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Y-WE Create 2017 Registration

Y-WE Create Summer Camp

July 18-23, 2017

Carnation Farms

Youth Information
This form is for young women, ages 13-18, who wish to enroll in Y-WE Create. Please look over the application below and prepare to complete and submit it in one session. You WILL NOT be able to save the form mid-way through.
Contact 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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Cell phone number is best
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Parent/Guardian/Emergency Contact Info (to be completed by parent/guardian)
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 this young person 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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Medical Information
Your answers to these questions help us to assure your health and safety while you are at the program
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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!
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Your Commitment to Y-WE:
Since we have limited space in all our programs, and we want to make sure you get the most out of your Y-WE experience, we require a commitment from you to participate in all activities related to the program you are signing up for. If you miss our events regularly, without pre-approval from the program director, we may ask you to leave the program and offer your spot to someone else who can fully take advantage of the opportunity.
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