Financial Literacy Workshop Registration
Register for the mandatory youth financial literacy workshop at Como Community Center, March 16–20, 2026, 10:00 a.m. – 2:00 p.m. For ages 11–18. Hosted by Como Lion's Heart, Richelle's Heart, and Creative Vision Social Services and Consulting.
Student Information
Please provide the participant's details.
Student's Full Name
*
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Date
Age (as of March 16, 2026)
*
Grade Level for the 2025–2026 School Year
*
Please Select
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Other
School Name
*
Home Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Student Email Address
*
example@example.com
Parent or Guardian Information
Contact details for parent or legal guardian.
Parent/Guardian Full Name
*
First Name
Last Name
Primary Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Parent/Guardian Email Address
*
example@example.com
Emergency Contact (if different from parent/guardian)
Provide only if emergency contact is not the parent/guardian.
Is the emergency contact different from the parent/guardian?
*
Yes
No
Emergency Contact Full Name
First Name
Last Name
Emergency Contact Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Relationship to Student (Emergency Contact)
Please Select
Relative
Family Friend
Neighbor
Other
Attendance and Incentive Acknowledgments
Please review and acknowledge the requirements.
I understand that my child must attend all sessions in full.
*
I agree
I understand partial attendance will disqualify my child from the incentive.
*
I agree
Monetary Incentive Acknowledgment
*
I understand that the incentive is earned through full attendance and participation.
Code of Conduct Agreement
*
I agree to the code of conduct: arrive on time, show respect, participate, follow all community center rules, refrain from disruptive behavior. I understand there are consequences for failing to follow expectations.
Behavioral Acknowledgment
*
I understand there is a zero tolerance policy for fighting, bullying, or disruptive behavior.
Medical Conditions
Please let us know if your child has any medical conditions.
Does your child have any medical conditions or allergies?
*
Yes
No
If yes, please explain medical conditions or allergies
Photo and Media Release
Permission for your child's image to be used in workshop-related media.
I give permission for my child to be photographed or recorded for promotional or educational purposes related to this workshop.
*
Yes, I give permission
No, I do not give permission
Liability Waiver
Please review the liability statement.
I acknowledge that the workshop organizers are not responsible for injuries or accidents except in cases of gross negligence.
*
I agree to the liability waiver statement.
Pickup Authorization
Who is authorized to pick up your child?
Authorized Pickup Person's Full Name
*
First Name
Last Name
Relationship to Student (Pickup)
*
Please Select
Parent/Guardian
Relative
Family Friend
Other
Pickup Person's Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
How did you hear about this workshop? (Select all that apply)
*
School
Social Media
Como Lion's Heart
Richelle's Heart
Creative Vision Social Services and Consulting
Word of Mouth
Other (please specify)
Workshop Details and Requirements
Submit Registration
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