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Apply to be on the Youth Advisory Board

The application should be completed by students and signed by parents before submission.  

 

If you have any questions, please contact CYFA at contact@cyfadvocacy.org 

"*" indicates required fields

STUDENT INFORMATION

Name*
MM slash DD slash YYYY
Please enter a number from 1 to 12.
Home Address*

PARENT/GUARDIAN INFORMATION

Parent/Guardian Name*
Address (if different from the student)

PERSONAL INTEREST STATEMENTS

The following statements must be completed by the student.

EMERGENCY CONTACT INFORMATION

Emergency contact name*

AGREEMENTS & WAIVERS