Register for Empowering Youth Voices Teen Summit
The teen summit is a free event that will last two days. Day 1 is for ages 12-14. Day 2 is for ages 15-18. Food, breakout sessions, fun activities, listening panels and special guest will be in attendance. Sign up below and you will be sent an email later to pick out your breakout sessions.
Student's Full Name
*
First Name
Last Name
Student's Email Address (Parent or student email is fine)
*
example@example.com
Contact Number (Student or Parent)
Student's Age
*
Which day will you be attending
*
July 27th, 8-4pm (Ages 12-14)
July 28th, 8-4pm (Ages 15-18)
School you attend (Type below)
*
Are you enrolled in a youth program? If yes, please list the program on the next line.
*
Please Select
Yes
No
List the youth program you are enrolled in.
Example: Carter's Crew, OK Program, Brandon House, Life skills for Youth, etc.
There will be a talent showcase during the summit. Are you be interested in being in the showcase?
*
Yes, I would love too!!
Not interested at all
Possibly, let me think about it.
If you answered Yes. What talent will you be performing?
Emergency Contact Information (Parent or Guardian)
First Name
Last Name
Emergency Contact Number
Please enter a valid phone number.
How did you hear about the summit?
*
T shirt size?
*
Submit Form
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