The Leader Within Registration

The Leader Within is a 4 hour self-expanding curriculum where you will discover your Leader Within qualities and activate them for personal growth that enhances your ability to thrive in school, work, and life!

There are 3 ways to do The Leader Within

1) In person events coming up in the spring, summer and fall of 2026

2) Online stand alone program - self facilitated

3) Hybrid online facilitated program (with a mentor)

First Name *

Last Name *

Preferred Pronoun

Phone *

Email *

City *

School Name *

Grade/Year *

Organizations Name (if applicable)

Job Title for Adult Supervisor or Community Partner Representative

What is your preferred way of completing The Leader Within *

At an in-person session (approximately 4 hours)

Online - sef facilitated (approximately 4 hours)

Online - with a facilitator (approximately 4 hours)

What skills and topics are you interested in learning about? *

Do you have any accessibility needs or accommodations that would help you fully participate in this event? *

Please specify if you have a food allergy not listed

Name of Emergency Contact *

Phone number of Emergency Contact *

I give DTBY permission to use my photos and videos for promotional and social media purposes. *

Yes

Yes with limitations

If you selected Yes with limitations please provide more information

I will need a parking spot *

Yes

Do you have any questions/ concerns about the event?

By checking this box, I consent to receive messages related to my program registration, volunteer applications, or service requests I have made. These messages may include program confirmations, event reminders, volunteer updates, and registration notifications among others. Message frequency may vary. Message & Data rates may apply. Reply HELP for help or STOP to opt-out.

By checking this box, I consent to receive marketing and promotional messages from Dare To Be Youth Charity, including updates about new programs, upcoming events, volunteer opportunities, and community initiatives among others. Message frequency may vary. Message & Data rates may apply. Reply HELP for help or STOP to opt-out.