Financial Literacy Registration 2022

This program for ages 13- 19 is designed to help you gain confidence, understanding and comfort in thinking about money.

We can't wait to meet you!

Which 2022 ZOOM session would you like to register for? *

March Break 14th-18th 11am-Noon (Online) Spring 1 March 29th - April 26th 4-5:30PM YMCA Teen ZONE Cambridge Spring 2 May 10th-June 7th 4-5:30PM 800 King Street, Kitchener

Name of Youth *

First Name Last Name

Age: *

This optional self-identification will help us accomodate youth in our programs and your answers will not be used to identify you or be shared outside of this team.

I would like to identify as *

Female Male Prefer not to say

I identify my ethnicity as: *

Indigenous Black White Person of Colour Prefer not to say

I have lived in Waterloo Region for: *

Less than 3 years 3-5 years 5-10 years More than 10 years Prefer not to say

Is there an important piece of your identity that we have missed? Please let us know!

E-mail *

example@example.com

Phone Number *

Area Code Phone Number

Parent/Guardian *

First Name Last Name

Phone Number *

Area Code Phone Number

Work Number

Area Code Phone Number

If selected to participate in this program, I understand both parents and participants (youth) will be required to submit a survey to help us make sure this program is beneficial for youth and parents. We will use your feedback to make the next session even better.

I agree to the above statement.

Youth Parent/Guardian

I understand that photos may be taken during program for promotional purposes . I give permission for the photo of my student/youth to be used by the YMCA and Manulife for promotional purposes.

Yes, you may use my photo (if youth is 18+) Yes, you may use my students/youths photo No you may not use any photographs for any purpose.