IACS Youth Board 2024-25 Registration

Registration for 2024-25 IACS YB

Parent Email*

This parent contact will receive all confirmations.
Applicant Name*
First Last
Age*
Birthdate*
MM slash DD slash YYYY
Gender*
YB Applicant Pronouns*
School*
Grade- Sept 2024*
Applicant Email*

Parents, please do not provide your email for this field. We do need the applicant’s email
Applicant's cell #*
Parents, please do not provide your phone number. If the applicant does not have a phone, just put 111-111-1111
Meal Preference*
Food Allergies*
Home phone*
Home address*
Street Address City ZIP Code
Are you a current YB ?*
- Yes
- No
Are you a current YC or YA?*
- Yes
- No
If YC or YA, how many years have you been a YC or YA (ex 2 year YC; 1 year YA)*

if not YC or YA previously then just say N/A
Did you attend Camp Bharat 2024?*
- Yes
- No
If you did not attend CB24, what was the reason?
Total number of year(s) you have attended Camp Bharat*
Please list your extracurricular activities during 2024-25 Year including summer 2025. Indicate time commitment per week and timeframe for each activity. ex: Baseball 5 hours a week, mainly weekend, April to June ex: Choir 1 hour a week on Thursdays, Dec-May**
Mother's name*
Mother's email*
Mother's cell*
Father's name*
Father's email*
Father's cell*