CEU: Comprehensive CEU | November 10 & 11, 2022

Thank you for being so interested in joining us for the Youth Action Summit 2024 at the Montrose Center on Saturday, November 16th, from 11 AM to 4 PM. Please fill out this form to reserve your spot.

First Name

Last Name

Pronouns (select all that apply)

He/Him/His

She/Her/Hers

They/Them/Theirs

None/Use my name

Other/Neopronouns

Please enter your email address:

Are there any special accommodations you may need, such as hearing, speaking and/or writing?

Yes

Name of School

Name of Club/ Organization

Are you a Student or Club Sponsor

(All Club Sponsors will need to undergo a brief background check at the event)

What county is your school located?

Which school district your school is located in?