University of LaVerne Omega Psi Phi Youth Leadership Conference
Please fill out the following form if you are interested in attending the free Youth Leadership Conference at the University of LaVerne on Saturday, March 12th. Transportation will be provided by the Monrovia Unified School District. The sign-up deadline is December 11, 2015.
Student's last name
Your answer
Student's first name
Your answer
School
Grade
Email address
Please provide your email address for reminders and updates about the conference.
Your answer
Counselor's Name
Your answer
Parent's cell phone number
Your answer
Please let us know how many adults will accompany your student.
A parent is requested to accompany student(s).
Name(s) of adult(s) attending
Your answer
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