Youth Programs Registration Form
A W.I.S.E. Partnership general purpose registration for all youth programming. All programming will be held at Helen Moore Community Rec Center or Joseph Walker Williams Rec Center in Detroit. You will be notified of the exact start date and location at least two weeks prior to the date.
Youth Information:
Full Name
*
First Name
Last Name
Birth Date
*
-
Month
-
Day
Year
Date
School Name:
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Parent Contact Information
Legal parent/guardian of minor child named above
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Parent Phone Number
*
Please enter a valid phone number.
E-mail
*
example@example.com
How did you hear about us?
*
Please Select
Social Media
Internet-Engine Search
Word-of-Mouth
W.I.S.E. EVENT
Name(s) of Program(s) of Interest:
*
2-day Étiquette Workshop
Power of Our Voices (ages 12+; youth express community issues into voice and art and policy)
G.E.N.I.U.S. (ages 8+ young entrepreneurs develop their projects and businesses)
Art Club (ages 8+ youth are taught visual and fiber art by a local artist; projects will be displayed in a community space)
Garden to Table (Spring 2026) (ages 7+; youth will plant a community garden, harvest it, and prepare a meal from the yieldings in the fall)
W.I.S.E. Lens Lab (ages 12+ learn photography basics for youth. Youth may bring their cameras, finished photos will be displayed to the community)
Submit
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