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Parent/Guardian Name
*
First
Last
Who will be leading the child or group through the service activity?
Email
*
Email
Confirm Email
All volunteering information and activities will be sent to this address.
Parent/Guardian Phone
*
Youth Participant #1
If completing this project as a group larger than 6 please skip individual youth registration and check the group box and select the age range.
Youth Participant #1 Birthday
MM/DD/YYYY
Youth Participant #2
If completing this project as a group larger than 6 please skip individual youth registration and check the group box and select the age range.
Youth Participant #2 Birthday
MM/DD/YYYY
Youth Participant #3
If completing this project as a group larger than 6 please skip individual youth registration and check the group box and select the age range.
the Collective? group
Youth Participant #3 Birthday
MM/DD/YYYY
Youth Participant #4
If completing this project as a group larger than 6 please skip individual youth registration and check the group box and select the age range.
Youth Participant #4 Birthday
MM/DD/YYYY
Youth Participant #5
If completing this project as a group larger than 6 please skip individual youth registration and check the group box and select the age range.
Youth Participant #5 Birthday
MM/DD/YYYY
Youth Participant #6
If completing this project as a group larger than 6 please skip individual youth registration and check the group box and select the age range.
Youth Participant #6 Birthday
MM/DD/YYYY
This project will be completed by a group larger than 6. Please select the range of YOUTH ages 2-14 volunteers in your group.
7-10
11-15
16-20
21-25
Greater than 25
Please do NOT include adults or youth older than 15 in your count.
Group Affiliation
Youth group, scouts, elementary school classroom, etc. You only need to complete this field for groups larger than 6 when applicable.
How did you hear about Youth Action Collective?
*
Friend/Family
Social Media
Child Care/School
Other
If you selected 'other' please share below:
Youth Action Collective Service Agreement
*
I agree to the following terms:
-Use the lesson materials solely for the purpose of completing the designated volunteer project.
-Engage with the materials in good faith, applying the knowledge and skills learned to contribute effectively.
-Refrain from altering, misusing, or distributing the materials for purposes unrelated to the volunteer project.
-Respect any confidentiality or guidelines associated with the materials.
Submit