TELE-SEMINAR Registration  

 

If you would like to participate in one of our tele-seminars, please complete our registration form. 

 

To register you must be between the ages of 16 and 24 and live in the United States.

 

If you are 25 or older, we suggest you go to www.GoYOU.org our sister outreach program.

First Name

 *

Last Name

 *

City

 *

State

 *

Zip

 *

Do you certify you are at least 16 years of age and younger than 25 years of age   Yes       No

Email

 *

Confirm Email

 *

How did you learn of Go-YOUth!

 

Education (last grade completed)

 

control click to select more than one

Annual Income

 

Living With

 

Have you worked with a personal coach?

check if yes

Program Requested

  *

Date and time requested 

 

We offer tele-seminars, internet chat and individual and group coaching at no charge, subject to our Terms of Service and Release. 

Please take a few minutes to review our Terms of Service and Release.  You will find them in the box below.  To print our Terms of Service and Release, click here.

Terms of Service and Release and Release


If you agree to be bound by our Terms of Service and Release above, click the button marked “I agree.”  You will be taken to a confirmation screen on how we will confirm your participation.

If you do not agree to be bound by our Terms of Service and Release you may not participate or use this site. If you click “I do not agree,” the form will be cleared and your information will not be submitted.
 
 

 

       

 

 

 

 

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Go-YOUth.Org SM and GoYou.Org SM are service marks of the Gary S. Stevens Foundation
 
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