2015 Michigan Youth Leadership Training Camp Pt. 2 - Medical Form

This is the second half of the 2015 MIYLT Registration form. This needs to be completed before your registration will be considered finish. A If you have any questions, please contact Allison Peabody at 616-527-4900 ext 1223 or via email at apeabody@ioniaisd.org.

Registration includes having a copy of the camper's insurance card faxed to the Ionia County ISD, 616-527-4731 attn: Allison Peabody.

    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question