Wheeling SleepOut 2021 Registration Form > Forms | Youth Services System, Inc.
Inspiring success for today’s youth.”
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Wheeling SleepOut 2021 Registration Form

  • First Name: (Required)
    Last Name: (Required)

  • Team Name:

  • Address: (Required)
    City: (Required)
    County: (Required)
    State: (Required)
    ZIP: (Required)

  • Phone:
    Contact Preference:
    E-mail: (Required)

  • Will you be fundraising? : (Required)

  • Will you be building a sleepout structure? :

  • What is your T-shirt size?: (Required)

  • Do you give YSS permission to take photos and/or videos of you and use them on traditional and social media platforms, including the newspaper, Facebook, Instagram, Twitter, LinkedIn, YouTube and the internet?: (Required)

  • Are you 17 or under? :

  • Team Captains: Please list the names of your team members and their ages if they are 17 or under.:

  • NOTE: All team members are required to fill out this registration form for YSS record-keeping purposes.

  • What's Next?:

  • After submitting this form, you will receive further instructions, such as how to set up your fundraising page, Boxed-In Design Contest guidelines, fundraising tips and more.

    On behalf of YSS and our clients, thank you for helping prevent youth homelessness and helping us further our mission "to create better futures for children, families and our community"!

  • If you don't hear from us within 72 hours, please reach out to Terra Crews,