YL MLK 2020
Register for the YL MLK 2020 Weekend! Please fill out the form below. If you are registering for more than one student, please fill out a form for each student. Thank you.
Registration is not complete until deposit of $100 is paid.
Sign in to Google to save your progress. Learn more
Student First Name *
Student Last Name *
School *
Grade *
Gender *
Student Cell Phone Number *
Student Email *
T-shirt size *
Parent/Guardian Name *
Parent/Guardian Cell Phone Number *
Parent/Guardian Email Address *
If you would like another parent included on communications, please provide their email and cell phone number below:
How will you pay your deposit? *
Do you have any special diet needs, allergies, or other medical conditions that we need to be aware of? *
Would you like to help send another student to YL MLK Weekend Camp? An email will be sent to you after you register that includes instructions on how to give. *
After submitting, you will be directed to our payment page. Registration is not complete until deposit is paid. You only need to fill out the first 3 items on the payment page. If you prefer to pay by check or cash, your spot will be held for one week until payment is made, then will be given to the next person on the list. Thank you.
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy