South Central LA Heart of YJR 2025 Sign Up Form
Thank you so much for your interest in joining our South Central Heart of Youth Justice Reimagined youth group! Build YOUR leadership and voice to inform decisions impacting your community.

Please be sure to fill out the entire form so that we can ensure you are able to receive your $25 gift card (ages 14-26) upon attending and are up to date on our future meeting dates.

Date & Time: Thursdays 9/18, 10/16, 11/20, 12/4 @ 5pm - 7pm* 
Location: Chuco's Justice Center | 7625 S. Central Ave, Los Angeles, CA, 90001
(*The first 30 minutes will be for dinner & gathering)

To learn more about the Los Angeles County Department of Youth Development visit here. Read the full Youth Justice Reimagined report HERE.

For any questions please email Alma at alma.isid@gmail.com
Sign in to Google to save your progress. Learn more
First Name *
Last Name *
What are your pronouns?
Learn more about pronouns HERE.
Phone Number *
We will use your phone number to text you regarding stipends and meetings!
Email Address *
We will use your email to message you regarding stipends and meetings! Please make sure you have access to the email address you type in.
What is your age? *
Which session(s) are you registering for? *
Required
Are you returning or is this your first time attending? *
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms