ASPYRE 2018 TOY - Application
Time Out Youth Center is excited to bring youth to the LGBT Center of Raleigh's ASPYRE Leadership Camp each year. It's time to start registering for this year's camp. Below is the info on the Camp directly from the LGBT Center. Once you read the info below, please register through the form if you are interested in attending. Space is limited and the first 13 eligible youth will be registered for the camp.

Once you complete the form, O'Neale will follow-up with you to confirm your spot once we have submitted our applicants.

--------------------------------------------------Read this info below before completing the form-----------------------------------------------------------------

Thank you for your interest in attending the 2018 ASPYRE Leadership Camp at Camp Weaver in Greensboro, NC on Friday, March 23, 2018 at 6:15 PM through Sunday, March 25, 2018 at 2:00 PM. The camp is a leadership retreat for LGBTQ youth and allies ages 13-17 or 18 and still in high school. You will be creating an action plan for a change you want to see in your community and learning the skills you need to jump start your effort. You will also have the opportunity to network with other LGBTQ youth from across the state, make new friendships, and get inspired.

Before you register, please note, the camp will cover many sensitive topics that can potentially be triggering. We will attempt to sufficiently warn you, however the camp is designed to prepare you to lead a movement in your community where you may have to face these topics. Parental permission for all attendees under 18 will be required for this overnight event. If you have questions, please contact nbuchser@lgbtcenterofraleigh.com. We look forward to having you join us for this great event sponsored by the LGBT Center of Raleigh.

Please note that transportation must be provided to and from the camp as we are not able to provide that service this year. Once registered, you will be invited to the Facebook group specific to camp attendees. You are welcome to coordinate carpooling if desired. However, please keep in mind that the LGBT Center of Raleigh and the ASPYRE Leaders (youth or adult) are not responsible for coordinating, follow through of transportation or incidents occurring while carpooling.

Have you previously attended ASPYRE? *
Note: First time attendees are given priority when determining who will attend the camp.
Legal Last Name *
Your answer
Legal First Name *
Your answer
Preferred Name *
How you would like to be addressed at the camp
Your answer
Pronouns *
(he/his, she/her, they/their, etc.)
Your answer
Date of Birth *
MUST be between 13-17 or 18 and still in High School at the time of the camp (March 2018)
MM
/
DD
/
YYYY
Street Address *
Your answer
City *
Your answer
State *
(NC)
Your answer
Zip Code *
(i.e. 28205)
Your answer
Phone Number *
(Include Area Code XXX-XXX-XXXX)
Your answer
Email *
Your answer
Name of School you are currently enrolled *
Your answer
How did you hear about the camp? *
Your answer
Are you on Facebook? If so, would you like to be added to the ASPYRE group? *
Please write in if you use a different name on Facebook. A youth leader will be sending you a friend request to add you to the group.
Your answer
What do you want to gain from your experience at ASPYRE? *
Your answer
Dietary Restrictions? *
(None, Vegetarian, Vegan, GF, Food Allergies, etc.)
Your answer
T-Shirt Size *
Your answer
Please verify that you understand that potentially sensitive topics will be covered at this camp *
Required
Please describe any additional accommodations that you may need while at the camp.
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms