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Participants
Parents
Success Stories
About
Donate
Registration
Date
MM slash DD slash YYYY
Year in Program
1st
2nd
3rd
4+ Years
Personal Information
Name
First
M.I.
Last
Date of Birth
MM slash DD slash YYYY
Address
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Home Phone
Cell Phone
Email
Name of Parent or Guardian
Daytime Phone of Parent/Guardian
Parent/Guardian Alternate Phone
Where did you hear about ForeUs?
Friend
Community Center
Flyer in Community
Website
Minneapolis Urban League
Other
This information is being requested in accordance with federal regulations.The information is
voluntary
and will not be used when considering your registration.
Racial or Ethnic Group
American Indian / Alaskan
Asian / Pacific Islander
Black / African American
Hispanic / Latino
White / Caucasian
Prefer Not to Answer
Other
Gender
Male
Female
Prefer Not to Answer
Phone
This field is for validation purposes and should be left unchanged.
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