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YMCA Youth and Government Program Intent to Participate
Please contact State Director Drew Caldwell at drew@ymcayag.org or 270-300-4798 if you have any questions or issues.
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1.
Delegation (School or YMCA you are attending with)*
(Required.)
*
2.
Lead Advisor First Name
(Required.)
*
3.
Lead Advisor Last Name
(Required.)
*
4.
Estimated number of students you will bring (This is not a firm number you are promising, just your current best guess with an expectation it may change greatly)
(Required.)
*
5.
City
(Required.)
6.
Lead Advisor Cell Phone Number
*
7.
Lead Advisor Email Address
(Required.)
8.
Other Advisor Email Addresses to include on communication.
9.
Student Grades your group may include, please select all
12th
11th
10th
9th
8th
7th
6th
Other (please specify)
10.
Any information you can offer about your group or school will help us prepare accordingly.
11.
Your State
MA
CT
RI
VT
Other (please specify)
Current Progress,
0 of 11 answered
