YMCA E-Sports Empowerment Program Interest Form

YMCA E-Sports Empowerment Program Interest Form

Please complete this form if you are interested in participating in our inaugural YMCA E-Sports Empowerment program.

Our E-Sports Empowerment program introduces youth to e-sports careers and Rocket League. This 12-week program will be held at the Rauner Family YMCA Tech Hub on Tuesdays, Thursdays, and Fridays from 5 to 6:30 p.m. and will take place from Tuesday, October 1, through Tuesday, December 17.

This program is for enthusiastic youth in grades 9-12 and is provided at no cost, including all equipment.

Due to limited capacity at the Rauner Family YMCA Tech Hub, participation in this program is on a first come, first served basis. If you are interested in this program but unable to secure a spot this time, we’ll keep your information on file, and we will be sure to inform you about any future e-sports and technology opportunities!

If you have any questions, please contact connected@ymcachicago.org!

1. Email Address: *This question is required. This question requires a valid email address.

2. Participant First Name: *This question is required.

3. Participant Last Name: *This question is required.

4. Participant Age: *This question is required.

5. Participant Address: *This question is required.

Street Address:
City:
State:
ZIP code:

6. Participant School: *This question is required.