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Lead Con Esperanza Summit Registration
Welcome to the Lead con Esperanza Youth Summit registration form! Our summit will be held at Del Mar College Heritage Campus from 9:00 AM to 5:00 PM on October 17. Participants can expect a full day of interactive workshops, leadership development, meaningful conversations, fun activities, and opportunities to connect with other young leaders. Breakfast, lunch, snacks, and refreshments will be provided. Participant pickup will take place at Old Navy at 5:00 PM. Please complete the form below to register. ¡Bienvenidos al formulario de inscripción para la Cumbre Juvenil Lead con Esperanza! Nuestra cumbre se llevará a cabo en el Heritage Campus de Del Mar College de 9:00 AM a 5:00 PM on octubre 17th. Los participantes disfrutarán de un día completo de talleres interactivos, desarrollo de liderazgo, conversaciones importantes, actividades divertidas y oportunidades para convivir con otros jóvenes líderes. Se proporcionarán desayuno, almuerzo, refrigerios y bebidas. Los participantes deberán ser recogidos en Old Navy a las 5:00 PM. Favor de completar el siguiente formulario para inscribirse.
Youth Full Name
*
First Name
Last Name
Youth Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email Address /
*
example@example.com
Parent's Name
*
First Name
Last Name
Parent's Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Parent's Email
*
example@example.com
This summit is open to 8th–12th graders.
Grade
*
Please Select
8th
9th
10th
11th
12th
As a senior, are you interested in Internship Day in March?
Yes
No
Current School Name
What career interests are you exploring?
Healthcare
Education
Technology
Business
Arts
Media
Skilled Trades
Law & Public Safety
Science & Engineering
Non Profit
Government
Finance
Entrepreneurship
Agriculture
Environmental
Real Estate
Other
If Other, please specify
Use this if Other is selected.
Shirt size
Please select
XS
S
M
L
XL
XXL
3XL
4XL
Select one size.
Pant size
Shoe size
Please select
4
4.5
5
5.5
6
6.5
7
7.5
8
8.5
9
9.5
10
10.5
11
11.5
12
12.5
13
14
Select one size.
What is your favorite color?
What style do you like most?
Casual
Sporty
Formal
Trendy
Streetwear
Classic
Boho
Minimalist
Edgy
Other
Other
Do you have any allergies or dietary restrictions?
*
Yes
No
Please provide details
Use this field to describe any allergies or dietary restrictions.
Will you participate in the Old Navy shopping time with community leaders from 4:00–5:00pm?
*
Yes / Sí
No / No
Will you transport your child, or will your child ride our bus from Del Mar College to Old Navy?
*
Transport my child
My child will ride the bus
Media Release
Please Select
Yes
No
I give permission for pictures and videos to be taken and understand that these images might be used on our website or future promotion
Register / Registrarse
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