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YouthCon powered by END IT!
Saturday, September 12th 8:15 AM - 4:00 PM
Indian River State College | Kight Building
3209 Virginia Ave
Building V
Fort Pierce, Fl 34981
*
1.
Name
(Required.)
*
2.
Email
(Required.)
*
3.
I am
(Required.)
a student
a parent
a community partner
*
4.
Grade Level
(Required.)
6th
7th
8th
9th
10th
11th
12th
I am not a student
*
5.
I am interested in
(Required.)
Dance & Movement
Art & Design
Drama & Performance
*
6.
T-Shirt Size
(Required.)
Small
Medium
Large
XL
XXL
3XL
7.
Please enter any dietary restrictions or food allergies we should be aware of:
*
8.
I hereby grant permission to Roundtable of St. Lucie County, END It, its representatives, and partners to take photographs and/or video recordings of me during the event. I authorize the use of such photographs and video recordings for promotional, educational, and informational purposes in print, online, and other media.
(Required.)
I agree to the Photo/Video Release
I do not agree to the Photo/Video Release
9.
How did you hear about YouthCon?
Facebook
Instagram
School
Church/Youth Group
Friend/Family
Community Organization
Other
10.
Were you referred by someone? If yes, enter their first and last name.