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Event Registration
Please complete registration form to attend The Carousel Center’s upcoming film screening event.
EVERY ADULT attending will need to submit a
separate registration form
to reserve the appropriate number of seats.
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* Indicates required question
Email
*
Your email
First and Last Name
*
Your answer
Phone Number
*
Your answer
Select the event you will be attending:
*
May 30, 2023: Pender County Annex Building (5-6PM: Resource Fair, 6-8:30PM: Film & Panel Q&A)
May 31, 2023: DREAMS of Wilmington (5-6PM: Resource Fair, 6-8:30PM: Film & Panel Q&A)
June 1, 2023: Burgaw Train Depot (5-6PM: Resource Fair, 6-8:30PM: Film & Panel Q&A)
Required
County of Residence:
*
New Hanover County
Pender County
Brunswick County
Other:
County of Work (select all that apply):
*
New Hanover County
Pender County
Brunswick County
Other:
Required
Please select all that apply:
*
Parent/Caregiver (children 18 years of age or younger living in the home):
Licensed Foster Parent
Professional/volunteer working directly with youth
Professional/volunteer providing community services
Caring/Concerned Community Member
Required
How did you hear about this event?
*
Your answer
How many children are you bringing children with you to the event (recommended age of viewing is 10+ years of age)?
*
Choose
Already included child count in another adult's registration
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