Registration Page for the Empowering YOUTH Program Question Title * 1. Full name of the young person who will be attending: Question Title * 2. Age of the young person who will be attending: Question Title * 3. Name and contact information of the young person's caregiver: Name Email Address Phone Number Question Title * 4. Which Empowering YOUTH Program is the young person registering to attend: Alice Springs:Week 1 of the 2023 Term 3 School Holidays. 9 am to 12 pm on Tuesday the 26th, Wednesday the 27th, Thursday the 28th and Friday the 29th of September 2023. Darwin:Saturday mornings, Term 4, 2023 9 am to 12 pm on Saturday the 28th of October, Saturday the 4th of November, Saturday the 18th of November and Saturday the 25th of November 2023. Palmerston:Saturday mornings, Term 1, 2024 (dates and times to be advised) Katherine:Term 1 School Holidays 2024 (dates and times to be advised) Question Title * 5. Please confirm that you understand the program is delivered over four sessions: I understand Question Title * 6. Please confirm that we can contact the young person and/or their authorized caregiver to discuss ways about ways to support their participation in the program: I agree Question Title * 7. Please confirm that both the participant and their authorized care giver agree to this registration: young person agrees caregiver agrees Done