Name *

First Name

Last Name

Checkbox *

First Time

Returning

Emergency Phone *

In case of an emergency

(###)

###

####

Check all that apply

What would you like to see at Late Night

Esports & Tournaments

Basketball & Tournaments

Arts & Crafts

Dance

Board Games

Team Sports

Team Activities

Photography/Videography

VR Gaming

Special Guest Speakers

Branding & Social Media

Join the Leadership Team

Mentor

Other

Grade Level or Adult Role *

6th Grade

7th Grade

8th Grade

9th Grade

10th Grade

11th Grade

12th Grade

College Student

Adult Volunteer or Team Member

Special Guest/Speaker

Community Partner

Visitor

To which gender identity do you most identify? *

Female

Male

Gender Variant/Non-Conforming

Transgender Female

Transgender Male

Not Listed

Prefer not to answer

How would you like to best describe yourself? *

Alaska Native

Asian

Black or African American

Indigenous or Native American

Hispanic, Latino, or of Spanish origin

Native Hawaiian or Pacific Islander

White

Other