youth empowerment workshops (YEW)

Name *

First Name

Last Name

Phone *

(###)

###

####

Birth Date *

MM

DD

YYYY

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Will you be able to commit to all workshop days? *

It's okay if you aren't able to attend all days. If registration exceeds the cap, priority will be given to those who are able to attend all workshop days.

Yes

No

Other

Do you agree to follow all COVID-19 protocols given during the workshops? *

For example: checklist and vaccination cards before entering, frequent hand washing/sanitizing, masks, physical distancing, staying home when sick, etc.

Yes

No