Welcome to the YATW Community We want to connect with you and get to know you better. Student's Information Student's Name * First Name Last Name Home Address * We love celebrating and checking in with the students. This address will help us send personalized cards to your student. Address 1 Address 2 City State/Province Zip/Postal Code Country Student's Birthday * MM DD YYYY Student's Current Grade Level * 6th 7th 8th 9th 10th 11th 12th Student's Gender * Male Female Does the student have any allergies? Any additional information you would like us to know about this student? Parent/Guardian Information Parent/Guardian's Name * First Name Last Name Relation to the student * Parent/Guardian's Phone Number * (###) ### #### Parent/Guardian's Email * How would you like to be updated about YATW announcements/events? * Select all that applies Text Email Emergency Contact Information Emergency Contact's Name * First Name Last Name Emergency Contact's Relation to the student * Emergency Contact's Phone Number * (###) ### #### f
