INTEREST FORM | Urban Legends

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REMEMBER US
URBAN LEGENDS

INTEREST FORM
RUUL PROGRAMMING

Program Interest? *Check all that apply.

Landscaping

Braiding

Leadership

Other:

YOUTH INFORMATION

First & Last Name:

Date of Birth:

Race / Ethnicity:

Gender Identity:

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Non-binary

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In School?

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School Name:

Grade:

Phone

Email:

PARENT/ GUARDIAN INFORMATION

First & Last Name:

Phone

Email

First & Last Name:

Phone

Email

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(614) 342-0505‬

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