ANMN Youth Leadership Workshop Registration Form – Association of Nepalis in Minnesota

ANMN Youth Leadership Workshops 2024

Registration Form

Student Name

First

Last

Grade/Class

Date of Birth

Emergency Contact 1

First

Last

Emergency Contact 1 Phone

Emergency Contact 2

First

Last

Emergency Contact 2 Phone

Parents/Guardian's Name

First

Last

Address

Address Line 1

Address Line 2

City

State

Zip Code

Parents/Guardian's Phone

Parents/Guardian's Email

Any previous experience of participation in youth leadership, or public speaking workshops?

Comments or questions, if any.

Consent

By submitting this form, I acknowledge that I have read and agree to abide by the workshop's rules and regulations. I understand that ANMN is not responsible for any loss, injury, or damage that may occur during the workshop period.