Youth Igniting Change Institute, Summer 2022
Bright Futures: Growing Young Visionaries
August 8th - 12th, 10am-3pm
JMU's Burress Hall, 820 Madison Dr. , Harrisonburg, Room 0229

Join us for the eighth annual Youth Igniting Change Institute (YIC) for rising 9th-12th graders! This year participants will cultivate their visions for a brighter, just world.

Throughout the week, youth will envision a world that is free from oppression and learn about ways communities have already created systems and practices of liberation that both serve and empower. Participants will also work with local artists to express their visions through art while exploring the connection between artistic expression and social change. In addition, students will participate in mindfulness-based exercises and learn strategies for emotional well-being.

Students will also enjoy an art and activism-focused field trip. The field trip will be no farther than 3 hours away from Harrisonburg.

Youth Igniting Change is FREE for all participants and is open to rising 9th – 12th graders in Harrisonburg/Rockingham. Lunch is provided for everyone each day. Transportation can be provided for participants living in the Harrisonburg/Rockingham area as needed, and transportation will be provided for ALL for the field trip.

Register here and/or get more info @ sexedva.org/yic!
Questions? Reach out to Darryl Boykins: boykindd@jmu.edu 
Sign in to Google to save your progress. Learn more
Email *
Participant First Name *
Participant Last Name: *
Participant Date of Birth: (mm/dd/yy) *
Age and grade completed *
Guardian 1: name, phone number, and email address *
Guardian 2: name, phone number, and email address
Participant's gender pronouns *
Participant's school *
Allergy/Dietary Restrictions   *
Will you need transportation to Youth Igniting Change? (YIC staff will follow up with transportation details) *
If you need transportation, at what address will we pick you up and drop you off?
Permission to Participate and Indemnity
The child registered on this form has my permission to participate in the Youth Igniting Change Summer Institute. I agree that the Institute for Innovation in Health and Human Services and James Madison University will not be held responsible for accidents arising thereof. I am responsible for any medical obligations incurred during these camp activities and give the camp permission to seek treatment in case of injury or illness. I understand that I am ultimately responsible for my child’s behavior at camp and that they will be expected to sign and live by the camp agreement which states: “I will show respect to myself and my peers.” *
James Madison University and The Institute for Innovation in Health and Human Services have permission to use, publish or disclose in newsletters, brochures, periodicals, posters, website or other media- related vehicles, any photographs, videos, audios or other material in which my child may have appeared, spoken, written or otherwise been represented. *
Emergency Contact if parent/guardian cannot be reached. *
Name/ Relationship / Phone number (daytime or cell numbers).
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy