Please fill out this form for groups of youth attending Children's Advocacy Day at the Capitol on Wednesday, February 13th, 2019.

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* 1. Name of school or organization:

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* 2. Address of your school or organization:

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* 3. Contact person with email and phone number:

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* 4. Number of students attending:

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* 5. What age range are the students?

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* 6. What time will your group be arriving at the Capitol?

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* 7. Your group will have the opportunity to observe and participate in a variety of activities at Children's Advocacy Day. Please select as many options in which your group is interested.

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* 8. Lunch options:

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* 9. What time will your group be leaving the Capitol?

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