PACT's Life & Job Skills Projects: Registration Form
All PACT Virtual Programs are free for youth ages 13-21. Please see each program for suitable age suggestions.

Group classes are drop-in, so can be joined at anytime, although participants must register before their first class.

For questions, please email referrals@pactprogram.ca 
Sign in to Google to save your progress. Learn more
What class(es) are you registering for? *
Required
Full name of youth *
Age of youth *
Pronouns of youth *
Youth contact information (email/phone) *
Name of referral agent *
Referral agent's relationship to youth *
Referral agent contact phone number *
Referral agent contact email *
Do you prefer phone or email communication? *
What high school does the youth attend? *
What college/university does the youth attend? *
How did you hear about PACT? *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of PACT Urban Peace Program. Report Abuse