6PIC Program Sign Up
Welcome! Please answer the below questions in order to register to be a 6PIC member known as a #CityBuilderInMotion. All youth and young adults that join 6PIC are called City Builders even if you don't register for the Thursday City Builder program. This is because community service is a part of EVERYTHING we do at 6PIC!

As a City Builder at 6PIC, you will learn about JUSTICE and how to make your community BETTER through CREATIVE AND FUN ways in the area of arts, education, science and advocacy.

FALL PROGRAMS
First Name: *
Your answer
Last Name: *
Your answer
Age: *
Your answer
Date of Birth: *
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Preferred Pronoun? *
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Phone Number: *
Your answer
Email:
Your answer
Would you rather us call, text or email you? Check all that apply: *
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Where do you go to school? *
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If in school, what grade are you in?
Are there any health concerns you would like to share (including allergies, physical or emotional health)? *
Your answer
Street Address: *
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City, State: *
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Zip Code: *
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Parent/Guardian Name: *
Your answer
Parent/Guardian Phone Number: *
Your answer
How did you hear about 6PIC? *
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Why would you like to join 6PIC? *
Your answer
What kinds of activities are you interested in at 6PIC? *
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Who provides the most support in your life? *
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What does respect mean to you? *
Your answer
What does community mean to you? *
Your answer
What's something you want to change about your community? *
Your answer
What do you see yourself doing in 3 months? A year? *
Your answer
What do you see yourself doing after high school?
Your answer
You will receive an email from our assistant manager Mr. Ron (ronaldlee.6pic@gmail.com) with your selected program time. You will need to respond to that email to with your orientation time. Thanks!
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