IYG @ IHS Registration Form

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Please fill out the following form if you are interested in joining the youth webinar for:

Where can I find the best possible help? with Hayder Kadhim

January 3rd, 2021 at 1:30pm, Boys and Girls Ages 12 and up

If you have any questions for the speaker, please include them in the last section of this form. All questions will remain anonymous.

Everyone who registers and attends will receive a Free Scoop of Ice Cream at the Culver's located at
290 S Schmale Rd, Carol Stream, IL 60188

First and Last Name

Age

Full Address - for Free Ice Cream Scoop (Example: 1269 Goodrich Ave, Glendale Heights, IL 60139)

Did you attend last year's event with Hayder Kadhim (aka Jiggy)?

Yes

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