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
*
-
Month
-
Day
Year
Date
Current Grade Level
*
Please Select
5th
6th
7th
8th
9th
10th
11th
12th
School Name (if applicable)
Parent / Guardian Information
Contact information for a parent or guardian.
Parent / Guardian Full Name
*
Relationship to Youth
*
Parent
Guardian
Other (please specify)
Parent / Guardian Email Address
*
Parent / Guardian Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Preferred Method of Contact
*
Email
Phone
Either
Program Interest & Availability
Let us know which programs and times interest you.
Which program(s) are you interested in?
*
After-School Cooking Cohort
Summer Program
Not sure yet
General Availability
*
Weekdays after school 4–7 PM
Summer daytime
Flexible
How did you hear about hUmankind?
*
School
Community organization
Local business
Social media
Friend / word of mouth
Other
Health, Safety & Accessibility
Please help us provide a safe and supportive experience.
Does your youth have any food allergies or dietary restrictions?
*
No
Yes (please specify)
Is your youth comfortable with the following supervised cooking activities? (Check all that apply)
Knives
Stovetops / ovens
Hot 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 more
No
Prefer 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)
Submit Interest Form
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