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Online Youth Leadership Program (YLP) Participation Form

Ajax Outspoken Speakers are hosting a Youth Leadership Program virtually on Zoom starting Thursday, October 8 to November 26, 2020. Please enroll youth between 11-18 years of age.

The first session on Thursday, October 8, 2020

Time: 7:00 pm - 8:00 pm on Zoom (The link will be sent to all the registrants).

Graduation Ceremony on Thursday, November 26, 2020

For more information: azharsemail@gmail.com
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Email *
Name *
Age *
Gender *
School *
Parent/Guardian's Name *
Parent Guardian's email address *
Parent/Guardian's phone number *
City *
Do you give permission for the Coordinator to use your child's picture/video for media and print purposes? *
Required
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