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Webinar Registration
Youth Councils - Steps to Success
July 10, 2014, 3:30-4:30pmET

Presented by the YEAH Council, Family Voices of New Hampshire
John Jackson, Matthew Burton, and Karin Harvey-Olson

This webinar, jointly sponsored by Family Voices/KASA and the National Center for Family Professional Partnerships, is designed to introduce strategies for creating effective and sustainable youth councils.

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* 1. Please enter the following information:

Name: *

Organization:

Title:

State: *

Email Address: *

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* 2. (Optional) Please indicate your race:

American Indian or Alaskan Native

Asian

Black

Pacific Islander

White

Other Race

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* 3. (Optional) Is your ethnicity Latino or Hispanic?

Yes

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* 4. (Optional) Please indicate your primary language:

English

Spanish

Other:

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* 5. Please indicate your primary role in participating in this webinar. (Note:Family leaders joining on behalf of their organizations should choose Community-Based/Local Organization Staff.)

Parent/Family

Other Consumer of Health Services

Community-Based/Local Organization Staff

Health Provider/Professional

Education Provider/Professional

State MCH Agency Staff

Other (please specify)

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* 6. Please indicate the number of additional people who will share your call line and/or webinar screen. (We are interested in the total number of participants, not only the number who register or log on):

Thank you! You will receive an email with webinar connection information.