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SelfDesign High CoDesign 10-12 RSVP
Reservation form for group learning pods:

- CoDesign 10
- CoDesign 11/12 : Democracy & Society
- CoDesign 11/12 : WildEarth Outdoors


Reserving a spot in the learning pod will include a streamlined process for course registration.

If you have a need to discuss these group learning options further, prior to reserving a spot - contact the SelfDesigning Projects Coordinator, David Russell-Loewen, davidrussellloewen@selfdesign.org

After completion of this application you will receive an email and a request for a follow-up phone conversation within 7 days of submitting your reservation.

What is CoDesign?
First (and Preferred) Name
As it appears on your birth certificate - include a preferred first name in (brackets)
Your answer
Last Name
Your answer
Email address
Your answer
phone number
Your answer
Parental contact email
Your answer
Choose your Program
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