Please fill out information below: Person completing this form: YOUR relationship to the Youth *PARENTLEGAL GUARDAINFAMILY FRIENDSELF (I am 18 years or older am consenting myself)Person completing this form: Contact InformationNameEmail AddressPhone NumberStreet AddressApartment, suite, etcCityState/ProvinceZIP / Postal CodeYouth: Contact InformationNameEmail AddressPhone Number *T-Shirt size *X smallSmall Medium LargeX Large2XL 3 XLWhat GRADE is the Youth in *7-89-1011-12otherWhat is the Youth AGE *13-1415-1617-1819+How would you like to participate?Love Notes 3.0 SRA Curriculum ImplementationThese individuals will participate in 13 Love Notes curriculum implementation lessons which takes about 45 minutes to implement. Youth Community Change Commission (YC3)To represent the Youth Voice. These individuals will participate in training and technical assistance on the basic tenants of Social Justice and Youth Participatory Action Research (YPAR). Youth Participatory Action Research (YPAR) is a community-based social justice research framework that inclusively supports the leadership and knowledge of youth most impacted by disparities to develop solutions for social, cultural, and political transformation.How did you hear about us? *Send Registration
