City of Greenville, NC
City of Greenville, NC

is dedicated to providing all citizens with quality services in an open, ethical manner, insuring a community of distinction for the future.

 

2010 "Real World" Youth Leadership Conference

 

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2010 Youth Conference Registration Form

Please complete one registration form for each individual.

Name:

 

Phone:

School:

Grade:

Address:

 

City:

Zip Code:

 

 

Sign In: 9:00 – 9:45 AM

Conference Time: 10:00 – 3:00 PM

Conference Location: Greenville City Hall – 200 West Fifth Street

 

 

- In Case of Emergency -

Parent/Guardian Name:

Phone:

Do you require special accommodations?

  -    

Do you have any dietary restrictions?

  -    

 

 

Registration deadline:

SPONSERS

City of Greenville

Town of Winterville

The Daily Reflector

Citizens United Against Violence

Pitt County Substance Abuse Coalition 

Greenville Police Department 

Greenville Human Relations Council

For additional information, contact Cassandra Daniels with the Greenville Human Relations Office at 329-4494. 

 

   

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