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This is a form for submitting contact information for your membership at Chasing23 Youth Empowerment Group. If you have any questions, contact us at http://chasing23.org/contact-us

Privacy Notice

Chasing23 Youth Empowerment Group collects personal information, such as your name, email, address, phone number, etc., when you register to be a member. Chasing23YEG collects personal information via Google Form, and the information subsequently stores on Google Sheets. The personal information collection process is subjected to the Privacy Policy of Google, Inc. The information will only be used for contact purposes within the organization. Chasing23 Youth Empowerment Group respects your personal privacy. To the extent permitted by law, we will not release your name, address, phone number, or email address to a third party without your consent. If you are no longer a member of Chasing23 YEG, you could submit a request to delete the storage of your personal information via http://chasing23.org/contact-us

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Address
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Date of Birth
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Guardian Information Name and Contact *
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