The 360° Youth Leader

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The 360° Youth Leader: Program Interest Form

Thanks for your interest in The 360° Youth Leader! Fill out this short form and our team will follow up about the pilot cohort, launching January 2027. We're a nonprofit, and every response helps us understand which tracks and formats families care about most.

* Indicates a required question

Parent / Guardian full name*

Email address*

Phone number

Child's full name*

Child's age*

Which track(s) are you interested in?*

Leadership Mastery of Mind, Body & Soul Future Pathways Voice, Brand & Influence Money Smarts Community & Character Safety & Self Defense Not sure yet, interested in the full program

Preferred program format

In-person Virtual No preference

How did you hear about us?

Friend or family Social media School or community group Search engine Other

Anything else you'd like us to know?

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