HEROES Registration Form (Ages 16-25)

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Event Timing: June 8th-August 10th, 2019
Event Address: 1660 Peachtree Street NW, Atlanta GA 30309
Contact us at (678) 446-4593 or heavensheroes316@gmail.com

Email *

Name (First and Last Name) *

What days will you attend? *

I will attend every week. (If you select this option, do not select the other options. Continue to the next question.)

Week 1 (June 8)

Week 2 (June 15)

Week 3 (June 22)

Week 4 (June 29)

Week 5 (July 6)

Week 6 (July 13)

Week 7 (July 20)

Week 8 (July 27)

Week 9 (Aug 3)

Week 10 (Aug 10)

Required

Are you over 18 years old? *

Yes

No (If no, please fill out the permission form below.)

Required

Permission Form

If you are under the age of 18 years old, you must go to the next page and fill out a permission form.

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