Let us know you're coming
Please provide your phone or email so we can notify you of any schedule changes.
Name *
Your answer
Which event are you registering for?
Do you prefer text or email reminders? *
Email *
If you don't use an email address, just write N/A
Your answer
Phone *
If you don't have your own phone, you can write a parent/guardian's number.
Your answer
What school do you attend?
Your answer
What grade are you in?
Do you have any food allergies? If yes, please specify under "other"
Has your parent or guardian signed the permission form to participate in our activities? If not, you can download the form (file located under the graphic for the current circle on this page) and bring a signed copy to the circle
How did you hear about PeaceBuilders & Justice? (check all that apply)
Submit
Never submit passwords through Google Forms.
This form was created inside of Valerie Glass.