Registration for June 2021 Retreat for Youth of Color

Contact Details
Youth Paticipant Infomation:





Race/Ethnicity


FGC-Affiliated Meetings


Parent/Gaurdian Information
Parent/Guardian Information

This section must be completed by parents/guardians for all participants under 18. If you are 18 years old, please fill out with your information.















About Your Youth Participant
Staff and parents/guardians share responsibility to optimize each participant's opportunity to succeed in the program. In order to create a supportive environment for all participants, it is essential that we know of any youth needs in advance. We are grateful for your support in this matter.
Does the youth participant have any: