Exit 2020 Online African-Canadian Youth Career Seminar Registration Form Question Title * 1. What is your first name? Question Title * 2. What is your last name? Question Title * 3. What is your phone number or a parent's number? Question Title * 4. What is your email address? Question Title * 5. Are you African Canadian? Yes No Not sure Prefer not to say Question Title * 6. How old are you? Between 7 and 17 years Between 18 to 30 years Over 30 years - ineligible Question Title * 7. What is your gender? Female Male Other Prefer not to say Question Title * 8. Did you read the course description available at www.geniusrc.com? Yes No Question Title * 9. Do you agree with the course guidelines available at www.geniusrc.com? Yes No Question Title * 10. Can you join the Zoom online classes on Saturday mornings for people between 18 and 30 years, or Saturday afternoon for people between 7 and 17 years? Yes No I will try Submit response