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Youth Institute Interest Form
Please fill out this form to receive more information about Youth Institute! We will be in contact soon after you submit.
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* Indicates required question
Name:
*
Your answer
Preferred Pronouns
She/Her/Hers
He/Him/His
They/Them/Theirs
Other:
Clear selection
Parent/Guardian Name:
Your answer
Email:
*
Your answer
Phone Number:
*
Your answer
Preferred Method of Contact:
Email
Phone Call
Clear selection
Language Spoken at Home/ Preferred Language
*
Your answer
What HS do you/your youth attend?
*
Squalicum HS
Options HS
Sehome HS
Bellingham HS
Mt. Baker HS
Ferndale HS
I am in Middle School
Other:
Grade
*
7th Grade
8th Grade
9th Grade/ HS Freshman
10th Grade/ HS Sophomore
11th Grade/ HS Junior
12th Grade/ HS Senior
I am Interested in:
*
School Year YI
Summer YI
Both!
Do you have reliable transportation to and from the Downtown YMCA (1256 N. State St.)
*
Yes
No
Questions or Comments?
Your answer
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