Youth Programs Application | Sedgwick County Electric Cooperative

Name

Student's Email

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Home Phone Number

Cell Phone Number

2024-2025 Grade

School

Gender Male or Female

I agree that all information supplied in this application is accurate and true. (applicant signature)

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I hereby grant permission to the above applicant to complete in the Youth Tour Competition (parent or guardian signature)

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Parent Name

Parent or Guardian Phone Number