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Submitted by
bsilvern
on Thu, 04/13/2023 - 11:07
SanDiego350 Event Registration
Youth4Climate Waves of Change Summit
August 19, 2023, 1-5pm
Join us to build community, get empowered to become a climate leader, and envision bold, creative actions! See
the event page
for details.
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Participant Info
First Name
*
Last Name
*
Cell Phone
*
Email
*
Street Address
*
City
*
State
*
Zip Code
*
Would you like us to text you with major updates?
Yes
What grade are you in?
*
If in between grades, enter the grade you are about to enter.
- Select -
Not a student
6 or under
7
8
9
10
11
12
Undergraduate
Grad student
Post Doctorate
Occupation
Student
Teacher
Parent
Employed
Business owner
Retired
Other
School name
If applicable, at which school will you be enrolled / teach in the 2023-24 school year? Please spell out entire school name (i.e., no acronyms).
Are you involved with an eco-club at your school as a student or teacher?
Yes
Would you like to start an eco club at your school?
Yes
Pronouns
Please list your preferred pronouns, if you would like to share.
- None -
She/her
He/him
They/them
Other
How did you hear about the this summit?
- None -
Y4C newsletter
Y4C meeting
Social media
Text
Email
Teacher
Colleague
Other
I agree to the
Safety Guidelines for In-Person Youth4Climate Events During COVID
.
*
Most importantly, I affirm that: ⋖ul> ⋖li>I will not attend the event if I am sick⋖/li> ⋖li>I will respect other participants’ self-identified COVID comfort level⋖/li> ⋖ul>
Yes
Are you a minor?
Yes
Submission Timestamp
Set by script upon webform submission to serve as a indication that the contact has already registered for an event.