BPP Youth Empowerment Summit (Y.E.S.) Registration Form
Y.E.S. November 10th 9am-5pm at Rainier Beach High School
Email address *
Name *
Your answer
I am a youth (13-18) or young adult (19-21). *
I am bringing youth to attend the Summit. *
If you are someone bringing youth, how many are you planning to bring.
Your answer
Contact Number *
Your answer
Age *
Your answer
Level in School
What school do you attend?
Your answer
Dietary Needs
Do you have any accessibility needs?
Your answer
Will you be accompanied by an adult?
If accompanied by an adult, what is there name?
Your answer
Emergency Contact - Please provide name & contact number.
Your answer
T-Shirt Size (Pre-registration is the only way to get a t-shirt.)
Submit
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