Youth Challenge Academy | Orientation Sign up – Oahu

Orientation Sign up – Oahu

YCA Orientation Sign Up

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Student Name*

First Last

Parent/ Guardian Name

First Last

Relationship

Email*

Student Birth Date*

Phone*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Current High School*

What cycle are you looking to enroll in?*

July 2022 - December 2022 (Class 57)

How did you hear about the program?*