MOYAG 2023 ADVOCACY DAY
Join us on April 12, 2023 in Jefferson City as YAG students meet with legislators to discuss the impact of Youth and Government, share their experiences, and observe state government in action.
First Name:
*
Last Name:
*
School / Delegation:
*
Role:
*
Student
Teacher
YMCA Staff
YAG Volunteer
Other
High School Graduation Year:
Not Applicable
2023
2024
2025
2026
Home Address:
*
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
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Montana
Nebraska
Nevada
New Hampshire
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New York
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Ohio
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Pennsylvania
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South Carolina
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Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Cell Phone:
*
-
Area Code
Phone Number
Email:
*
example@example.com
Lunch Options (we will provide a boxed lunch):
Ham
Turkey
Roast Beef
Veggie
Transportation: Do you need assistance with getting to/from Jefferson City?
*
Yes, I need assistance
No, I can get myself to/from
No, I have transportation and can also provide transportation for others
Other
Submit
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