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Jack Labrador Summit 2022 Delegate Registration
Thank you for your interest in attending the Jack Labrador Summit 2022!

The Jack Labrador Summit is a collaborative Mental Health event led by youth for youth, in partnership with Jack.org. The Summit is open to Labrador youth ages 14+ and will take place virtually September 30 - October 1 2022. The Summit will feature skill-building sessions, youth-led collaboration sessions, wellness workshops, and more!

Please provide us a few details below to complete your registration. The registration deadline is July 30 2022. Please reach out via email (jacklabradorsummit@gmail.com) if you have any questions or for more information about the Summit.

We look forward to seeing you at the Jack Labrador Summit 2022, please stay tuned and keep an eye on your inbox for more details to come. We are so excited that you will be joining us to revolutionize Mental Health together!
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What is your full name? *
What are your pronouns?
What is your date of birth? *
Please Note: Delegate Registration is open to youth ages 14+
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What is your town/ community? *
What is your complete mailing address? *
Please Note: This will be used to send you your Delegate SWAG.
Which size T-shirt would you like to receive? *
Will you be representing a school, community organization, or youth group at the Summit *
Which school, community organization, or youth group will you be representing at the Summit?
What do you hope to take away from the Jack Labrador Summit 2022? *
We are committed to supporting accessibility throughout the Summit. Would you like to be contacted to discuss how we can further support your Summit experience? *
Is there else anything you would like to share with us prior to the Summit?
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