EmpowerED – Young Women Workshop 2020-2021 Registration Form

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[Ages 13 and up] Virtual

Duration: Spring Semester Begins March 8. Meets Second Mondays of the Month.
Day/Time: 2nd Monday, 6:30 - 8:00 PM
Cost: Free
Please note: We are asking for a suggested donation of $100 for this program for the Spring session. If you are able to donate (any amount welcome) please do so https://necspace.org/donate-2/ or mail to 1016 Brown Street, Peekskill NY 10566. Thank you for your support.

Registrant's First Name *

Registrant's Last Name *

Registrant's Age *

Registrant's Email (if applicable) *

Sibling's Name

Sibling's Age (if applicable)

Sibling's Email (if applicable)

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