CPNYC Youth Action Teen Open House Interest Form

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Come through for the CPNYC Youth Action Open House pizza party! Connect with other CPNYC teens, learn about our programs, trips, stipend incentives, and enroll. Help us put the YOU in Youth Action!

Timing: May 24th (for ages 14-15), May 31st (for ages 16-17), June 1st (for age 18)
Address: CPNYC, 54 MacDonough St, Brooklyn, NY 11216
Contact: Colleen, Teen Program Manager at (718) 400-9290 ext. 329 or cmcclintock@cpnyc.org

Email *

Name and Age *

Email *

Cell Number *

Are you willing to receive text updates?

Yes

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What day will you attend? *

Wednesday, May 24th (for 14-15 year olds)

Wednesday, May 31st (for 16-17 year olds)

Monday, June 5th (for 18 year olds)

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Preferred Pronouns (ex. she/her, he/him, they/them, other) *

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