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Y-WE Nature Connections 2016-2017
Youth Information
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First Name
Last Name

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Address Line 1
Address Line 2
City
State/Province
ZIP/Postal Code
Country
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What year (grade) will you be in school this year? (7, 8, 9, 10, 11, or 12?)
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If you have it, this is our preferred and BEST way to reach you. If you put your cell as your "home" phone, simply re-type it here.



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Y-WE will make sure that rides are available to girls who need them. If possible, we will ask you and other girls in your region to meet at a central location near your home so that a Y-WE shuttle can pick up a bunch of girls at the same time. If there is no central meeting spot in your area, we will send someone to your home to pick you up.

Parent/Guardian/Emergency Contact Info
Please fill this section out completely so that we can contact you about upcoming events and notify you if any emergency situation were to arise while your child is at our program.
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Address Line 1
Address Line 2
City
State/Province
ZIP/Postal Code
Country
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First Name
Last Name
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First Name
Last Name
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Youth's Personal Information
Your answers to these questions help us to get to know you better and understand what inspired you to apply to Y-WE. We shape our programs around the passions and goals of the young women who participate--so your answers to these questions really matter to us! This program is here to support YOU in the best way possible.
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Your Commitment to Y-WE
We have limited space in our programs and require a commitment from you to participate in all activities related to the program you are signing up for. If you miss events regularly, without pre-approval from the program team, we may ask you to leave the program and offer your spot to someone else . Y-WE is available to any girl who wants to participate, and no one will be turned away due to inability to pay. The full cost for each participant is $1000. Any amount over $1000 that you contribute is tax-deductible and will be added to our scholarship fund so that other girls in need can have this life-changing opportunity.
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