Parent/Guardian -Youth Career Services 365 Terms & Conditions - Comments

Participants Disagree with comments

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* 1. First Name:

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* 2. Last Name:

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* 3. Parent/Guardian's Email address:

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* 4. Parent/Guardian's Last 6 Digits of SSN

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* 5. Program Applicant's Full Name (ex. John W. Smith)

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* 6. Terms & Conditions (T&C): If you disagree with any portion of the T&C please provide detailed comments below.