YEDC 2019 Youth Registration
Email address *
YEDC Youth Registration Form
YEDC- NORTH
Event Date: July 16-17, 2019
Event Address: Miami Dade College, North 11380 NW 27th Ave, Miami, FL 33167

YEDC- SOUTH
Even Date: July 19, 2019
Event Address: Miami Dade College, Homestead 500 College Terrace, Homestead, FL 33030

Contact us at (786) 581-7821

First Name *
Your answer
Last Name *
Your answer
Organization/Group (If Applicable or N/A) *
Your answer
Age *
I am participating in the Summer Youth Internship Program
School Attending (High School or College) *
Your answer
Grade *
Race/Ethnicity
Gender
Zip Code
Your answer
MDCPS ID# (or N/A) *
Your answer
Miami Dade College ID# (or N/A)
Your answer
Dietary restrictions
What days will you attend? *
Required
A copy of your responses will be emailed to the address you provided.
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