Youth Program Registration | Action4canada

Youth Leadership & Speaker Program Registration

Action4Canada's May 2024 Youth Leadership & Speaker Program Registration is Open!
If you’re ever going to lose—and you are, because everyone does—then why not put a positive spin on it? How do you do that? By learning from it.
A loss isn’t totally a loss if you learn something from it..

Dates: May 7 – Jun 4 2024, on Tuesdays
Time: 4:00 - 5:30 pm PT / 7:00 - 8:30 pm ET

Deadline for registration: May 3
Cost: By Donation...

Register below: Parents/Guardians/Youth please 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. Information submitted will be kept private and will not be shared or sold.

Youth / Participant Info

First Name

Last Name

Youth Email (optional)

Leave blank if parent/main email only is preferred

Gender

Male

Female

Birth Year

Month

Day

Schooling

Grade Level

Are you on Discord?

If Yes, enter username/ID

Your main interests or hobbies?

Parent / Guardian Info

First Name

Last Name

Parent/Guardian/Main Email

Parent/Guardian Phone

Mailing Address

City

Country

Province

Postal Code

Consent, Acknowledgement, Permissions, Release & Waiver

Email & Communications Consent:

Yes I agree to receive emails and other communications from Action4Canada at the above contacts.

Consent is required. You will be able to opt-out.

Cameras & Video Must be On During Sessions:

Yes. I acknowledge and agree to keep participant camera operational and on at all times for identification, security and safety purposes, during these sessions.

Cameras and videos will be required to be on for all participants.

Permission for the youth (above) to participate

Yes I (parent/guardian) give permission for my child to participate in the Action4Canada Youth Program

Permission by the Parent or Guardian is required.

CONTENT / MEDIA RELEASE & WAIVER
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.

Yes

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