Complete this form to help create a safe place for teens to be away from gun violence. Youth Center Night Time Experience What grade are you in? * 8th 9th 10th 11th 12th Gender * Male Female Prefer Not To Say Other What are your usual summer activities? What would like to see at a fun/safe teen space? * What are your favorite indoor/outdoor activities? What would you like to learn?( Graphic design, Cooking etc) Do you have someone to talk to when you are feeling down? Yes No What are your thoughts on stopping gun violence? * If you are human, leave this field blank. Submit Start Over
