United Way Youth Venture Regional Celebration ~ May 10th, 2007

Join us in celebrating our United Way Youth Venture Teams on Thursday, May 10th at the Colonial Hotel in Gardner, Massachusetts!

Please register below for this event. Fields with an asterisk are required.

1. Your first name *

2. Your last name *

3. Your email address *

4. Your local phone number (with area code)

5. * Please enter your complete mailing address (number & street, city, state, zip code)

6. * Do you participate in Youth Venture through your:

Agency Number

Home Number

Cell Phone

Other

7. * Please enter your school or agency affiliation name