Youth Leadership Camp Registration Form

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New Beginnings is hosting our fourth annual Youth Leadership Camp July 21st - 24th at the Capitol Hill Library!

10am - 3pm on July 21st, 22nd & 23rd
& 12 - 5pm on July 24th

High school students ages 15-18 who are interested in promoting healthy relationships norms in their school communities are invited to attend this free event!

The Youth Leadership Camp will support leadership development through workshops centered around relationships, anti-violence, advocacy, and more. You'll meet other local teens who share similar values. Together, you'll learn and practice peer education skills to engage your own community.

We will provide lunch- dietary restrictions accommodated. Folks who attend 3+ days will receive a certificate of completion that will look great on college/job applications!

Thank you for filling out this registration form! We will contact each of you in June to confirm your registration and provide more details such as workshop agendas, drop offs/pick ups, and food.

Questions? Email Hilary, the retreat planner at hbowker@newbegin.org.

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Name *

Pronouns *

Email *

This email will receive all information about the retreat. It's totally ok to put a parent's if you'd prefer they get the info first!

Emergency contact, name/phone number *

Age/Grade for fall *

Please note that the age range for this event is 15-18. We can make exceptions for students 13+ who demonstrate a strong interest in the program or who have worked with New Beginnings.)

School you will be attending in fall *

Why would you like to join the Youth Leadership Retreat? *

I want to be a peer educator in my community

I want to learn more about healthy relationships, social justice, and more

I want to get to know teens who are interested in the same topics as me

Sonstiges:

Pflichtfrage

Do you have any dietary restrictions or allergies? If you are allergic to something- do you need any medications in case of interaction? *

Do you have any accessibility needs? *

Ex: Do you require an elevator? Do you need multiple seating options? Translation?

How did you hear about this retreat?// are you familiar with new beginnings? *

New Beginnings comes to my school to do trainings or Crushin It

Online

Through a friend

Sonstiges:

What are you most excited to learn at our retreat? *

What is a community value you put to practice? *

Any questions for us? Anything you'd like for us to know?

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