Young Medical Minds Registration 2026/2027

Young Medical Minds is a joint initiative between Health Shared Services, ALTA Paramedic Health, Covenant Health, the EMS Foundation and the local medical community. Thank you to our donors and sponsors, there is no fee to attend the program.

Dates:

Fall Session: September 10, 17, 24, and October 1, 8, 15, 2026

Winter Session: January 7, 14, 21, 28, and February 4, 11, 2027

Session 1 (6:15 - 8:30 pm)
Session 2 (6:30 - 8:15 pm)
Session 3 (6:30 - 8:15 pm)
Session 4 (6:30 - 8:15 pm)
Session 5 (6:30 - 8:15 pm)
Session 6 (4:00 - 8:00 pm. Parents from 6:15 - 7:30 pm).

Please note registration for the 2026 sessions are open to students who will be in Grade 8 in 2026-2027 school year.

Reminder: at the end of this form is a section for the Grade 8 Student to showcase why they are interested in participating in this program. This should be 1 - 2 paragraphs long. This is required to be completed by the Student who is interested in registering for the Young Medical Minds program.

Student Name

First NameLast Name

What name would the student like to use on their name tag? If different than above.

Some program locations may require participants to wear alternate footwear in areas with sanitation requirements.Please indicate your student’s shoe size and specify whether it is youth, women’s, or men’s (for example: Size 9 women’s or Size 8 men’s).

Example: Size 9 women's. Size 8 men's.

Would your student like their pronouns identified on their name tag? If yes, please select below.

Other

Students Email

example@example.com

Parent or Guardian Name

First NameLast Name

Parent or Guardian Contact Email

example@example.com

City or Town of Students Residence

Parent or Guardian Contact Phone Number

Area CodePhone Number

Date of Application

Date

Name of School

Grade as of September 2026 (this program is for Grade 8 students)

Why do you want to participate in the Young Medical Minds Program (1-2 paragraphs). This section is required to be completed by the student.

Which session would the Student prefer?

Any additional information you feel we should know? Example. Comfort level with medical situations, accommodations that may be required etc.

Participants will get a meal on the final night at Augustana University. Are there any food allergies or requirements for the student? Please list all. Example: Halal, gluten intolerance, severe peanut allergy etc.

Where did you hear about the program?

Welcome to the Young Medical Minds 2026/2027 Application Form