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YLA Registration Form 2021

Please let us know your name.
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Please let us know your email address.
We ask the following information to ensure we have diverse representation in our YLA program. Please help LAMC acheive this goal by providing the best answers to these questions. LAMC does not discriminate on the basis of gender, race, religion or national origin.
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PARENT / GUARDIAN INFORMATION

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ORGANIZATIONS AND ACTIVITIES

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WORK EXPERIENCE
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PERSONAL PROFILE

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STATEMENT OF AGREEMENT
LAMC Agreement
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Medical/General Liability Release
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Photo Release
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Scholarship
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