Impact Youth: FREE Leadership Program
The  goal of the program is to help youth learn leadership values and teaching them how to apply them to their lives.
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First Names (If more than one youth registering) *
Last Names (If more than one youth registering) *
Age *
Emergency Contact First and Last Name (Relationship) *
Email or Phone Number *
Leadership Program Dates *
Any comments and information we should know
For more information contact us at impactycc@gmail.com
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