JUNIOR Youth Advocate Training: March 23, 2019
Registration Form-You will receive a confirmation email upon submission. Please submit by Friday, March 15, 2019.

*Please note that if your child is very interested in presenting for NJCTS, we are asking them to prepare a short speech to be utilized during the second portion of the training. (See section 2). However, if they do not wish to participate in the speeches, they can listen, observe, ask questions, etc. to get a feel for what it is all about.

Youth Attendee LAST Name *
Your answer
Youth Attendee FIRST Name *
Your answer
Youth Attendee Age *
Your answer
Youth Attendee Birthdate *
MM
/
DD
/
YYYY
Youth Attendee Email (if applicable)
Your answer
Youth Attendee Cell Phone (if applicable)
Your answer
Parent LAST Name *
Your answer
Parent FIRST Name *
Your answer
Parent Email *
Your answer
Parent Phone Number (Please specify home or cell) *
Your answer
Street Address *
Your answer
City/Town *
Your answer
Zip Code *
Your answer
Have you attended a training before? *
# of people attending the training (all kids to be accompanied by at least 1 parent) *
Your answer
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