Next Generation: Voice of the Sea Summit
DETAILS
Location: SDSU's Conrad Prebys Aztec Student Union
Date: February 11, 2018
Time: 9AM-3PM

Students from middle school (6th grade) to college are welcome to fill out this form.

If you have any trouble or need more information, please email Miss PIFA 2017-18 Lilly Glenister at pisa.social.sdsu@gmail.com

Email address *
Can you attend? *
First and Last Name *
Your answer
Age *
Your answer
Grade Level *
Required
Specify Grade *
Your answer
School, Club or Halau Name: *
Your answer
Emergency Contact Information (REQUIRED):
Emergency Contact Name *
Your answer
Relationship *
Your answer
Contact Number *
Your answer
What are you most interested in learning about? (REQUIRED)
We will try our best to place you in your preferred workshop.
FIRST CHOICE: Please click the drop down menu and select one from the following breakout session topics: *
SECOND CHOICE: Please click the drop down menu and select one from the following breakout session topics: *
Survey:
The following questions are optional and will only be used to collect demographic related data to prepare for our event.
Ethnicity (Optional)
Your answer
Gender (Optional)
Your answer
Comments and/or questions (Optional)
Your answer
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