Elder & Youth Gathering
May 24-26 at 4:00pm
Location: University of British Columbia Okanagan UNC Ball Room
AGE: Youth 13-18 years only

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Name *
Email *
Phone Number *
Date Arriving: *
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Please select your community *
Chaperone Name: Must have 1 chaperon per group of youth (contact community youth worker)
Select one *
Gender: *
Name of Parent/Guardian (if applicable) & Contact:
Emergency Contact Name & Number: *
Date of Birth:  YOUTH 13-18 only *
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