School Registration
Thank you for your interest in our annual Xicano Youth Conference. If you could please take some time to answer the following questions in regards to your school we would greatly appreciate it, this way we will accommodate you and your school accordingly. We look forward to seeing you on January 23rd, 2016.
Full Name
Your answer
Name of High School Participating
Your answer
School District
Your answer
Your Position
In the Questions/Comments section, could you please state what you teach, which club you are an advisor for, or if you are an AVID/Cal-SOAP counselor
Number of Students Attending
Your answer
Number of Parents Attending
If Applicable, a parent workshop will be provided if enough parents attend otherwise they will attend student workshops
Your answer
Any Special Accommodations?
If Yes, please state. For example "I have 1 student that is vegetarian".
Your answer
Email
Your answer
Phone Number
Your answer
Questions/Comments
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