Youth Club Election form

Event Information

Event Name	Youth Club Elections
Event Location	Miramar Regional Park, 16801 Miramar Pkwy, Miramar, FL 33027
Event Date	January 28, 2024
Event Time	11:00 am to 4:00 pm
Submission Date	Wednesday, December 25th, 2024
IRCC Contact Person Name	Alok Deoraj and Prem Mirpuri
IRCC Contact Person Phone	000-000-0000
IRCC Contact Person Email	youthclub@irccflorida.org

Please open and read the full terms and conditions document on the form, in its entirety.
Only children of current paid IRCC members are eligible to join the IRCC youth club and run for elections.
Applicants must be in middle or high school.
Attendance in person at the election event is mandatory for those running for office.
Only high school sophomores and juniors are eligible to run for President and Vice President positions.
Applicants running for office should be prepared with a 1-2 minute speech on why they are a good fit for the position.
The IRCC Board will review all submissions and approve or deny the submission. The IRCC Board will have exclusive authority to determine whether to accept a youth club application.

Please specify following information

Student Name^*

Student's Phone^*

Student's Email^*

Grade^*

Age^*

Parent's Name^*

Parent's Cell#^*

Parent's Email^*

IRCC Member ID^*

Address^*

City^*

State / Province / Region ^*

ZIP / Postal Code^*

Nomination for^* President Vice President Treasurer Secretary Member at large

Why are you a good fit for being a President or Vice President?^*

Parent Consent^*
IRCC requires parental consent for their minor kids.

I agree with the Terms and Conditions

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