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* 1. Where do you live (City [and State, if other than WI])?
(This information will be used to identify the area where we should try to focus possible meetings/clinics/events)

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* 2. Which age group are you in?

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* 3. What interests you about the youth program?
(If you have an idea that is not listed, please include it in the text box at the end of the question)

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* 4. Do you usually attend any of the following shows/events (for meeting/social event planning purposes)?

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* 5. Do you have any other feedback you would like to provide? If so, please include it here.

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