Yuva Club Registration

Sign In Form

Select up to three days and times that may work best for the student. We will use responses to choose the best class schedule.

Student Information & Contact

Student First Name *

Student Last Name *

Preferred Name

Date of Birth *

Age

Membership Group

Grade *

School *

City/State *

Student Email

Student Phone Number

WhatsApp Username / Number

Parent/Guardian Information

Parent/Guardian Name *

Relationship *

Parent Email *

Parent Phone Number *

Participation

Why do you want to join Yuva Club? *

Have you given presentations before? *

What topics are you interested in presenting? *

Preferred Class Days and Times *

Enter up to three preferences. At least one day and time is required.

First Choice Day *

First Choice Time *

Second Choice Day

Second Choice Time

Third Choice Day

Third Choice Time

Any Other Suggestions?

Agreements *

I agree to follow the Yuva Club Code of Conduct. I understand that Yuva Club sessions may be recorded for educational purposes. I have my parent/guardian's permission to participate.