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Mi Casey Neighborhood Center Lake Campus YOUTH REGISTRATION FORM SUMMER 2016 YOUTH INFORMATION First Name: Last Name: Student ID: Date of Birth: / / Entering Grade in 20162017: Gender: Male Female
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Mi Casa Neighborhood Center is a community center that provides resources and support to residents in the neighborhood.
Anyone who is a member of the community and wishes to access the services and resources provided by Mi Casa Neighborhood Center.
To fill out Mi Casa Neighborhood Center, individuals can visit the center in person and speak with the staff to determine their needs and goals.
The purpose of Mi Casa Neighborhood Center is to empower and support individuals in the community through education, resources, and advocacy.
Information such as demographics, needs assessment, program outcomes, and community impact may be reported on Mi Casa Neighborhood Center.
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