YEP! Youth Empowerment Program Registration

YEP! (Youth Empowerment Program) is a creative space for youth ages 13–17 to connect, explore identity and community, and express themselves through conversation, interactive activities, and photography.

The October cohort meets Mondays, October 12, 19 & 26, from 4–6:30 p.m. Participants should plan to attend all three sessions.


Dinner is provided at every session.


Complete the form below to register.

Participant Details





The following demographic questions are optional and are to help us evaluate the reach of our programs. 



Language



Parent/Guardian Contact Information












Program Participation Questions



Waiver
In consideration of my (and/or my child's) participation in this activity, I hereby release and discharge Sabathani Community Center, and its representatives, successors, and assigns, from any and all liability arising from accident, injury, and illness that I (he/she/they) may suffer as a result of my (our) participation in this activity.  

Photo/Video Agreement
I grant the Sabathani Community Center (SCC) and anyone authorized by SCC to use my and/or my child's photographic images, video and audio with or without my and/or my child's name in SCC promotional materials.


Your Rights Under GDPR