Cultural PAC Registration Form

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Name/ Nombre *

E-mail / Correo Electronico *

Phone Number/ Número de Teléfono *

How many people will be attending including yourself? / Cuantas personas asistirán incluyéndote a ti? *

Select all PACs/clubs are you interested in/ Seleccione todos los PACs/clubes que le interesen *

African American Parent Advisory Council

Native American Parent Advisory Council

Latino Parent Advisory Council

Junior Black Achievers

Are you interested in becoming a board member for a PSUSD PAC?/ ¿Está interesado en convertirse en miembro de la junta de un PAC de PSUSD? *

Yes

Ethnicity/ Etnicidad (Raza)

Asian/ Asiático

American Indian/ Indio Americano

Black or African American/ Afroamericano

Hispanic or Latinx/ Hispano o Latinx

Pacific Islander or Native Hawaiian / Isleño del Pacifico o Nativo de Hawái

White/ Blanco

Two or More Races/ Dos ó mas Razas

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