Better Together - Educational Series
Registration Form for Better Together Presentations and Classes on the topics of COVID-19 prevention.
1. Zip Code *
Enter your home zip code.
2. Age Range *
Select your age range.
3. Gender *
4. Race *
5. Ethnicity *
6. Cell Phone Number *
Please enter your cell phone to be able to confirm your registration. Your phone number will NOT be shared.
7. Email Address
Please enter your email address to confirm your registration and send you a link to the class. Your email will NOT be shared. Sign up for an email account for free.
8. Do we have permission to text and email you? *
Your email and phone number will NOT be shared. We use contact information to send follow up updates, giveaways and tools for assistance.
9. Please select a class *
Please select a class.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy