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Welcome to the registration for the 2024 Statewide Youth Advocacy Conference!

Location: Happy Valley Conference Center, Santa Cruz County
Date: July 15 - 18, 2024

This registration is a two-part process.

First Process:

1. Adult coordinators can register themselves and their coalitions via this online form.

2. After completing the registration, coordinators will receive additional paperwork within a week.

3. Coordinators will also receive youth registration packets to send to interested youth.

Second Process:

4. Once you confirm youth participation, you can register your youth partners via a unique Google Sheet link.

5. Youth/coordinator forms will need to be filled out and sent before the event.

If you have any questions about this process, please email Jocelyn Rodriguez at jocelyn@cyanonline.org.

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* 1. Name (First and Last)

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* 2. Pronouns (i.e., she/he/they)

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* 3. Gender

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* 4. Date of Birth (mm/dd/yyyy)

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* 5. Organization

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* 6. Position/Role

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* 7. Youth Coalition Name

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* 8. Phone Number

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* 9. Email Address

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* 10. How long have you worked in commercial tobacco control?

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* 11. How long have you been working with youth partners?

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* 12. Approximately, how many youth do you anticipate bringing to the conference?

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* 13. Please share any dietary or special accommodation needs.

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