Rhode Island Youth and Government Program Intent to Participate

Visit www.ymcayag.org/RI for more info!

Please contact State Director Drew Caldwell at drew@ymcayag.org or 270-300-4798 if you have any questions or issues.

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* 1. Delegation (School or YMCA you are attending with)*

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* 2. Number of students you will be bringing. An estimate or best guess is ok, this does not have to be an exact number at this time.

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* 3. Grade level(s) of the Students you will be bringing. An estimate or best guess is ok, this does not have to be an exact number at this time.

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* 4. Lead Advisor First Name

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* 5. Lead Advisor Last Name

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* 6. City

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* 7. Lead Advisor Cell Phone Number

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* 8. Lead Advisor Email Address

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* 9. Other Advisor Email Addresses to include on communication.