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)*

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* 2. Lead Advisor First Name

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* 3. Lead Advisor Last Name

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* 4. City

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* 5. Lead Advisor Cell Phone Number

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* 6. Lead Advisor Email Address

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* 7. Number of Students Expected

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* 8. Other Advisor Email Addresses to include on communication.