Girls Inc. Media Summer Camp
DATES: July 6th - July 30th
TIME: 9 AM - 3 PM
LOCATION: 283 Adams St. Brooklyn, NY 11201
Email *
PARTICIPANT INFORMATION
First Name *
Last Name *
Date of Birth *
MM
/
DD
/
YYYY
Home Address (street, city, and zip code) *
Email *
Mobile Phone *
School *
Grade *
T-Shirt Size *
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of Girls Inc of New York City. Report Abuse