2021 Virtual Youth Empowerment Summit (YES!)

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Event Date: Saturday, April 24, 2021
Event Time: 9:00 a.m. to 12:00 p.m.
Contact us at: yolosaysyes.com

Email *

Phone number and best time to contact

Primary Language

Youth Empowerment Summit Registration Form for Students & Youth

Pick the top two topics you are passionate about that you would like to discuss with elected officials? *

Safety (Gun Control, Law Enforcement, Community Safety)

Racism & Xenophobia (Race & Country of Origin Recent Assaults, Discrimination, etc.)

Environment (Climate Change, Access to Clean Water & Food, Waster, Overpopulation)

Education (Education Reform, Equal Access to Education, Funding for K-12, Distance Learning)

Youth Engagement (At the local, state and national level)

Youth Collaboration with Elected Officials (School Board, City Council, Parks & Rec., etc.)

Human Rights (Poverty, Homelessness, Immigration Rights, Freedom of Speech)

Health & Mental Wellness (COVID-19, Obesity, Equal Access to Health Care, Fitness)

Social Justice - (Black Lives Matter, Sexuality & Gender, Ageism)

Other:

Required

Full Name *

Email (use school or organization email address) *

Role (Student, teacher, administrator, elected official, partner, other) *

Organization/School *

Grade (put n/a if not applicable) *

Birth date *

YYYY

Parent/Guardian name / contact information (put n/a if not applicable) *

Have you attended a YES! event before? *

Yes

If yes, specify first and more recent attendance

Other:

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