AGRIS Co-operative Ltd.


	CYL APPLICATION

2019 Program Session Details:
BASE CAMP

Base Camp (for 12-13 y/o)

July 5 - July 7

JUNIOR: 14-15 years old. Participants must be at least 14 years old while at camp.

Junior A Session	July 7 - July 12
Junior B Session	July 21- July 26

INTERMEDIATE: 15-16 years old, or Junior grads.

Intermediate Session A	July 14 - July 19
Intermediate Session B	July 28 - August 2

SENIOR: 16-18 years old, or Intermediate grads.

Senior Session

August 4 - August 9

Date

First Name

Last Name

Gender		Female Male

Date of Birth

Street Address

City/Town

Postal Code

Your Email Address

Family Email Address (If none leave blank)

Your Telephone Number

Your closest AGRIS branch

Please select which CYL level you would like to attend Base Camp - For 12 - 13 year olds Junior - First time participants 14 - 15 years old Intermediate - For Junior graduates or 16 - 17 year olds attending for the first time Senior - For Intermediate graduates or 17 - 18 year olds attending for the first time

Have you attended CYL before? Yes No

In 200 words or less please tell us why you want to attend the CYL program this summer and what you hope to learn.

Please type the text in the box.

If accepted you will be required to complete the CYL registration package.