Gaia Girls Wildflower Groups Fall 2020-Spring 2021

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Hello! You are receiving this survey because you expressed interest in a Gaia Girls Passages group in Marin. Please fill out the info below and we will follow up with you by mid-March with next steps. For more information about our programs, please visit our website www.gaiagirlspassages.org

Name of student *

Age of student *

Grade of student Fall 2020 *

city that you live in *

Name of primary contact *

email *

phone (optional)

General Availability for student 2020-2021 school year (check all that apply) *

Mondays 4-7

Tuesdays 4-7pm

Wednesdays 4-7pm

Thursdays 4-7pm

Required

Can you attend an open house on these dates?(location TBD) please select all that work! *

Monday March 16, 2020 4:30-6:30pm

Saturday March 28, 2020 5-7pm

Sunday March 29, 2020 10am-12pm

Sunday March 29, 2020 1-3pm

Monday March 30, 4:30-6:30pm

Tuesday March 31, 4:30-6:30pm

Wednesday April 1, 4:30-6:30pm

Thursday April 2, 4:30-6:30pm

Friday April 3, 4:30-6:30pm

Other:

Required

Anything else you would like us to know?

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