Skip to content
Breaking News:
We empower youth to form healthy relationships, make good choices, and develop into compassionate
Who We Are
Board of Trustees
Staff
Interns
LUCY Leaders
Impact
Capital Campaign
Our Impact
Our Sponsors
News & Updates
Awards
Videos
Resources
Youth Resources
Volunteer Resources
Youth Activities & Calendar
Scholarships
Programs
Contact us
Financials
Careers
LUCY Merch
Menu
Who We Are
Board of Trustees
Staff
Interns
LUCY Leaders
Impact
Capital Campaign
Our Impact
Our Sponsors
News & Updates
Awards
Videos
Resources
Youth Resources
Volunteer Resources
Youth Activities & Calendar
Scholarships
Programs
Contact us
Financials
Careers
LUCY Merch
New Youth Registration
New Youth Registration
First Name
(Required)
Last Name
(Required)
Birthdate
(Required)
MM slash DD slash YYYY
School Name
(Required)
Alice Costello
Archway
Audubon High School
Bishop Eustace
Bordentown
Brimm Medical Arts
Brookefield Academy
Burlington County College
Camden Academy
Camden Catholic
Camden County College
Camden High
Camden's Promise
Camelot
Catto
Cherokee High School
Cherry Hill West
College of the Holy Cross
Collingswood High School
Cramer
Creatives Arts
Cristo Rey
CW Lewis
Davis
Dudley Elementary School
East Middle
Eastern Regional
Freedom Prep Charter
Gateway to College
Glassboro Intermidiate College
Gloucester Catholic
Gloucester Tech
H.B. Wilson
Haddon Heights
Hatch
Highland High School
Holy Cross High School
Holy Family University
Holy Name
Joyce Kilmer School
Kean
KIPP Cooper Norcross Whittier
Lawnside
LEAP Academy
Lindenwold High
Martin Luther
Merchantville
Met East
Moorestown High School
Morgan State University
Mount St. Mary's University
North Star Academy
Other
Palmyra High
Paul VI
Penn Tech
Pennsauken High School
Phifer
Pyne Poynt
Resurrection Catholic
Richard Allen Charter School
Rowan University
Rutgers University
Sacred Heart
St. Anthony's
St. Cecilia
St. John's University
St. Joseph's Prep
St. Joseph's Pro-Cathedral
St. Joseph's University
St. Peter's University
Stanford
Sterling High School
Temple University
The College of New Jersey
The Work Group
Timber Creek
University of Scranton
Urban Promise
Veteran's Memorial
Voorhees High School
Washignton Township High School
Widener University
Wiggins
Winslow Middle
Woodlynne School
Woodrow Wilson
Street
(Required)
City
(Required)
State/Province
(Required)
Zip
(Required)
Phone
(Required)
Email
(Required)
Primary Race/Ethnicity
(Required)
Hispanic/Latino
Black/African American
Caucasian/White
Asian
Native Hawaiian/Pacific Islander
American Indian or Alaskan Native
Some other race
Secondary Race/Ethnicity:
Hispanic/Latino
Black/African American
Caucasian/White
Asian
Native Hawaiian/Pacific Islander
American Indian or Alaskan Native
Some other race
Gender
(Required)
Female
Male
Other
Primary Language at Home
(Required)
English
Spanish
Chinese
Creole
Portuguese
Vietnamese
Korean
Other
Current Grade:
(Required)
Emergency Contact 1 Name:
Emergency Contact 1 Alt Phone:
Emergency Contact 1 Main Phone:
Emergency Contact 1 Address:
Emergency Contact 2 Name:
Emergency Contact 2 Main Phone:
Emergency Contact 2 Alt Phone:
Emergency Contact 2 Address:
Medical Issues:
Allergies:
Dietary Restrictions:
Doctor Phone Number:
Person who filled out registration form: