Northwest Youth Corps

To join our Alumni Connection, fill out the following registration form. After you submit your registration, you will need to reply to our confirmation email in order to activate your account.
Note: your account will not become active until you read and respond to the activation email sent to the email address provided below (make sure you enter a valid email address).

Last Name:
*

First Name:
*

How many times did you participate?

1. Year Participated: *

Position: *

Other:
Here is your chance to type in all other the past programs you have participated in.

Crew: *

Gender:
Male Female

Date of Birth (mm/dd/yyyy):
*

Address:
*

City:
*

State:
*

Zip:
*

Address viewable by others?
Yes No *

E-mail Address:
*

Password:
*

Verify Password:
*

Click here to subscribe to Northwest
Youth Corps' monthly eNewsletter:

Select Year(s): *
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