Youth Programs Application | Sedgwick County Electric Cooperative

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1
Current: Contact Information
2
Activities
3
Submit
4
Complete

Name

Student's Email

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Home Phone Number

Cell Phone Number

2020/2021 Grade

School

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

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The safety of our students and chaperones is our top priority. If the Cooperative Youth Tour or Cooperative Youth Leadership Camp organizers feel travel is unsafe due to concerns with the coronavirus (or any other acts of terrorism, disaster, civil disorder, or curtailment of transportation facilities), the trip will be canceled.

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

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