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Celebrate Our Diversity!
Wednesday, November 3rd
12 p.m.
Via ZOOM
Thank you for registering for this session, after you submit your registration, you will receive a zoom link to the email provided on this form on Wednesday, November 3rd by 10am.
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* Indicates required question
Parent last name.
*
Your answer
Parent first name.
*
Your answer
Language spoken at home
*
Your answer
Ethnicity
*
American Indian/Alaskan Native
Black/African American
White
Hispanic/Latino/Chicano
Chinese
Japanese
Korean
Vietnamese
Asian Indian
Laotian
Cambodian
Hmong
Other Asian
Filipino
Hawaiian
Guamanian
Samoan
Tahitian
Other Pacific Islander
Decline to state
Other:
Child 1 (First Name, Last Name, Grade Level, School)
Your answer
Child 2 (First Name, Last Name, Grade Level, School)
Your answer
Child 3 (First Name, Last Name, Grade Level, School)
Your answer
Child 4 (First Name, Last Name, Grade Level, School)
Your answer
Parent phone number.
*
Your answer
Parent email address.
Your answer
Would you like to be added to our email list?
Your answer
How did you hear about the event?
*
Your answer
Do you need translations services? If yes, specify language.
*
Your answer
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