To register for the "Intro to Youth Development" workshop, complete the form and forward payment. You will receive a confirmation email within twenty four hours.

Participant's Name:
 Organization:
Your Email:  

Your Phone:
Are you a...
Nonprofit/Educational
For Profit
Social Organization
Other (list below)
 Which session?

"Intro to Youth Dev."

Part II Continuation
Please explain the setting/dynamics
of your youth program here
(i.e. class, after school program, etc.):

*Payment is due by April 15, 2010.

Participant Name
Organization