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- Date of Birth*
- Are you currently a junior in high school?*
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Format: (000) 000-0000.
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Format: (000) 000-0000.
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Format: (000) 000-0000.
- If chosen as a Youth Tour delegate, the National Rural Electric Cooperative Association requires signed parental consent from both parents, unless one parent is deceased or no longer has legal parental rights. Will you be able to obtain signed parental consent from both living parents or legal guardians?*
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- Should be Empty: