Youth Leadership Program Registration Form
CYD's Youth Leadership Programs empower youth to become strong leaders among their peers. They are structured programs designed to help youth make better decisions throughout their lives, improve group work ethic, presentation and writing skills. These programs offers rewards to youth on a weekly basis to reinforce positive actions. The programs exposes youth to successful professionals from multiple fields throughout each program.
Email address *
Child's Name *
First and last name
Your answer
Address *
Your answer
City *
Your answer
State *
Your answer
Zip *
Your answer
Phone *
Your answer
Email *
Your answer
Child’s Birthday *
MM
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DD
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Child’s Shirt Size *
Would you be interested in hearing about additional volunteer opportunities with the program?
For reporting and program improvement purposes, we will need access to your child’s grade and conduct reports (this information will not be shared outside of CYD Enterprises and the partnering school) *
Your child has been chosen as a participant for the program would you like to *
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