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2026 Youth Leadership Institute Registration Form
Thank you for your interest in the Youth Leadership Institute! This is an interactive leadership development program for students 11-13 years old. Please fill out all required areas. If you have any questions or concerns, please feel free to email the YLI Coordinator, Amari Barnes (amaribarnes212@gmail.com) We look forward to working with you! -Youth Leadership Institute Staff
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Student Name
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Student phone #
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Student email
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Parent or Guardian Name
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Parent or Guardian Phone Number
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Parent or Guardian Name Email Address
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County of Residence/ School
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Please feel free to leave any information that you would like the Xi Delta Omega Youth Leadership Institute to know.
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