All-Star University – YAB FORM ALL-STAR LEADERSHIP UNIVERSITY 2020 All-Star UNIVERSITY 2019YAB REGISTRATION ASLU - YAB Red asterisk indicates required field. STUDENT INFORMATION First Name Middle Name Last Name Email Phone Number Birthday (MM/DD/YYYY) Gender listed on ID for travelPlease select... M F Current GradePlease select... 6 7 8 Years at ASAS Tshirt size (adult sizing)Please select... XS S M L XL 2XL 3XL Preferred Pronouns (e.g. she, her, hers/he, him, his/they, them, their) Ethnicity (e.g. Black/African-American, Native Hawaiian, Hispanic/Latino, White, etc.) School Name Club, teams, hobbies you participate in Favorite snack PARENT/GUARDIAN INFORMATION Parent/Guardian relationship to studentPlease select... Mother Father Grandmother Grandfather Uncle Aunt Sister Brother Guardian P/G First Name P/G Last Name P/G Email P/G Phone Number Student medications (N/A if not applicable) Student allergies (N/A if not applicable) Is there anything that would restrict you from fully participating in ASLU activities? (e.g., injury, doctor’s orders) TRAVEL INFORMATION We will try our best to accommodate your preferences. Preferred Home Airport Departure TimePlease select... Before 8AM 8AM - 12PM 12PM - 4PM Preferred ASLU Airport Departure TimePlease select... 12PM - 2PM 2PM - 4PM Preferred SeatPlease select... Window Middle Aisle Known Traveler Number (KTN) Airline Reward/Frequent Flyer # Departing Airport or Train Station Special travel needs (explain, e.g. allergies, medications ,etc.) YAB STUDENT COMMITMENTS I believe that my voice matters and I choose to make a difference by committing to the following: Commitments to MyselfI COMMIT to giving my best effort in everything I doI COMMIT to being on time, prepared to participate, and fully presentI COMMIT to learning from my mistakes and take responsibility for my actions Commitments to My PeersI COMMIT to being creative, open to new ideas, and collaborating with other peopleI COMMIT to treating people with respect and finding ways to include them in what I doI COMMIT to leading by example and positively representing my city and All-Stars Commitments to My CommunityI COMMIT to voicing the opinions and needs of Youth for the After-School All-StarsI COMMIT to planning and leading projects that serve my school and local communityI COMMIT to advocating for opportunities, resources, quality, and justice on behalf of myself and my community Contact Information
