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Youth Advisory Board Sign up and Release
Participant's Name (First Last)*
Participant's Information
Address, City ZIP*
Contact Email (can be parent's)*
Primary Contact Phone
Primary Contact Phone Type
Date of Birth, Age
Current Grade, HS Graduating Year
Area of Interest
(Why are you interested? What do you want to do?)
Participant's Parent/Guardian Information
Father's Name (First Last)
Mother's Address (if different from above)
Father's Address (if different from above)
Mother's Email
Mother's Primary Contact Phone
Mother's Primary Contact Phone Type
Father's Email
Father's Primary Contact Phone
Father's Primary Contact Phone Type
Youth Advisory Board Participation Releases (required)
Parent or Guardian's Name*
Liability Release
Photo/Multimedia Release
Privacy Statement
AAH collects personal information for use within AAH and related activities. The information is used to effectively communicate directly with you and to better match your interest, capabilities and services with AAH's needs which will likely add to a better personal experience. We do not share your information outside of authorized AAH staff and resources.
Mother's Name (First Last)
* are required fields.
To download a form, click here.
Accolades
