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June 2021 Girl Powered Event Registration
Please fill out this form to register for Citrus Circuits' June 2021 Girl Powered Event! This event will take place on June 19 from 1-3pm. Female 1678 volunteers will be guiding your child through several engaging STEM activities. Further information (including a list of supplies and the Zoom link) will be sent to the email you provide. We look forward to seeing you there!
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Email
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Your email
Parent's Name
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Your answer
Parent's Phone Number (optional)
Your answer
First Child's Name
*
Your answer
First Child's Grade Next Fall
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This event is designed for girls in grades 3-8. If your child is younger or older but would still like to participate, email us and we can discuss if this will be an appropriate fit for your daughter.
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Second Child's Name
Please only fill out this section if you are registering more than one child for the event.
Your answer
Second Child's Grade Next Fall
Please only fill out this section if you are registering more than one child for the event.
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I would like to join the 1678 Girl Powered Mailing List to be notified of future events.
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How did you hear about us?
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DYR Mailing List
Friends/Family
Community Bulletin
Social Media Post (Instagram, Twitter)
Facebook Ad
NextDoor Ad
1678 Website
Other:
Any questions or concerns?
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