DanversCARES Youth Leadership Form Sign-Up
ALL High School and Middle School students interested in being a DanversCARES Youth Leader MUST fill out this form by October 2019.
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Student's First Name *
Student's Last Name *
Grade *
Please indicate your current 2019-20 school year grade level.
Your Danvers Public Schools student gmail address.
Your cell phone number for meeting reminders. *
Street Address *
Home Phone Number *
Parent/Guardian First Name *
Parent/Guardian Last Name *
Parent Email Address
Additional Parent Email
Do you have any medical concerns we should know about for safety reasons during out of school time, such as: you carry an epi pen for allergic reactions, you use an inhaler for asthma, etc.
If you answered yes, please indicate your medical concerns.
What is your preferred T Shirt Size?
Clear selection
What best describes your gender identity?
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What is your race?
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Are you Hispanic/Latino?
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Please select your age range:
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