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BPP Youth Empowerment Summit (Y.E.S.) Registration Form
Y.E.S. November 10th 9am-5pm at Rainier Beach High School
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* Indicates required question
Email
*
Your email
Name
*
Your answer
I am a youth (13-18) or young adult (19-21).
*
Yes
No
I am bringing youth to attend the Summit.
*
Yes
No
If you are someone bringing youth, how many are you planning to bring.
Your answer
Contact Number
*
Your answer
Age
*
Your answer
Level in School
Middle School
High School
College
Vocational School
Other
Clear selection
What school do you attend?
Your answer
Dietary Needs
Gluten Free
Nut Allergy
Dairy Free
Vegetarian
Pescatarian
Clear selection
Do you have any accessibility needs?
Your answer
Will you be accompanied by an adult?
Yes
No
Clear selection
If accompanied by an adult, what is there name?
Your answer
Emergency Contact - Please provide name & contact number.
Your answer
T-Shirt Size (Pre-registration is the only way to get a t-shirt.)
XS
S
M
L
XL
XXL
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