Youth Advisory Council Member Application Name * First Name Last Name Email * Pronouns School * Birthday * MM DD YYYY Phone * (###) ### #### Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Parent / Guardian Name * First Name Last Name Parent / Guardian Phone * (###) ### #### What other clubs or activities are you involved in? * Why would you like to join our Youth Advisory Council? * How did you hear about us? * Thank you!
