Registration 2016

To register, please fill out the registration form below. Please note that space is limited. Fill out one per participant!

We can't wait to see you!

* Indicates required field

Name *

First

Last

Community / Council Name *

Position Title *

Community / Council Website *

Email *

Phone Number *

Please let us know if you have any special food needs or allergies: *

Activities that you plan to participate in: *

CCP 101 Community Visit and Tour Cultural Evening

What is one thing happening in your community that empowers youth? *

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