Register for Youth Driven 2021 Summit
Day camp at Rhode Island College, August 3rd - 6th 2021.

1.) Register online for Summit Application. (this online form)
2.) Application will be emailed to you and your parent/guardian to sign and send back before MAY 31, 2021
3.) July 1, 2021 You will receive an accepted student packet in the mail.
First Name *
Last Name *
Email *
Identify As *
Grade You Will Be Entering Fall 2021 *
School You Will Be Attending Fall 2021 *
Address *
Cell Phone *
Parent/Guardian Name *
Relationship to Student (mom, dad, uncle) *
Parent/Guardian Email *
I Am Applying To Be A *
T Shirt Size *
Food Restrictions *
Allergies *
How Did You Hear About Youth Driven Summit? *
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