Pasadena Youth Center - AML Registration (Groups)

Preparing Youth For Careers

805 N. Madison Avenue
Pasadena, CA 91104
ph: (626) 798-1538
adelante@pasadenayouthcenter.org

AML Registration (Groups)

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This registration is for school, organization or program groups attending the Adelante Mujer Latina Conference. You will receive a confirmation email within 72 hours of your submission. You will be invoiced for payment. Payment should be submitted made prior to conference day. Mail payments to: Pasadena Youth Center, P.O. Box 92517, Pasadena, CA 91109

*School / Organization / Program Name:

*Contact Name:

*Contact Position / Title:

*Address Line 1:

Address Line 2:

*City:

*State:

*ZIP/Postal Code:

*Office Phone:

Cell Phone:

Fax:

*Email:

*Number of Student / Youth Attendees:

*Number of Adult Attendees:

*Total Number of Attendees:

*Do You Need An Invoice?

YES NO

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805 N. Madison Avenue
Pasadena, CA 91104
ph: (626) 798-1538
adelante@pasadenayouthcenter.org