Youth 29th Annual Teen Conference Registration Waves of Change & Oceans of Opportunity
Youth Registration
Email address *
First Name *
Your answer
Last Name *
Your answer
Age *
Your answer
Gender *
Your answer
Have you ever been in foster care? *
Address (Street) *
Your answer
City *
Your answer
State *
Your answer
Zip *
Your answer
Phone Number *
Your answer
Do you have any sensitivities - allergies or food sensitivities - allergies? *
Your answer
Can we take your picture at the conference? *
The photos may be used in publications or websites that may be viewed by the public.
Required
T-Shirt Size (T-Shirt size is guaranteed if you register by June 2, 2019) *Note: shirts run small to size *
Choose one (1) t-shirt size *Note: shirts run small to size
Is there someone you want to stay with throughout the day?
Their name is:
Your answer
How are you getting to the conference? *
Your answer
Choose a morning workshop
AM Workshop Choice #1 *
Pick your first choice
AM Workshop Choice #2 *
Pick your second choice
AM Workshop Choice #3 *
Pick your third choice
Choose an afternoon workshop
PM Workshop Choice #1 *
Pick your first choice
PM Workshop Choice #2 *
Pick your second choice
PM Workshop Choice #3 *
Pick your third choice
A copy of your responses will be emailed to the address you provided.
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