JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
WYANA Drinks and Discussion
Thank you for your interest in attending Drinks and Discussion: Online Edition on Friday, August 27 at 7 pm EDT. Please note this event is open to WYA members and friends 35 and under.
- WYA North America Team
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Confirm email
*
Your answer
First Name
*
Your answer
Last Name
*
Your answer
Nationality
*
Your answer
Country of Residence
*
Your answer
City/town of Residence
*
Your answer
Are you a World Youth Alliance Member?
*
Yes, I already signed the WYA Charter.
Not yet, but I'd like to be! By checking this box, I am signing the WYA Charter (
wya.net/charter
) and agree to become a member.
Required
PARENTAL CONSENT for new members under 18 years old: I, the parent/guardian of the person joining WYA, have reviewed this opportunity and agree to the storage and use of my child’s personal data as specified in the Privacy Policy. (
wya.net/privacypolicy)*
*
not applicable (already a member or 18+ years old)
yes, I agree
PARENTAL CONSENT for participants under 18 years old: I, the parent/guardian of the person registering for this event, have reviewed this opportunity and agree to the storage and use of my child’s personal data as specified in the Privacy Policy. (
wya.net/privacypolicy)*
*
not applicable (18+ years old)
yes, I agree
Name of parent/guardian
Your answer
Relationship of parent/guardian to child
Your answer
Would you like to become involved in or support WYA in any particular way? (e.g, become a regional intern, start a chapter, etc.)
Your answer
Date of Birth:
*
We need this info so we know if you are eligible to be a WYA member (i.e. between the ages of 10 and 30) or friend (over 30).
MM
/
DD
/
YYYY
How did you hear about this event?
*
Social Media
E-mail
Personal Invite
Other:
Data Privacy
*
You can read WYA's data privacy policy at
www.wya.net/privacypolicy
I agree to receive email updates for membership purposes, and for WYA to receive, store, and use my personal information in line with its Privacy Policy. *
Required
Send me a copy of my responses.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This form was created inside of World Youth Alliance.
Report Abuse
Forms
