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Youth and the Law Summit 2023 Youth Registration Form
April 15, 2023 - 9:00am - 2:00pm
*
1.
Please provide your contact information.
(Required.)
Name
*
Email Address
*
2.
Which breakout session would you like to attend? (we will attempt to provide you with your selected choice, but we cannot guarantee your selection):
(Required.)
CJ Stewart – LEAD Center for Youth (Conference Room A)
Marlo Prioleau – Velocity Education Group (Room 3)
Julious Khalid – Young Generation Movement (Mock Courtroom)
Other:
*
3.
Please select a choice of lunch (
we will attempt to provide you with your selected choice, but we cannot guarantee your selection
):
(Required.)
Ham
Turkey
Ham & Turkey Mix
Italian (pepperoni & salami)
Cold Cut Combo (turkey, ham, & salami)
Veggie Sandwich
Do you have any allergies? If so, to what: