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 September 29, 2017.
Student's First Name
Student's Last Name
Please indicate your current 2017-18 school year grade level.
Your Danvers Public Schools student gmail address.
Your cell phone number for meeting reminders.
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.
No, I have not medical concerns.
Yes, my medical concerns you should be aware of are:
If you answered yes, please indicate your medical concerns.
What is your preferred T Shirt Size?
What best describes your gender identity?
Prefer not to answer
What is your race?
American indian/Alaska Native
Native Hawaiian or other Pacific Islander
Are you Hispanic/Latino?
Please select your age range:
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