#girlpower @ RWP
Please fill out the following form to secure a spot for your daughter in the RWP #girlpower project. 
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Your name *
Your email address *
Your daughter's name *
Your daughter's date of birth *
Your daughter's mailing address *
What would you like Robin to know about your daughter and how this project could impact her life? 
Would you like an RWP social media feature of your daughter to help you secure sponsors to help cover the cost of the project?  *
How would you like to pay your $100 deposit and secure your daughter's spot? 
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