Join GCYC PAC

1
Name* This field is required.
First Name
Last Name
2
Email* This field is required.
example@example.com
3
Phone Number* This field is required.
Please enter a valid phone number.
4
Choose the areas you believe our community need most improvement in * This field is required.
Please Select
Health & Wellness
Career Exposure
Healthy Food
Transit
5
Please Select all events that interest you* This field is required.
Salsa Dance Class
Sport Games
Zumba Class
Hip-Hop Dance Class
Cooking with Our Culinary Team
Growing Farm with Our Urban Agriculture Team
Technology Class with Our Tech Team
Financial Literacy Workshop
How to aid for youth mental health Counseling/ Mentoring Workshop
6
What size shirt do you wear? * This field is required.
7
Suggest at least one Family Trip that PAC should do/host such as Dave & Busters or an Winter Parent Prom* This field is required.
Should be Empty: