In Youth We Trust Member Application
First Name *
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Last Name *
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Preferred Name *
What should we call you? Kathryn? Kate? Katie? Kat? KT?
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Gender *
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Age *
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Birthdate *
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High School *
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Graduation Year *
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Home Address *
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City *
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State *
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Zip *
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Email *
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Preferred Phone *
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This phone is: *
Other Phone
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This phone is:
Do you: *
Check all that apply.
Required
The best way to reach me is: *
T-shirt size *
Parent/Guardian Name(s) *
Your answer
Parent/Guardian Phone(s): *
Include home and cell for all, if available.
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Parent/Guardian Email(s): *
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Who should be the primary parent/guardian contact? *
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