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Life Skills Registration Form
Event Timing: January 16th from 5pm - 6pm
Event Address: 620 Lincoln Avenue, Winnetka, IL. 60093
Contact us at (847)-446-0443 or
info@winnetkayo.org
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Name
*
Your answer
Email
*
Your answer
Phone Number
*
Your answer
Date of Birth
MM
/
DD
/
YYYY
Emergency Contact
Your answer
Which Life Skills Course are you planning to attend?
*
January 16th - Living Abroad
January 30th - Step to the Beat
February 20th - Mindfulness
March 5th - Interviewing Skills
March 19th - Basketball Basics
April 2nd - Music Business
April 16th - Grief and Loss
Required
What school do you attend?
Your answer
What grade are you in?
Your answer
Dietary restrictions
*
None
Vegetarian
Vegan
Kosher
Gluten-free
Other:
I understand that I will have to pay $$ upon arrival
*
Yes
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