Undoing Racism Youth Group Registration Page

When you have registered all of your group members please continue to end of survey by typing in "none."

Primary Contact Person (Adult)








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answered 2017-03-28 12:31:50 -0400
Q: Name of 4th Youth
A: none
answered 2017-03-28 12:31:42 -0400
Q: Name of 3rd Youth
A: none
answered 2017-03-28 12:31:14 -0400
Q: Name of 2nd youth
A: Jessy Nieves
answered 2017-03-28 12:31:03 -0400
Q: Name of 1st youth
A: Rosa Matta
answered 2017-03-28 12:30:54 -0400
Q: Primary Contact phone number
A: 904-415-0378
answered 2017-03-28 12:30:44 -0400
Q: Email Address for primary contact
A: reinna2007@gmail.com
answered 2017-03-28 12:30:34 -0400
Q: Organization Affiliation
A: UROC
answered 2017-03-28 12:30:23 -0400
Q: Primary Contact Person (Adult)
A: Annie Rodriguez