Mid-City CAN's Youth Council
Welcome to Mid-City CAN's Youth Council! We are so excited that you are considering joining our youth council. Youth Council envisions a world where youth have the ability to participate in decision making spaces and create change in their local communities.

WHAT: Youth Council Meetings
WHEN: Fridays 4:00-6:00pm
WHERE: Hybrid: Zoom/In-person

***Youth Council is only OPEN for young people ages 13-18 that reside in San Diego County***

You can reach this form by visiting: bit.ly/JoinYouthCouncil
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Youth Council in Action
First Name *
Last Name *
What is your Phone #? *
What is your most checked email? *
What is your preferred method of communication? (Choose all that apply) *
Date of Birth *
What are your preferred pronouns?
School Attending Fall of 2021 *
Grade in Fall 2021 *
Home Address *
Do you need transportation? *
Are you vaccinated? *
If no to the question above, can we contact you to support you in scheduling a vaccine appointment?
Clear selection
Any allergies/ dietary restrictions? If no put N/A *
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