WILDOCEANS Youth4MPAs sign-up

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* 1. What is your name?

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* 2. Please specify your gender:

Male

Female

Prefer to self-describe

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* 3. How would you describe your race?

Asian

Black

Coloured

Indian

White

Other

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* 4. What is your current occupation?

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* 5. Where did you hear about the Youth4MPAs network?

Workshop

Webinar

Social Media

Referral

Other (please specify)

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* 6. Are you currently a member of any other WILDOCEANS Youth movement? If yes, please specify.

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* 7. What do you hope to gain by joining this movement?

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* 8. Please provide your contact information below so we can keep in contact about Y4MPA related information and activation's

Name

Organisation/Institution

City/Town

State/Province

Country

Email Address

Phone Number

Thank you for signing up to the Youth4MPAs movement! We will add you to our network and send you details about our upcoming events.