The Youth Symposium is free to community youth and will provide free training on STEAM, Health and Wellness, Social Action, Education and Career Planning.

Theta Zeta Sigma - Youth Symposium Registration Form

Fill out the form carefully for registration
Student Name*

First NameMiddle NameLast Name
Birth Date

MonthDayYear
Gender
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Student or Parent's E-mail*
example@example.com
Mobile Number*
Phone Number
Work Number
School
Additional Comments
You will have to have a waiver signed by your parent if you are under 18 years old.
What Career are you Interested in?
Are you a member of the Theta Zeta Sigma Chapter Rhoer Club?*

YesNoI am a member of the Beta Rho Sigma Chapter Rhoer ClubI am interested in finding out more about the Theta Zeta Sigma (Aurora) Rhoer Club
Should be Empty:

Theta Zeta Sigma - Youth Symposium Registration Form