Youth Leadership & Speaker Program Registration

Action4Canada's February 2023 Youth Leadership & Speaker Program Registration is Open!
This five week program will teach youth how to advocate for themselves and respond to peers and authority figures with respect and confidence. In addition they will learn about the Constitution, Charter of Rights and Social Issues.

Parents/Guardians/Youth: complete the following form for each person (aged 12 - 18 years) who will be participating.

You will receive a registration confirmation and more info at the main email specified below. Your information will be kept private and will not be shared or sold.

Youth / Participant Info

Leave blank if parent/main email only is preferred
If Yes, enter username/ID

Parent / Guardian Info


Consent, Permissions, Release & Waiver

Consent is required. You will be able to opt-out.
Permission by the Parent or Guardian is required.

I grant consent with full permission and rights to Action4Canada Inc to use, without compensation, and/or my child's name, photos, stories, videos or any other media, on Action4Canada's Website, social media, reports, and or publications. Alternatively my child may choose not to display their video during group photos or recordings.

Eg. Display final project videos on the A4C Website & Social Media