Rhode Island Youth and Government Program Intent to Participate

Visit www.ymcayag.org/RI for more info!
Please contact State Director Drew Caldwell at drew@ymcayag.org or 270-300-4798 if you have any questions or issues.
1.Delegation (School or YMCA you are attending with)*(Required.)
2.Number of students you will be bringing.  An estimate or best guess is ok, this does not have to be an exact number at this time.(Required.)
3.Grade level(s) of the Students you will be bringing.  An estimate or best guess is ok, this does not have to be an exact number at this time.(Required.)
4.Lead Advisor First Name(Required.)
5.Lead Advisor Last Name(Required.)
6.City(Required.)
7.Lead Advisor Cell Phone Number
8.Lead Advisor Email Address(Required.)
9.Other Advisor Email Addresses to include on communication.
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