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Youth Information List
Youth, we want to know more about you! Please fill out this form. Questions? Email Robert Turnbull at
robert@fbroswell.org
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* Indicates required question
Name
*
Your answer
Email
Your answer
Cell Phone Number
Your answer
Birthday
MM
/
DD
/
YYYY
What school do you attend?
Your answer
What grade are you in?
Your answer
What is your favorite school subject?
Your answer
School extra curricular activities?
Yes
No
If yes, to activities - what day(s) and time(s)?
Your answer
Any other interests?
Your answer
The best thing about me is....
Your answer
The toughest thing about being a youth is.....
Your answer
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