2024 Youth Forward Application

half full, llc Youth Forward® Application

This application is to attend a Youth Forward (Retreat) experience with half full, llc. Youth Forwards are Personal & Leadership retreats for high school aged youth. On these Forwards we explore a variety of topics, themes and challenges teenagers will explore throughout their high school careers. We facilitate discussions on these various things in hope to empower young people to be the best version of themselves.

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* 1. What did your parents name you? (Full Legal Name)

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* 2. What do you like to be called?

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* 3. Do you want to receive text updates from us?

Yes

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* 4. Your Contact Info

Address

City/Town

State/Province

ZIP/Postal Code

Email Address

Phone Number

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* 5. Parent or Legal Guardian Contact Information

Name

Address *

City/Town *

State/Province *

ZIP/Postal Code *

Email Address *

Phone Number *

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* 6. When were you born?

Please enter MM/DD/YYYY

Date

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* 7. Gender Identification & Pronouns

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* 8. Righty or lefty?

Righty

Lefty

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* 9. Name of High School

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* 10. Grade

Freshman

Sophomore

Junior

Senior

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* 11. Likes (Passions/Interests)

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* 12. Dislikes

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* 13. What is your t-shirt size?

2XL

3XL

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* 14. Please check which best describes your feelings about not having your phone during our in-person experience.

 Yes, please give me the opportunity to get away from my phone for a little bit!

 No, I will freak out if I can’t have my phone on me at all times.

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* 15. Who is the cool Adult/Mentor/Program who encouraged you to apply for this opportunity?

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* 16. Would you be able to get dropped off at a meeting spot in Providence?

Yes, no problem

No, I need a ride

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* 17. Person to contact in case of emergency

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* 18. Emergency Contact Relationship to You

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* 19. Emergency Contact Phone

Phone Number

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* 20. Youth Signature (Please Type Full Name)

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* 21. Parent/Guardian Signature - Please Type Full Name

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* 22. Participant Agreement: By clicking yes submitting this registration form, I affirm that the facts set forth in my application for participating in a half full Forward® are true and complete.

All the information recorded above is considered confidential.

Your spot in a half full Youth Forward is not confirmed until you receive receipt of this registration by a half full, llc employee and a liability waiver has been signed and received by half full, llc. Thank you for your interest in attending a half full Forward.

Yes