JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Harambee Summer Academy Waiting List
Join our waiting list for a chance to experience the enriching journey of Harambee Summer Academy!
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Child First Name
*
Your answer
Child Last Name
*
Your answer
Grade Completing
*
Your answer
Current School
*
Your answer
PUSD or Non PUSD
*
PUSD School
Non PUSD
Required
Parent/Guardian First Name
*
Your answer
Parent/Guardian Last Name
*
Your answer
Email Address
*
Your answer
Phone Number
*
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Harambee Ministries.
Report Abuse
Forms
