Youth and the Law Summit 2023 Youth Registration Form

April 15, 2023 - 9:00am - 2:00pm

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* 1. Please provide your contact information.

Name *

Email Address

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* 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):

Other:

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* 3. Please select a choice of lunch (we will attempt to provide you with your selected choice, but we cannot guarantee your selection):

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: