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Youth Participants
IF YOU ARE A PARENT OR GARDIAN: Please fill in completely. AFTER clicking the SUBMIT button, click "The SUBMIT ANOTHER RESPONCE" link to add another Youth Participant form
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First Name
Your answer
Middle Initial
Your answer
Last Name
Your answer
Date of Birth
MM
/
DD
/
YYYY
Name of Parent or Guardian
Your answer
Street Address
Your answer
City
Your answer
State
Your answer
Zip code
Your answer
Phone Number (area code)_ _ _ - _ _ _ _
Your answer
School Name
Your answer
Grade
Kindergarten - 8th Grade
High school
College
Other
What is your Race?
African American
Caucasian
Asian
Hispanic
Other:
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