Youth In Action Summit Registration
6th - 12th graders are invited to join the virtual Youth in Action Summit July 21-22 from 1:00 - 3:00 PM.
Contact us at (831)454-4974 or monica.nicholas@santacruzcounty.us.

Space is limited, secure your spot!
Participants are highly encouraged attend both days of the event!
Cameras and Microphones highly recommended to participate!

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What is the name of the youth (participant) attending the conference? *
What school does the participant attend?
What is the participant's phone number? (Put N/A if unavailable) *
What is the participant's email address? (This is required for registration, a link for the event will be sent out via email) *
What is the name of your parent or guardian?
What is your parent or guardian's email address? (Put N/A if unavailable) *
What is your parent or guardian's phone number? (Put N/A if unavailable) *
We highly encourage the participant to attend both days of this virtual event. Please indicate all of the days you are available to attend. *
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Do you have experience using the Zoom platform?
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Does your computer or device have a microphone and camera?
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Do you need any tech assistance? If so, please let us know how we can support you.
Comments and/or questions
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