Youth Empowerment Summit (Y.E.S.) Registration Form
Please fill out the form below in order to register for the Youth Empowerment Summit that will take place on April 22, 2023 from 9am to 2pm at the Village Conference Center located at 1444 E Holt Ave, Pomona, CA 91767.
Are you a:
What are your pronouns?
Please enter a valid phone number.
How old are you?
What grade are you in?
What city do you live in?:
What is your sexual orientation?
Current middle or high school:
What school do you attend?
What gender do you identify as?
If you are a student, please list your GSA advisor here.
Should be Empty: