Juneteenth 2023 - FreeTHEM Land Experience

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Please complete this form to show topics of interest for the Juneteenth FreeTHEM Land Experience Event. A separate form should be completed for each student. Thank you for your time! We look forward to seeing you on June 17th from 1:00 - 5:00 pm by the Dr. Charles R. Drew Science Magnet School #59!

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First Name *

Last Name *

School (please use number format - example: 301) *

Grade *

Pre-K / Kindergarten

Parent / Guardian First and Last Name *

Contact Phone Number *

Topics of Interest (you may select more than one choice) *

Athletics

Arts

Dance

Drumming Circle

Spoken Word

Read Alouds

Face Painting

其他：

必填

Would you like to perform at Juneteenth? *

Yes

Which sports are you most interested in?

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