YAC Application Form

YAC Application Form

The Youth Advisory Council is open to teens in grades 6-12.
Basic Info
Name*

First NameLast Name
Email*
example@example.com
Cell Phone Number
Does the number you provided belong to you or your parent/legal guardian?

MeParent/legal guardian
Can we text you at the number provided?

YesNo
Home Phone Number
Please enter a valid phone number.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
School*
Grade*
Age*
How did you hear about YAC?

FriendLibrarianSchoolLibrary signLibrary newsletterYouth Services brochure calendarLibrary eNewsletterLibrary websiteOther
Tell us more about you
What are some of your interests or hobbies?*
What are some of your favorite snacks?*
What type of pop do you prefer?*
We will send you reminders about upcoming YAC meetings. Would you like to receive reminders about other upcoming events for teens at the library?*

YesNo
What types of events are you interested in hearing about? (Check all that apply)

Gaming (tabletop games and video games)Arts & CraftsMovie NightsBakingBook ClubsTV Show & Movie Discussion Groups
Should be Empty:

Basic Info