Youth Distribution List Please provide the following information to be added to our customer email database. Question Title * 1. Youth Information First Name Last Name City of Residence OK Question Title * 2. Youth Information Birthdate Date OK Question Title * 3. Youth Information Male Female OK Question Title * 4. Does the Youth have any special needs? Yes No If yes, please specify. OK Question Title * 5. Parent Information - Service Member First Name Last Name City of Residence Phone Number OK Question Title * 6. Parent Information - Service Affiliation Air National Guard Army National Guard OK Question Title * 7. Parent Information - Rank PVT PV2 PFC SPC CPL SGT SSG SFC MSG 1SG SGM CSM WO1 CW2 CW3 CW4 CW5 2LT 1LT CPT MAJ LTC COL BG MG OK Question Title * 8. Email address to include in distribution list OK If you would like to receive text notifications for upcoming events, text @AllStateY to 81010. OK DONE