Gifted Youth Club Proposal Form
Please allow the Gifted Youth Committee 2 - 6 weeks to review your club proposal.  You will be contacted about next steps at the email entered, below.  Upon form submission, you will receive a copy of your form responses.

Note: This form must be filled with consent of a legal guardian, and the email entered should be that of the legal guardian.
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Email *
Parent name:
Youth member name (full name):
Mensa membership #:
Age *
Grade *
Club topic:
Club activity proposal: (sample activities you may conduct as a group using online collaboration tools and video-conferencing)
Role Choice: *
If you have selected “Leader,” you must have a volunteering guardian available to moderate club meets in compliance with GYC codes of conduct.  This volunteer must also be able to provide a vulnerable sector check.  
If you have selected "Leader," please enter the name of the volunteering guardian that will moderate:
Please enter this volunteering guardian's email:
A copy of your responses will be emailed to the address you provided.
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