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Middle Upstander Training Registration
This permission form must be completed to participate in the September 25, 2024 (2
:00 pm - 3:30 pm)
training at the San Carlos Youth Center.
--Please complete and submit by September 22, 2024.
--Below please record parent or guardian email.
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Email
*
Your email
Participant Full Name
*
Your answer
Participant's email
*
Your answer
Address (Street Number, Street Name, City, Zip Code)
Participation not limited to SC residents
*
Your answer
Gender
*
Choose
Male
Female
Gender Non-Conforming
Transgender
Genderqueer / Androgyny
Other
Preferred Pronouns
Your answer
Age
*
Your answer
School (Fall 2024)
Participants need not be San Carlos residents
*
Your answer
Grade (Fall 2024)
*
Your answer
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