YMCA Youth and Government State Conference 2020 - Student Registration
School or Club
*
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Booker T. Washington
Capitol Hill
Carl Albert
Casady
Charles Page
Classen SAS
Community Christian School
Deer Creek
Douglass
Edmond Memorial
Edmond North
Edmond Santa Fe
Epic Charter School
Great Plains YMCA
Guthrie
John Marshall
Lawton Eisenhower
Mercy School
Midwest City
Moore High
Norman
Owasso Family YMCA
Piedmont
Putnam City Original
Putnam City West
Santa Fe South
Shawnee
Stillwater High
Stillwater Jr. High
Southmoore
U.S. Grant
Westmoore
YMCA of Greater OKC (Individual Group)
Other - Not listed
Club/School Adviser Email
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Full Name:
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First Name
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Grade
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9th
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Year in High School YAG - Counting this year.
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Race/Ethnicity
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Asian/Pacific Islander
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Home Address
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Street Address
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United States
Afghanistan
Albania
Algeria
American Samoa
Andorra
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Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
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Bolivia
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Botswana
Brazil
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Bulgaria
Burkina Faso
Burundi
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Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
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Cyprus
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Denmark
Djibouti
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Dominican Republic
Ecuador
Egypt
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Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
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France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
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Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
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Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
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Suriname
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eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
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Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
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British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
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Yemen
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Country
Phone Number - home
*
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Area Code
Phone Number
Emergency Contact Name
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Emergency Contact Relationship
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Parent/Guardian Email
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example@example.com
Emergency Contact Number
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Area Code
Phone Number
T-Shirt Size
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Please Select
Adult Small
Adult Medium
Adult Large
Adult X-Large
Adult XX-Large
Adult XXX-Large
T-shirt Style
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Regular Neck
V-Neck
Section that you are participating in?
*
Media
Judicial Mock Trial Team
Judicial Appellate
Judge
Legislative
Lobbyist
Governor's Cabinet
State Officer
Youth Commission
If you are in Judical Mock Trial , Please list the names of your Mock Trial members
If you are in Appellate, Please list the name of your partner - if you have on.
Will you be present for all meals?
*
Yes!
No, I will not be. I will check the boxes below.
If you checked no above, please let us know which Meals will you be Present for?*Please only check the ones you will be attending, so we do not pay for extra meals. Thanks!
February 20 Skirvin
February 21 - Breakfast at Capitol
February 21 - Lunch at Capitol/Denver Davison
February 22 - Lunch at Capitol
February 22- Dinner at Sheraton
Food Allergies or Restrictions
*
Lent Season is during this time.
Any Medical Conditions we should be aware of?
By submitting & Signing this form, I am agreeing to pay my school or club the State Fee. This fee is non-refundable.
Yes, I agree to pay the State Fee
Signature
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