T2 Interest Form
Teen's Name
*
First Name
Last Name
Date of Birth
-
Month
-
Day
Year
Date
Age
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
School
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I've previously attended YMCA camping programs for: (not required for acceptance into program)
Camp Takatoka resident camp
Day Camp
Counselor-In-Training (CIT)
Counselor-In-Leadership-Training (CILT)
Which information session do you plan to attend?
Thursday, May 14 - Herman & Kate YMCA @ 6pm
I am unable to attend
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I have a friend who might be interested too!
My friend's name is
First Name
Last Name
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
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If approved, I am available to join the T2 service trip to Seven Council Fires YMCA in Dupree, South Dakota on on June 22-28, 2026
*
Yes
No, but possibly if at a later date
Hopefully
What do you hope to gain from this experience?
*
Submit
Should be Empty: