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2. Youth Name (First & Last)*
4. Youth Phone*

   (xxx-xxx-xxxx)

5. Youth Email*

   (email is our primary means of contact)

7. Parent/Guardian Name*

    (First & Last)

8. Pronouns

   1. He/Him
   2. She/Her
   3. They/Them
10. Parent/Guardian Phone*

    (xxx-xxx-xxxx)

11. Parent/Guardian Email*

    (email is our primary means of contact)

13. Street Address*
14. City*
15. Zip Code*
17. School Attending Fall 2026*
18. Grade in Fall 2026*

    1. 9 (Freshman)
    2. 10 (Sophomore)

    1. 11 (Junior)
    2. 12 (Senior)
20. Previous Participant of YCC?*

    1. Yes
    2. No
22. Ashland Parks Youth Conservation Corps Date Selection*

    1. Session 1: June 8-12

    1. Session 2: June 22-26
24. If you are available for more than one session, please list them in order of preference:
26. "If selected for the Youth Conservation Corps program I will participate to the best of my abilities, obey all rules and guidelines of the program and represent Ashland Parks & Recreation to the best of my abilities."*

    1. I Agree
Leave This Blank:


28. 1. Receive an email copy of this form.
29. Email address

    This field is not part of the form submission.

30. Submit

* indicates a required field