Youth Interest Form

Youth Interest Form

Thank you for your interest in hUmankind! Please complete this form to help us learn more about your youth and family, your interests, and how we can best support you.
Youth Information

Tell us about the youth who may participate.
Youth Full Name*
Youth Date of Birth*

MonthDayYear
Date
Current Grade Level*
School Name (if applicable)
Parent / Guardian Information

Contact information for a parent or guardian.
Parent / Guardian Full Name*
Relationship to Youth*

ParentGuardianOther (please specify)
Parent / Guardian Email Address*
Parent / Guardian Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Preferred Method of Contact*

EmailPhoneEither
Program Interest & Availability

Let us know which programs and times interest you.
Which program(s) are you interested in?*

After-School Cooking CohortSummer ProgramNot sure yet
General Availability*

Weekdays after school 4–7 PMSummer daytimeFlexible
How did you hear about hUmankind?*

SchoolCommunity organizationLocal businessSocial mediaFriend / word of mouthOther
Health, Safety & Accessibility

Please help us provide a safe and supportive experience.
Does your youth have any food allergies or dietary restrictions?*

NoYes (please specify)
Is your youth comfortable with the following supervised cooking activities? (Check all that apply)

KnivesStovetops / ovensHot food or equipment
Please share any additional safety, health, or accessibility notes (optional)
Media Awareness

Consent regarding your child appearing in group photos or videos.
Are you comfortable with your child appearing in group photos or videos taken during hUmankind activities?*

Yes, open to learning moreNoPrefer to decide later
Acknowledgment & Understanding

Please confirm your understanding and agreement.
I understand this form is for interest and information purposes only. Participation is not guaranteed until further steps are completed.*

I understand and acknowledge
I understand a consent packet will be required before participation.*

I understand and agree
Is there anything else you'd like us to know about your youth or family's interest? (optional)
Should be Empty:

Youth Interest Form

Youth Information

Parent / Guardian Information

Program Interest & Availability

Health, Safety & Accessibility

Media Awareness

Acknowledgment & Understanding