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Referral Form For Y F Centers Use Only Center Name 2017-2018 Youth and Family Centers Date received PACE ID Name Student ID Last First MI DOB // Age SS -- Ethnicity Hispanic/Latino Non-Hispanic/Latino Race American Indian Asian White Hawaiian/Pacific Islander Male Female Black/African American Address City Zip School Grade Insurance Coverage None CHIP Medicaid Other PCP Name Phone Parent/Guardian Information Preferred Language Primary Phone May we leave a detailed message Y N Alternate...
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Yampf centers are used for organizing youth activities and events.
Any organization or individual looking to use yampf centers for youth activities needs to file for it.
You can fill out the application for yampf centers use online or in person at the designated office.
The purpose of yampf centers use is to provide a safe and accessible space for youth to engage in activities and events.
You must report the type of activity, number of participants, date and time of use, and any special requirements.
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