2024-2025 YES Team Registration Form

Name *

Position *

Email Address *

Summer Email Address (if different)

Work Phone *

Cell Phone *

Name

Position

Email Address

Summer Email Address (if different)

Work Phone

Cell Phone

School / Organization Name

Mailing Address

City/Town

ZIP Code

Name

Mailing Address

City/Town

ZIP Code

Phone

Extracurricular club

Integrated with another extracurricular club

Integrated with an existing class

As a stand-alone YES! class

Other (please specify)

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50% of survey complete.