Youth Empowering Youth: Children's Program, Ages 8-12; Free Online Leadership Program
Youth Empowering Youth: Children's Program
Ages 8-12

Saturdays 1-2pm Pacific Time
July 31th - September 18th, 2021

This program equips children to become leaders who take accountability for their thoughts, feelings and actions. Offered once a week for 60 minutes, via zoom, in a class like setting that is interactive, empowering & fun. We help children cultivate compassion for themselves & others.

Please note that this online program will be recorded for: (1) Internal Use - training and quality assurance; (2) Participant access - for participants who want to review or who miss a class, this feature is only available during the program and recordings are not downloadable; (3) If parent indicates media consent in registration form below, clips may be used for program promotion/testimonials.

Questions?
Contact Mia Takeuchi, YEY Program Coordinator:
mia@lowentropy.org

https://lowentropy.org/youth-empowering-youth/
I commit my child (aged 8-12) to attend the full 8 weeks of the online program *
Child's First & Last Name (Full Name) *
Age *
Date of Birth *
MM
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DD
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YYYY
Grade *
What school does the child attend? *
Mailing Address *
Parent/Guardian First and Last Name (Full Name) *
Parent/Guardian Relationship to Child *
Parent/Guardian Email *
Parent/Guardian Phone Number *
Any additional information you would like us to know about your child? (Optional)
How did you hear about this program? (Optional)
Media Consent: photos and audio/video recordings may be used to publicize or promote the Youth Empowering Youth Program. I give consent for photos and audio/video recordings of my child to be taken and used to publicize the work of Youth Empowering Youth. *
Required
Media Consent: first names of children may be used to publicize or promote the Youth Empowering Youth Program. I give consent for my child's first name to be used to publicize the work of Youth Empowering Youth. *
Required
Terms and Conditions: These terms and conditions are to be followed by all participants of the Youth Empowering Youth Online Program including parents and children/minors. A parent or guardian over the age of 18 must agree to these terms on behalf of the child (children/youth) participating in the Youth Empowering Youth Zoom platform. The following behavior and protocol must be followed in order to participate in Youth Empowering Youth Program on Zoom. I understand that: *
Required
Parents/Guardians: By typing your name below, you agree to the above conditions and give permission for your child to participate in this program. *
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