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Registration Form - International Encounter of ECYD Team Leaders 2019
This form must be filled out by the ECYD Team Leader after receiving the approval email.
If the Team Leader is a minor, this form must be filled out by a parent or legal guardian.
Any questions may be directed to
ecydinternacional@gmail.com
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PERSONAL INFORMATION
Full name of team leader
*
Your answer
Date of birth
*
MM
/
DD
/
YYYY
City, state, and country of residence
*
Your answer
Email address
*
Your answer
PARENTS INFORMATION
If the information being asked is not applicable, please put an "N/A" in the answer.
Father's Full Name
*
Your answer
Father's Email Address and Cellphone number
*
Your answer
Mother's Full Name
*
Your answer
Mother's Email Address and Cellphone number
*
Your answer
In the absence of parents, name and cellphone of an emergency contact
*
Your answer
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