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JYA,YA, & GUNA Officials IMPACT Attendance Registration Form
Please fill out these questions and submit regarding IMPACT attendance.
* Required
Email address
*
Your email
Full Name: First, Middle, Last
*
Your answer
School Name:
*
Your answer
Gender
*
Female
Male
Grade as of new school year:
*
8
9
10
11
12
Cell Phone Number:
*
Your answer
Parent(s)/Guardian(s) Names:
*
Your answer
Parent(s)/Guardian(s) Cell Phone #'s:
*
Your answer
Parent(s)/Guardian(s) email address:
*
Your answer
Will you be attending IMPACT (Junior Youth Assembly, Youth Assembly, and Georgia United Nations Assembly) Officials Training July 19-21, 2019? *If you say no to this question, you will be removed from your position.
*
Yes
No
Dietary Restrictions/Food Allergies:
*
Vegetarian
Vegan
Kosher
Halal
Gluten-free
None
Other:
Other:
Send me a copy of my responses.
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