Youth Programs Registration

Youth Programs Registration Form

Please fill in the form below to sign up for the Youth Programs this month. Please submit one form per participant. For additional support, please send an email to newcomeryouth@yswnb.ca.
Our Youth Programs are meant for newcomer youth between the ages of 12-19. If you are in the specified age range, please re-check your Date of Birth in the form to submit this form.
Participant's Name*

First NameLast Name
Participant's Date of Birth*

DayMonthYear
Date
Gender*
Email
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Date

MonthDayYear
Date
Age
- Please enter the name and contact details of a parent/guardian.
- Parent's Name*
  
  First NameLast Name
- Parent's Email
  example@example.com
- Parent's Contact Number*
  Please enter a valid phone number.Format: (000) 000-0000.
- Programs listed below have limited spaces and require registration. Choose one or multiple to submit. *
  prevnext( X )
  
  Pizza Party
  Tuesday, April 3 | 5:30PM - 7:30PM | Join us for a fun-filled Pizza Party where you can hang out with friends, enjoy delicious pizza, and take part in exciting games and activities. It’s the perfect chance to relax, connect, and enjoy some tasty slices. 🍽️😎
  
  $ Free
  
  
  
  Cineplex Movie
  Friday, April 11 | TBD | Join us for a fun night at the movies! We'll be heading to Cineplex to enjoy a great film—title to be announced closer to the date. Please note that our passes don’t allow for premiere screenings, but we’ll pick an exciting movie everyone will enjoy. Don’t miss out on this awesome evening of entertainment with friends!
  
  $ Free
  
  
  
  Volleyball Party at the Y
  Saturday, April 12 | 1:00PM - 4:00PM | Join us for an exciting volleyball game and fun with friends. Whether you're a seasoned player or just looking to try something new, everyone is welcome to join the action. Come for the game, stay for the good vibes! Don’t miss out! 🔥🙌
  
  $ Free
  
  
  
  Total
  
  $0.00
- How did you hear about the programs this month?*
- Should be Empty:

Youth Programs Registration Form