Youth Engagment Program application

Please fill out this form alongside your Parent/Guardian to apply for Run Move Connect's Youth Engagement Program for 2024.

Applicants First name

Applicants Last name

Applicants Email

Applicants Birthday

Month

Day

Year

In a few words, tells us a bit about yourself (hobbies, sport you play etc):

If you were paired with a mentor, in a few words, tell us how they could best support you:

Tells us why you would like to be part of RMC's Youth Engagement Program:

Parent/Guardian's name

Parent/Guardian's relationship to you

Parent/Guardian's phone number

Parent/Guardian's email

I have a safe, reliable and consistent way of getting to and from RMC sessions with the approval of my Parent/Guardian.

Yes

If no, tell us why (we may be able to help):

My Parent/Guardian is aware of my intrest in this program and approves my participation if accepted.

My Parent/Guardian understands and consents to me participating in RMC sessions alongside adults.