Outreach Youth Registration Form Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form. Youth InformationName of Youth * Youth Email * Youth Phone *School *Grade *Parent/Guardian InformationParent/Guardian Name *Parent/Guardian Email Address *Relationship to Youth *Parent/Guardian Phone Number *Select the social media platform you are currently usingFacebookInstagramYoutubeWhatsAppTwitterOtherKindly prioritize your areas of interest by assigning a ranking from 1 (highest interest) to 4 (lowest interest). This will help us understand your preferences better * 1234 Marketing1Marketing 12Marketing 23Marketing 34Marketing 4Social Media1Social Media 12Social Media 23Social Media 34Social Media 4Graphic Design1Graphic Design 12Graphic Design 23Graphic Design 34Graphic Design 4Communication1Communication 12Communication 23Communication 34Communication 4 If the interest listed above didn't pique your interest, we'd love to learn more about your unique skills and passions! Please share with us what topics, hobbies, or expertise you're enthusiastic about, so that we can tailor our future content to better align with your interests and engage you accordingly.Consent & AgreementCheckboxes *I hereby allow my child to participate in the chosen program and agree to the terms and conditions laid out by the RKMCCDate *Custom Captcha * = Submit
