YLS Group Pre-Registration 1. YLS Group Pre-Registration 2010 Youth Leadership SummitChanging Your Future, TodayPre-registration FormThe purpose of the Youth Leadership Summit is to celebrate, support, and encourage youth service and leadership. Question Title * 1. Group Information (Please print or type all information) Group/Organization Name: * Contact Person: Address: City/Town: * Email Address: * Phone Number: Question Title * 2. Youth Information Youth Name Age Grade Question Title * 3. Youth Information Youth Name Age Grade Question Title * 4. Youth Information Youth Name Age Grade Question Title * 5. Youth Information Youth Name Age Grade Question Title * 6. Youth Information Youth Name Age Grade Question Title * 7. Youth Information Youth Name Age Grade Question Title * 8. Youth Information Youth Name Age Grade Question Title * 9. Youth Information Youth Name Age Grade Question Title * 10. Youth Information Youth Name Age Grade Question Title * 11. Youth Information Youth Name Age Grade Question Title * 12. Youth Information Youth Name Age Grade Question Title * 13. Youth Information Youth Name Age Grade Question Title * 14. Youth Information Youth Name Age Grade Question Title * 15. Youth Information Youth Name Age Grade Media Information: Media will be present at the Youth Leadership Summit. Photographs or other media may be used for North Central Massachusetts Youth Leadership Summit’s promotional materials and for their website. Thank you for pre-registering for the 2010 Annual Youth Summit. Students who have pre-registered will have first choice of workshops when they arrive on April 23rd at 9:00am. Conference staff will do their best to place students in their first workshop choices.We look forward to seeing you in April! Done
