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IYNA Chapter Registration
Welcome to the International Youth Neuroscience Association's Chapter Registration Form! Please fill out the following details below to register a chapter.
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Email
*
Your email
Chapter Name
*
Enter a name for this chapter. This should be the name of the school, university, or community that the chapter is based around. DO NOT USE YOUR OWN NAME.
Your answer
Chapter President Name
*
Please enter the name of the chapter president.
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Chapter Address
*
Enter the address of the school/community center around which this chapter is based.
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Phone Number
*
Please enter the chapter president's phone number.
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Email Address
*
Please enter the email address of the chapter president.
Your answer
If your chapter has a website, please paste the link below.
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A copy of your responses will be emailed to the address you provided.
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