The Leader Within Registration

WELCOME! We're excited to have you join us on this leadership journey!

IMPORTANT DATE CHANGE: the series date are May 20th, May 27th, June 3rd and June 10th.

The Leader Within is a 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!

Upon completion you receive:

10 Community Involvement hours
LinkedIn Certificate

First Name *

Last Name *

Preferred Pronoun

What is your age? *

14-15

16-17

18-19

20-21

22-24

Over 25

Phone *

Email *

City *

School Name *

Grade/Year *

Are you a Canada Summer Job employee? *

Yes

Organizations Name (if applicable)

Job Title for Adult Supervisor or Community Partner Representative

What are you most excited about for this event? *

Learning a new skill

Meeting other youth

Exploring leadership opportunities

Hearing from inspiring speakers

Trying something new

Self-development and reflection

Increased confidence and self-esteem

Other

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

How did you hear about this event? *

Friend

Instagram

School/ Teacher

DTBY

Community Organization

Other

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

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.