2013 YIP Programs: Training Survey
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1. Participant Registration
8%
*
1
. Every youth program has its own number. Some programs have a number and a letter.
Your program staff will tell you what number to use. Please select it from the list below.
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3A
3B
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7A
7B
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11A
11B
11C
13A
13B
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15A
15B
15C
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19A
19B
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22A
22B
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25A
25B
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29A
29B
31
32A
32B
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34A
34B
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50A
50B
52A
52B
53A
53B
53C
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60
Every youth program has its own number. Some programs have a number and a letter. Your program staff will tell you what number to use. Please select it from the list below.
*
2
. Youth Code Number
First initial of your FIRST NAME:
First initial of your LAST NAME:
Your MONTH of Birth:
Your DAY of Birth:
Please enter your:
I do not wish to answer
A
B
C
D
E
F
G
H
I
J
K
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M
N
O
P
Q
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Y
Z
Youth Code Number Please enter your: First initial of your FIRST NAME:
I do not wish to answer
A
B
C
D
E
F
G
H
I
J
K
L
M
N
O
P
Q
R
S
T
U
V
W
X
Y
Z
First initial of your LAST NAME:
I do not wish to answer
January
February
March
April
May
June
July
August
September
October
November
December
Your MONTH of Birth:
I do not wish to answer
1
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31
Your DAY of Birth:
*
3
. Please enter today's date
Month
Day
Year
Today is:
January
February
March
April
May
June
July
August
September
October
November
December
Please enter today's date Today is: Month
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Day
2013
2014
2015
Year
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