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Community Building Program Registration

We are so excited to welcome your student to the Community Building Program! Fill out the quick registration form below to secure their spot and get ready for a great experience.

Student Contact

First name*

Last name*

Preferred Pronoun

Parent Name (If under 18 y/o)

Email*

Phone*

Multi-line address

Country/Region*

Address*

City*

Zip / Postal code*

Student About

School*

Grade*

Which community best describes where you live?

Gary

Merrillville

Hammond

East Chicago

Crown Point

Hobart

Valparaiso

Chicago

Northwest Chicago suburbs

South suburbs

Other Northwest Indiana

Other Chicagoland

Other: ______

What are you hoping to get out of the Community Building Program?

Meet new people

Build confidence

Develop leadership skills

Learn more about myself

Explore my future goals

Improve my communication skills

Learn about wellness

Learn about money and financial literacy

Learn about digital literacy

Have a safe space to talk and be heard

Other: ______

How did you hear about the Community Building Program?

School / teacher

Parent or family member

Friend

A Greater Good Foundation

Social media

Community organization

Church / faith organization

Event

Other: ______

Have you participated in an A Greater Good Foundation program before?

Yes

I'm not sure

What is one thing you'd like us to know about you?

Emergency Contact

First/Last Name*

Phone*

Media Release & Permission

A Greater Good Foundation can use photos or videos of you/your child captured during this program for promotional and educational purposes?*

Yes, I give permission to use photos and videos of me/my child.

No, please do not use photos or videos of me/my child.

Optional Donation

100% of Pay-It-Forward gifts support access for other students.

$10

$50

$100

Not in Your Area?

Tell us where you are, and we'll keep you updated as new camps are announced near your community.

Let Us Know You're Interested

#LetsGrowTogether

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