Youth Policy & Advocacy Skills Summit (Franklin County/North Quabbin Registration)
When: Saturday, June 14, 2025 10AM - 3PM 
Where: Smith College Conference Center, Northampton, MA
Who: Youth ages 13-19 who live and/or go to school in Hampshire or Franklin County or the North Quabbin region of Massachusetts. 
What: This event was organized by youth and adults and will have lots of interactive and informative activities for local teens to build policy and advocacy skills! Participants who attend the full event will receive a $75 gift card as well as free lunch!

PLEASE FILL OUT THIS FORM IF YOU LIVE OR ATTEND SCHOOL IN FRANKLIN COUNTY/NORTH QUABBIN.
If you live/attend school in Hampshire County Area, please fill out the Hampshire County Registration.


Questions? Contact nbledsoe@frcog.org

Questions with an * are required. The rest are optional. 
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First and Last Name
 *
Pronouns 
An email address that you check so we can send you final details: *
If you attend a school, what school do you attend? 13-19 year-old homeschoolers, alternative education students, and graduates are welcome! Note your situation in the space below, and we’ll follow up with any questions. *
City/town of Residence *
What is your age? *
*What is your racial and ethnic identity? Please check all that apply.  
*This question is OPTIONAL to answer. Our funders ask us to include this question. 
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*How do you describe yourself? Please select all that apply.
*This question is OPTIONAL to answer. Our funders ask us to include this question. 

A couple of definitions:

Cisgender: People who are assigned female at birth and identify as girls or women, and people who are assigned male at birth and identify as boys or men.

Transgender: People who have a gender identity that doesn’t match the sex they were given at birth — for example, they were assigned female at birth but they currently identify as male. Trans can also include people who don’t identify with strict male/female gender roles. Other people who don’t identify as either male or female may call themselves nonbinary, genderqueer, or something else. Some people identify as both trans and nonbinary.
Do you have accessibility needs that we should be made aware of? 
We will have a big workshop for everyone about policy change at multiple levels, including school, town, state, etc! 

What other workshops interest you the most? Check all the ones that look interesting to you! We will try to make space for you in one of the workshop(s) you select here!  
Let us know if you have dietary restrictions - vegetarian, vegan, gluten-free, allergies, etc. We plan to have a variety of food options and this helps us to order the right amounts. *
What are you hoping to get out of this conference? *
How did you find out about this opportunity?
Is there anything else you would like us to know?
If you are under 18, we are required to get parental permission for you to attend this summit. What is the name of a parent or guardian who knows you are attending this summit? 
(If you are 18 or 19, please state your age below.) *
What is the email and phone number for your parent or guardian? We will contact them to confirm their permission for your attendance.
(If you are 18 or 19, please list an emergency contact here, which we will only use if necessary on the day of the event.) *
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