YGN Summer Program 2020
Please fill out this form so we have your information. Submitting this form is NOT an agreement of any sort, and does not bind you to any commitment. It is for informational purposes only.
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Father's Name (first) *
Mother's Name (first) *
Child's Name (first and last) *
Father's phone Number *
Mother's phone Number *
What is the best number to reach you if we need to? *
Email Address *
Please enter an email address where you can be reached to inform you of changes to the programming or upcoming trips/events. (This list is used EXCLUSIVELY for the summer program, and for not other promotional or other purposes)
Who should we contact in case of an emergency,  (Name, relationship, number) if we cannot reach parents? *
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