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Youth Coalition
A group of teens working at goals for other teens

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Name

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Email

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Phone Number

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Preferred Method of Contact

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A good time for meeting

We work around your schedule! Want to help us out?

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Are you 18 years or younger?

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If younger than 18, please a parent or guardian to contact

If older than 18, please put N/A

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If younger than 18, please provide a parent or guardian phone number

If older than 18, please put N/A

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If younger than 18, please provide a parent or guardian email

if other than 18, please put N/A