Challenge Registration

School Yuva is for ages 13-17. College Yuva is for ages 18-21. Select up to three days and times that may work best for the student.

Student Information & Contact

For School Yuva, parent/guardian information is required. For College Yuva, student email and phone are required.

Student First Name *

Student Last Name *

Preferred Name

Date of Birth *

Age

Membership Group

Grade *

School *

City/State *

Student Email

Student Phone Number

WhatsApp Username / Number

Parent/Guardian Information

Required for School Yuva students ages 13-17.

Parent/Guardian Name *

Relationship *

Parent Email *

Parent Phone Number *

Interests

Leadership & Inspiration Science & Technology Business & Entrepreneurship History & Civilization Geography & Cultures Environment Health & Wellness Books & Literature Arts & Creativity Sports Digital Skills Communication Community & Service Career Exploration

Other Interest

Participation

Why do you want to join Yuva Club? *

Have you given presentations before? *

What topics are you interested in presenting? *

Preferred Class Days and Times *

Enter up to three preferences. At least one day and time is required.

First Choice Day *

First Choice Time *

Second Choice Day

Second Choice Time

Third Choice Day

Third Choice Time

Any Other Suggestions?

Agreements *

I agree to follow the Yuva Club Code of Conduct. I understand that Yuva Club sessions may be recorded for educational purposes. I have parent/guardian permission to participate if I am under 18.

Yuva Club

A youth leadership development platform that empowers students through research, presentations, discussion, critical thinking, and peer learning.