2012 Youth Summit Registration!
The summit is FREE and open to all high school aged youth. Completing the form below is not required but will save you time on the day of the summit! For more information, visit the GLSEN Baltimore Facebook page or http://glsenbaltimore.wordpress.com/shout-youth-summit/
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  • This will be for communication related to the summit ONLY unless you check the boxes below.
  • Check all that apply

  • Media Release (Optional, please read)

    Please download our OPTIONAL media release form at
    http://glsenbaltimore.files.wordpress.com/2012/02/media-release-form.pdf (PDF)
    http://glsenbaltimore.files.wordpress.com/2012/02/media-release-form.doc (Word)

    to complete our media release form if you are willing to allow us to take pictures / videos for the use of GLSEN Baltimore (for promoting the organization, in our work with local youth)

    If you are under the age of 18, this release must be completed, signed, and brought with you to the event.

    Please note that for the safety and protection of all, taking pictures and videos is prohibited during the event.

  • Other Optional Information

    Please note this information will be collected at the summit. Feel free to fill it out now to save time later! The information provided will only be used in case of emergency at the summit.
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