Teen Empowerment Workshop Registration Form

We are so excited that you would like to register your teen for our Teen Empowerment Workshop.  Parents/Guardians kindly provide your name, email address, and select the box below to provide your consent.  You may reach out with any questions and we will provide additional information.  Have an amazing day!

Glom Initiatives Inc.

Select Specific Workshop Registration (check all that apply) and Provide Parental Consent Below

I provide consent for my teen to attend the Teen Empowerment Workshop