Fayette County Young Dems Interest Form
Hello! Thank you for your interest in Fayette County Young Democrats. If you are interested getting involved, receiving updates and working to promote the best version of our Commonwealth through our organization please provide relevant contact information. If you have any questions feel free to contact us at fayettecountyyoungdemocrats@gmail.com
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First Name *
Last Name *
Email Address (Please do not provide a uky.edu or university domain name) *
Phone Number *
Are you a registered democrat, under forty years of age living in Fayette County? *
Birthdate (MMDD/YYYY) *
MM
/
DD
/
YYYY
Are you interested in serving on a committee? *
Required
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