Virtual Circle Talk Sign-up - High School
Student/Camper Name
Have you registered for a Virtual Circle Talk before?
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Current grade
Email address where you want the video conference link to go:
Parent name(s)
Parent email address
Have you participated in a Generation Change Program? If so, select the programs below. If not, tell us how you heard about our Virtual Circle Talks!
What do you hope to gain from our Virtual Circle Talks?
By registering for this virtual, event hosted by Generation Change, you are extending the waivers and indemnifications granted to Generation Change by yourself and/or your child's representative when your child participated in one of our programs. The intent of Virtual Circle Talk is to extend community and not provide counseling or mental health services. All Virtual Circle Talks will be recorded for the safety of participants, not for distribution. *
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