Parent Advisory Committee ~ April 2024
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Email *
First Name *
Last Name *
Phone Number *
Street Address *
City *
State *
Zip Code *
How many adults will be participating in this event? *
Are you a member of the Passaic County Council for Young People? *
If no, would you like to receive more information? *
Do your children attend School 6? *
Would you be interested in receiving our monthly calendar/events through email or text? *
I, (PRINT NAME), grant permission to New Destiny Family Success Center and its staff the irrevocable and unrestricted right to reproduce the photographs and/or video images taken of me, or members of my family, for the purpose of publication, promotion.
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