Participant Name *

First Name

Last Name

Participant Phone *

Please provide a phone number that we can reach you at throughout the summer and afterward.

(###)

###

####

Participant Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Gender *

Gender Non-conforming

Female

Male

Other**

Race/Ethnic Background *

African-American

American Indian / Alaska Native

East Asian

South Asian

African Descent (Non-American)

LatinX

Native Hawaiian / Pacific Islander

Middle Eastern

White/Caucasian

Other**

Emergency Contact *

First Name

Last Name

Emergency Phone *

(###)

###

####

Have you completed a draft of your script? *

If you have a completed draft of your script please email it to info@youthfx.org with the subject line: "Script Lab 2025 Draft" and attach a PDF of the script.

YES

NO