and I will remain aware of our surroundings at all times while participating in event-related activities. Please initial.

Media Participation Release

I hereby irrevocably grant to the Tourette Association of America and to its employees, agents, and assigns, the right to photograph and/or video record and use pictures, silhouettes, videos and other reproductions of me and/or my children's physical likeness (including potentially televised both locally and nationally) for educational, informational, promotional, charitable, and fundraising activities for the Tourette Association of America and its Chapters and Support Groups and inclusion on, but not limited to the Tourette Association of America's website, YouTube channel, and all other social media sites. I hereby certify and represent that I have read the foregoing and fully understand the meaning and effect thereof and, intending to be legally bound, I have hereunto set my hand.

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* 20. I agree to the Media Participation Release. Please Initial.

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* 21. Please list any allergies (If applicable)

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* 22. Will you be bringing a mobility device or service animal? (If yes, please specify)

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* 23. What is your shirt size?

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* 24. By checking this box you agree to the responsibility of printing / bringing a copy of curriculum for the day. Link here: Up To Me Curriculum

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* 25. By checking this box, you understand and agree that your guardian will be attending the training.

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* 26. I have read and agreed to the TAA Event Terms and Conditions. Please initial.

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* 27. Parent/Legal Guardian, please sign by typing your full name.

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* 28. I want to learn about upcoming TAA events and initiatives via email.

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* 29. By checking this box, you understand that the TAA covers up to $350 per person for travel reimbursement and will provide one night stay at the event.

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