YOUTH CONVENTION REGISTRATION FORM (Youth Empowerment in Nation Building)

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Date: May 22, 2016 Timings: 8:00 AM-3:00 PM
Venue:
Turner Fenton Secondary School,
7935 Kennedy Rd South,
Brampton. ON. L6W 0A2.

The detailed Itinerary will be sent after registration through email.
REGISTRATION IS FIRST COME FIRST BASIS AND THE DEADLINE FOR REGISTRATION IS MAY, 14 2016.
PLEASE EMAIL US ON "youthconvention16@gmail.com" FOR ANY INQUIRY PERTAINING TO YOUTH CONVENTION.

This information will be kept confidential and may be shared with any branch of All World Gayatri Pariwar for betterment of society and family welfare

FIRST NAME *

LAST NAME *

NATIONALITY *

CANADIAN

AMERICAN

OTHERS

GENDER

Male

Female

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AGE *

Youth convention activities are based on age.

Between 5-11 years

Between 12-35 years

Above 35 years

ACCOMODATION REQUIRED? *

YES (If yes, you will be notified for more details)

EMAIL ADDRESS *

Please note all correspondence will be done through email.

PHONE NUMBER

NUMBER OF ACCOMPNYING PERSONS *

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