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Get Involved
Students
Parents/Educators
Supporters
Volunteers
Programs
River City Race Program
Youth College and Career Readiness
Donate
News & Media
Menu
Attendee Form – Enroll Students in this Engaging and Interactive Program
Please tell us who you are:
*
Please Select
Student
Educator
Name
*
First
Last
Phone
*
Email
*
County
*
Please Select
Baker County
Ben Hill County
Berrien County
Brooks County
Calhoun County
Chattahoochee County
Clay County
Colquitt County
Cook County
Crisp County
Decatur County
Dooly County
Dougherty County
Early County
Echols County
Grady County
Harris County
Irwin County
Lanier County
Lee County
Lowndes County
Macon County
Marion County
Miller County
Mitchell County
Muscogee County
Pelham-City Schools
Quitman County
Randolph County
Russell County
Schley County
Seminole County
Stewart County
Sumter County
Talbot County
Taylor County
Terrell County
Thomas County
Thomasville City Schools
Tift County
Turner County
Valdosta City Schools
Webster County
Worth County
Other
Enter your County
Student Count
*
Please enter with number of students will attend the event.
Are you eating lunch on site?
Please select
Yes
No
School Name
*
Do you attend a ?
*
Please Select
Public School
Private School
Home School
Charter School
Virtual School
Gender
*
Please Select
Male
Female
Other
Grade Level
*
Please Select
4
5
6
7
8
9
10
11
12
Other
Plans After High School
*
Select All
Technical Career School
College/University
Military
Job
Entrepreneurship
Undecided
Other
Have you applied to any colleges or universities?
*
Yes
No
Are you considering or planning to go to school locally or out of area?
*
Please Select
Not Applicable
Locally
Out of Area
Favorite Subject
*
How do you plan to attend YCCE21
*
In School Virtual
At Home Virtual
In-Person
By which Format?
*
Please Select
Phone
iPad
Tablet
Laptop
Computer
Classroom Monitor
In-Person
Are you a GEAR UP student?
*
Yes
No
Photograph Terms
*
By checking this box below, I am aware photographs and videos will be taken and used for marketing including the use of social media for this program. I have proper authorization for each student attending to be photographed or videoed. If you have questions, please email us at
youthexpo@letsgrowsteam.org
or call
706.577.3409
Yes, I do accept the terms
Seminar Descriptions Information
Click here to
download PDF
with all seminars info.
Δ
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