Have you previously registered as a Youth in Action group or for a Free The Children campaign? *
Yes No I'm not sure

1) Would you like to register as a Youth in Action group? *
What is a Youth In Action group?
Yes No, not at this time

2) Would you like to register to take action through a Free The Children campaign? *
What are Free The Children campaigns all about?
Yes No, not at this time
Adopt a Village
Alternative Income
Clean Water
Brick By Brick
Vow of Silence
Halloween for Hunger
Celebrate for Change

3) Are you a school group?
If your group meets at school, has a teacher as an adult mentor, or organizes events/fundraisers at your school, please fill out this section. If your group is not school-based, please select 'No' and proceed to the next section
Yes No

School/University Name:
School Phone:	Ext:

4) Group info:

Name of group: *
Group Email: *
Group Phone:	Ext:
Group Mailing Address:
Street: *
City: *
Province/State: *	Please Select Alabama Alaska American Samoa Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Marshall Islands Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Palau Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming Alberta British Columbia Manitoba New Brunswick Newfoundland And Labrador Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Québec Saskatchewan Yukon Other
Postal/ZIP Code: *
Country: *
Where does your group meet? *
Goal(s) of your group (ex. Raising $500 to build a well in Sri Lanka through the Adopt a Village: Clean Water campaign): *

101 Fundraising Ideas

5) Group Leaders:

This will be the primary contact for this group
i. First Name: *
Last Name: *
E-mail: *
Phone: *
ii. First Name:
Last Name:
E-mail:
Phone:
iii. First Name:
Last Name:
E-mail:
Phone:
iv. First Name:
Last Name:
E-mail:
Phone:

6) Group Adult Mentor:

First Name: *
Last Name: *
E-mail: *
Phone: *	Ext:
Mentor Relationship: *

7) List of members

Name	Email	Phone
		-
		-
		-
		-
		-

8) Would you like to create your group’s We Generation Groups webpage?
We Generation Groups is a web-based meeting space where you can keep track of your group members, post news, upload pictures, exchange ideas and share tips and successes with other Free The Children groups around the world.

Click yes, and you will receive an e-mail invitation to register within a few days.
Yes No

9)How did you learn about Free The Children

Please Choose	From my teacher Website Me to We book I attended Me to We Day Take Action! book I heard a speech at school Volunteer Fair From a friend The Making of an Activist book
Other: