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* 1. Please enter your contact information:

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* 2. What is the contact information for the youth you are applying for?

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* 3. What is the name and contact information of the adult travel chaperone who will be traveling with your YLE participant? (if known)

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* 4. Will you be applying for an adult travel scholarship for the above chaperone?

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* 5. Does your council intend to send participants to NLC?

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