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* 1. Tell us why you would like to join the Youth Climate Network

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* 2. Are you interested in participating in a fun project or activity that helps other young people across our region to be more informed about climate change?

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* 3. What kind of project/activity are you interested in?

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* 4. Tell about yourself

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* 5. Date of Birth

Date

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* 6. What describes you best (Check all that apply BUT you only need to answer these questions if you want).

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