Northwest Youth Corps

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Join NYCs' Alumni Connection
To join our Aliumni Connection, fill out the following registration form. After you submit your registration, you will need to reply to our confirmation email in order to activate your account. Note: your account will not become active until you read and respond to the activation email sent to the email address provided below (make sure you enter a valid email address).
	Last Name: *	First Name: *
	Year Participated: *	Position: *
	Gender: Male Female	Date of Birth: *
	Address: *	City: *
	State: *	Zip: *
	Address viewable by others? Yes No *	E-mail Address: *
	Password: *	Verify Password: *