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3RD ANNUAL NATIONAL YOUTH DEVELOPMENT MASTER'S INSTITUTE
Register for Training

Name:
Organization:
Mailing Address:
City:
State:
Zip:
Phone:
Fax:
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Please the date of the training session you will be attending:
DATE
Module I Training
$50.00 per participant
Module II Training
$50.00 per participant
Training of the Trainers
$175.00 per participant
Parent Training
$30.00 per participant
Parent Training of the Trainers
$175.00 per participant
You will be registered once payment is received. You can choose your payment options on the next screen
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