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YMM Parent Seminar and Workshop Registration
Please provide the information requested below as this will greatly assist us in planning for the event.
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Full Name:
*
Your answer
Total Number of Adults You are Bringing (Including Yourself):
*
Your answer
Names of All Adults You are Bringing, and Their Relationship to You (If you are attending alone, please answer "none"):
*
Your answer
Phone Number:
*
Your answer
Email Address, if applicable:
Your answer
What age group are you in?
20-29
30-39
39-49
49-59
60 or older
Other:
Clear selection
Number of children you have:
Your answer
Are your children currently enrolled in YMM's Mentorship Program?
Yes
No
Clear selection
If you answered "yes" to the question above, please provide your child's/children's name(s):
Your answer
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