Bright Futures Registration Form- Summer Program 2024

Thank you for your interest in YWCA Columbus's 2024 Bright Futures program.

We are so excited for you to learn, grow, and have fun with us this summer.

For many years, Bright Futures has empowered girls and gender-nonconforming youth by shedding light on the social justice issues that impact them and encouraging them to take action.

This year, we are proud to unveil our newly redeveloped version of the program, and we invite you to join our first pilot program. The program consists of a five-part series of Empowerment Workshops focused on social justice and leadership. Through engaging discussions and activities centered around issues like racism, sexism and intersectionality, we seek to up-end insecurities rooted in oppressive ideas and institutions, and equip participants with the tools and knowledge to advocate for social change.

*PLEASE NOTE: You may need your parent/guardian's assistance in filling out this form.

Dates: July 15th-19th, 2024

Time: 1:00-3:00pm

Location: YWCA Columbus (Downtown location)

Question Title

* 1. First and Last Name

Question Title

* 2. What is your t-shirt size?

Adult Small

Adult Medium

Adult Large

Adult X large

Question Title

* 3. Gender Pronouns

she/her

he/him

they/them

other

Question Title

* 4. School Name

Question Title

* 5. Grade

Question Title

* 6. Date of Birth

Select below

Date

Question Title

* 7. Age

Question Title

* 8. Participant's Phone Number

Question Title

* 9. Participant's Email Address

Question Title

* 10. Race/Ethnicity

Question Title

* 11. Home Address

Address

City

State

Zipcode

Question Title

* 12. Parent/ Guardian Information

Full Name

Relation to Participant

Phone Number

Email Address

Address

City, State , Zip Code

Bright Futures Registration Form- Summer Program 2024

Question Title

* 1. First and Last Name

Question Title

* 2. What is your t-shirt size?

Question Title

* 3. Gender Pronouns

Question Title

* 4. School Name

Question Title

* 5. Grade

Question Title

* 6. Date of Birth

Question Title

* 7. Age

Question Title

* 8. Participant's Phone Number

Question Title

* 9. Participant's Email Address

Question Title

* 10. Race/Ethnicity

Question Title

* 11. Home Address

Question Title

* 12. Parent/ Guardian Information

Question Title

* 13. Family Size

Question Title

* 14. Household Income

Question Title

* 15. Are there any allergies that we should be aware of?

Question Title

* 16. Who is your favorite leader? Why?

Question Title

* 17. What activities are you involved in the community?

Question Title

* 18. What is a change you want to see in your community?

Question Title

* 19. Why do you want to be a part of a leadership and social justice based program?

Question Title

* 20. How will you be arriving to the program? (For example, driving, drop off, etc.)