2022-2023 YLA Cadet Information Sheet
Please complete the form below by Friday, September 1, 2023. 

IMPORTANT: 
  • Double check each answer to make sure it is correct before you submit the form. You only need to submit this form once.
  • If you submitted something incorrectly and then resubmit the form to make a correction, please leave a comment to state what correction you made. 

For any questions, please email admin@ylacademy.org. Thank you.
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Cadet Last Name *
Cadet First Name *
Cadet Date of Birth (mm/dd/yyyy) *
Grade Level (2023-2024) *
Name of School (2022-2023) *
Cadet School ID Number *
School Email Address *
Cadet Personal Email Address (gmail preferred) *
Cadet Phone Number (if applicable)
Do you consent to receive texts from YLA at this number? *
Home Address (Number and Street Name) *
City of Residence *
Zip Code *
Primary Parent Name *
Parent Email Address *
Parent Phone Number *
Do you consent to receive texts from YLA at this number? *
Secondary Parent Name
May YLA contact this parent regarding the cadet?
Clear selection
If you answered yes, please provide the secondary parent's email address
If you answered yes, please provide the secondary parent's phone number
Additional Comments (optional)
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