Youth's Name: (required)

Youth's Preferred Pronouns: (required)
---she her hershe him histhey their theirsother

If you selected "Other", what pronouns are preferred?

Youth's Grade: (required)

City / Location: (required)

What program are you registering for? (required)
---All Youth Grades Tuesday Drop-InGals-N-Pals Gr 6-12Pre-Teen Drop-In Gr 5-7Teen Drop-In Gr 8-12Movie Night Nov 26DnD Group ADnD Group B

Parent/Guardian's Name: (required)

Parent/Guardian's email address: (required)

Parent/Guardian's phone number: (required)

If the program is full, do you want to be added to the waitlist? (required)
---yesno