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. OK Question Title * 1. Delegation (School or YMCA you are attending with)* OK Question Title * 2. Lead Advisor First Name OK Question Title * 3. Lead Advisor Last Name OK Question Title * 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) OK Question Title * 5. City OK Question Title * 6. Lead Advisor Cell Phone Number OK Question Title * 7. Lead Advisor Email Address OK Question Title * 8. Other Advisor Email Addresses to include on communication. OK Question Title * 9. Student Grades your group may include, please select all 12th 11th 10th 9th 8th 7th 6th Other (please specify) OK Question Title * 10. Any information you can offer about your group or school will help us prepare accordingly. OK Question Title * 11. Your State MA CT RI VT Other (please specify) OK DONE