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Developing Your Leadership Potential
November 3, 2008 - 6:01pm — admin
Please note:
the Youth Leadership Conference has been rescheduled. For more information please call: 416 487-2390.
School
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School Contact:
*
School Address:
*
School Phone:
*
Postal Code:
*
Fax Number:
School Email:
Student
Student Name:
*
Grade:
*
9
10
11
12
Student Address:
*
Student Postal Code:
*
Student Email:
Student Home Phone:
*
Student Fax:
Experience:
Have you had any type of leadership training? If so, with whom? And in what areas?
Interests:
Are you currently involved in any extra-curricular activities? Please list :
Emergency Contact Name:
*
Relation:
Emergency Day Number:
*
Ext:
Approval:
*
Yes
No
Parent/guardian approval to attend YLC
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