Vermont Youth and Government Program Intent to Participate

Please contact State Director Drew Caldwell at drew@ymcayag.org or 270-300-4798 if you have any questions or issues.

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1. Delegation (School or YMCA you are attending with)* (Required.)

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2. Lead Advisor First Name (Required.)

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3. Lead Advisor Last Name (Required.)

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4. City (Required.)

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5. Lead Advisor Cell Phone Number

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6. Lead Advisor Email Address (Required.)

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7. Number of Students Expected (Required.)

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8. Other Advisor Email Addresses to include on communication.