Hey Fam! We're so excited you have an interest in joining our movement to addressing the most pressing youth health and safety issues affecting youth (15-29) today. 

Don't worry. This isn't a commitment form. We'd just like to collect your information, confidentially of course, to send you updates and opportunities. 😊

1.What is your name and pronouns?

2.What is your email? 

3.What is your phone number? (I would like to receive news and updates via text. Standard text rates apply.)

4.Birth Date

*5.What issues would you like to #MakeNOYS about?(Required.)

Mobility Safety & Justice

Mental Health

Gun & Community Violence Prevention

Substance Use Disorder 

Other (please specify)

6.How would you prefer to get involved with NOYS?