Secure The Bag Work Sessions

1

Is this an individual or a group sign-up?* This field is required.(group sign ups are for organizations only)

Individual

Group

2

How many participants will attend?* This field is required.

3

Will there be a chaperone with this group?* This field is required.*If students will be arriving on there own and not with a representative of the organization please complete an individual registration with parents permission.

YESNO

4

What is the name of your organization?* This field is required.

5

Please send an email to programs@ymfgr.org with the following attending participant information:

first and last name, grade level, school district, & photo/video consent.

Unable to complete this before your arrival? Email to let us know you are coming and we can gather this information when you arrive.

6

Students Full Name* This field is required.

First Name

Last Name

7

Email* This field is required.

example@example.com

8

Phone Number* This field is required.

Please enter a valid phone number.

9

Current Grade* This field is required.

High School Junior

High School Senior

College Student

10

Name of your School* This field is required.

11

Are you 18 or older?* This field is required.

YESNO

12

Parent’s Name* This field is required.

First Name

Last Name

13

Parent’s Email* This field is required.

example@example.com

14

Parent’s Phone Number* This field is required.

Area Code

Phone Number

15

Which Work Session(s) Are You Coming To?* This field is required.This is a drop in format, you are not required to be present the entire time.

Saturday, November 14th 10a-12:30p

Tuesday, December 22nd 10a- 2p

Saturday, January 23rd 10a- 12:30p

Saturday, February 27th 10a- 12:30p

Saturday, March 27th 10a- 12:30p

Saturday, April 3rd 10a-12:30p

16

Signature* This field is required.I understand that these are drop-in sessions and that I am not required to stay the entire duration of the work session. My transportation and location will be my responsibility to communicate with my parent/guardian if under the age of 18y.o. YMF as an organization & contract staff of YMF are not responsible for coordinating my arrival or departure to the drop-in sessions.