Gala Interest Form For Peers
If you are a peer member of On Our Own of Frederick County and are interested in receiving a scholarship ($75 Value) to attend the event, please fill out the form below.
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First Name *
Last Name *
Phone Number
Email Address
Are you a peer member at On Our Own of Frederick County that has filled out an intake form? *
Will you need transportation either to, or from, or both? *
Do you have an outfit to wear? (Dress, suite, tie, shoes etc.) *
Will you need a haircut or your hair done? *
Will you need your makeup done? *
Submit
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