YEM Season 10 Registration

Student Name *

Parent / Guardian Name *

Parent / Guardian Phone Number *

What school do you attend? *

What grade are you in? *

Gender Identity *

Which municipality do you live in? *

Home address (requested for reporting to grantors) *

What are you interested in learning about in the workshops?

If you have a project idea, please tell us about your idea.

How did you hear about YEM? *

YEM organizers promote the program through photos and videos shared on flyers, the website, and social media. Do you consent to the use of photos and videos of your student participating in YEM events? *