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2023 Nebraska Youth Climate Summit Registration Form
Thank you for your interest in the Nebraska Youth Climate Summit. Please take a minute to fill out this form with your information. We appreciate your time and look forward to meeting you!
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* Indicates required question
Name
*
Your answer
Email Address
*
Your answer
Age
*
15-25
26-35
36-45
46-55
56-65
66+
School/Organization Affiliation
Your answer
What is your role?
Student
Educator/Adult Sponsor of a group
Other:
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*If you are a STUDENT, will you be coming alone or as a member of a larger group that is attending? If coming with a group, what group will that be?
Your answer
*If you are an EDUCATOR/ADULT SPONSOR, how many people do you anticipate coming as part of your group?
Your answer
Do you (or anyone in the group you are bringing) have any dietary restrictions that we should be aware of? If so, what are they?
*
Your answer
Are there any special considerations that we should take to ensure that you (or anyone in the group you are bringing) can fully participate in the day's events?
Your answer
Will you requires parking? If yes, for what kind of vehicle (car, bus, etc.)
Your answer
Why are you interested in this opportunity?
Your answer
How did you hear about this opportunity?
Your answer
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