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Aurora for Action Conference Registration Form

This registration form is for youth, caregivers and service providers. Email yvpprogram@auroragov.org with questions. For event information, visit AuroraGov.org/EmpoweringYouth.

Your Email

Please indicate your title

Age

What are your pronouns?

Phone Number for Emergency Contact

What t-shirt size do you prefer (unisex t-shirt)

How did you hear about this event?

Full Name