27th Annual Teen Conference Registration
Adult Registration
Email address
Name (First & Last)
Your answer
Age
Your answer
Gender
Your answer
Organization
Your answer
Have you ever been in foster care?
Address (Street, City, State, Zip)
Your answer
Phone Number
Your answer
Do you have any sensitivities or 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 1st)
Choose one (1) t-shirt size
Is there a young person you need to stay with throughout the day?
Will you be attending all day or just a portion?
Please let us know so we have an accurate count for lunch and materials
Adult allies and agency partners attending the Teen Conference are asked to help with transportation
Make sure that each youth submits a registration form. Please list the youth you are able to help
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.
Please complete the captcha before submitting the form.
Submit
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