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2020 Census
IACS Youth Council 2024-25 Registration Form
IACS Youth Council (YC)
"
*
" indicates required fields
Parent Email
*
This parent contact will receive all confirmations.
Applicant Name
*
First
Last
Age
*
Birthdate
*
MM slash DD slash YYYY
Gender
*
Female
Male
Non-Binary
Other
YC Applicant Pronouns
*
School
*
Grade- Sept 2024
*
8th
9th
10th
11th
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
*
Vegetarian
Vegan
Non-Vegetarian (select even if its only chicken)
This is for the year round meetings/projects
Food Allergies
*
Home phone
*
Home address
*
Street Address
City
ZIP Code
Were you a YO or YC in 2023-24 ?
*
Yes
No
If YC, how many years have you been a YC?
Mother's name
*
Mother's email
*
Mother's cell
*
Father's name
*
Father's email
*
Father's cell
*