Teen Speak Program Registration- Hillsborough 
Please complete the registration form below to attend the Teen Speak in-person program on Tuesday, June 4th, 2024 and Wednesday, June 12th, 2024 from 6pm-8pm. The location of this workshop will be the Hillsborough Municipal Building, 379 South Branch Road, Hillsborough Twp, NJ 08844. Dinner will be provided to you during the two sessions. If you have any questions, please email Vanessa DeRosa, Teen Speak Program Coordinator at vanessa@empowersomerset.com. Thank you! 
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Email *
First Name *
Last Name *
Phone number *
Home address *
Will a spouse/partner/co-parent be attending the program with you? 
 *
Do you (or the person attending the program with you if applicable) have any dietary restrictions? *
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How did you hear about this Teen Speak workshop? *
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