"Science & the Good Life": Fall YCLI Workshop Student Registration
Please complete the form below to register your student for the Fall 2026 Young Catholic Leaders Initiative Workshop on Saturday, November 14 at the Penn-Drexel Newman Center. For more information, please visit: https://collegiuminstitute.org/calendar/science-and-the-good-life-ycli-fall-2026
Student's Full Name
*
First Name
Last Name
Student's Email
*
example@example.com
Parent's Full Name
*
First Name
Last Name
Parent's Email
*
example@example.com
Name of high school you currently attend
*
Location of high school you currently attend (City, State):
*
What is your anticipated High School graduation year?
*
2027
2028
2029
2030
Do you have any dietary restrictions? If so, please indicate them below.
Submit
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