Boys to Men Conference 2019 - Level Up
Join us for Sow A Seed Community Foundation's annual Boys-to-Men Conference.   This FREE conference will be held on Saturday,  December 7th, 2019 at Kimball High School in Tracy,   from 8:30 am - 2:30 pm( Doors open at 8 am).   This conference is open to boys ages 10 -18.  The Boys-to-Men Conference is an uplifting and positive event using real-life approaches for realistic results. In this conference participants attend professionally delivered workshops,  hear a keynote address,  and ask questions during a panel discussion. A catered lunch is also included. The key focus areas include healthy lifestyles, personal accountability, leadership development and alternatives to deviant behavior.   Register Now!!
Sign in to Google to save your progress. Learn more
Email *
Name of Attendee   (First, Last) *
Address *
City, State and Zip Code *
Attendee's Email address
Date of Birth (make sure to type in correct year) *
MM
/
DD
/
YYYY
Grade *
If Grade is "OTHER", please explain
School Currently Attending *
Referred by: *
Parent/ Guardian Name  (First, Last) *
Relation to Attendee *
Number in Household
Housing status
Youth's Sexuality
Annual Household Income
Does Youth Qualify for Free or Reduced Lunch Program at school?
Source of  Household Income (check all that apply)
Ethnicity  (check all that apply) *
Required
Parent/ Guardian Acknowlegement *
Required
Parent/ Guardian Contact Phone Number  xxx-xxx.xxxx *
Other Phone Number
Emergency Contact Name (2nd contact in the event that we cannot reach you) *
Emergency Contact phone number xxx-xxx-xxxx *
Are any special accommodations needed or dietary restrictions? *
If special accommodations needed or dietary restrictions, please explain.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Sow A Seed Community Foundation. Report Abuse