Graduate's Recognition

1
Name of the Graduate * This field is required.
First Name
Last Name
2
Email of the Graduate * This field is required.
example@example.com
3
Parent/Guardian's Name * This field is required.
First Name
Last Name
4
Parent/Guardian's Email Address* This field is required.
example@example.com
5
Will the Graduate Be Attending This Program on Sunday, June 14, 2026?* This field is required.
YESNO
6
Parent/Guardian's Phone Number* This field is required.
7
Name of the Graduate's High School * This field is required.
8
Extracurricular Activities * This field is required.Please list any extracurricular activities that the graduate participated in. If there are no extracurricular activities, put N/A.
9
Academic Achievements * This field is required.List any academic achievements that you would like for us to know about the graduate. If there are no academic achievements, put N/A.
Huge
Large
Normal
Small
Ok
Ok
10
Post High School Plans* This field is required.List the post high school plans of the graduate. If he or she is attending college, please list the name of the school and the major, if known. If military, which branch? If going to workforce, indicate "workforce".
Huge
Large
Normal
Small
Ok
Ok
11
Photo 1: A photo of the graduate as a baby. NOTE: If the photos you try to include don't work, email them to yia@yiayouth.com and put "Graduate Photo" in the Subject line.
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Max. file size: 10.6MB
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12
Photo 2: A second photo of the graduate as a baby.
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13
Photo 3: A family photo
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14
Photo 4: Cap and Gown Photo
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15
Photo 5: Sports or extracurricular activities photo
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