Youth Can 2 Parent Registration Form
Partner Details:
Parent Full Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
E-mail
example@example.com
How did you hear about us?
*
Please Select
Email
Internet
Referral
Other
Please Specify
*
Tell us about your young author: name, age, email address, phone number, interest in writing...
We are planning an informational, and then will schedule interviews. Parents and youth must attend a One-On-One interview to join the project. This is a certification and entrepreneurship program and must be made a priority. Is this something you are seriously interested in for your child?
*
What days of the week and times work best for you to interview?
*
Submit
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