One Circle Interest Form
Thank you for your interest in the One Circle program! Please fill out the form below and the One Circle Coordinator, Jennifer McNeel, will reach out with details when a group is available.
Person Filling Out Form
*
First Name
Last Name
Email
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
What group is your child interested in? Please note that Girls Circle and Boys Council are gender specific; other interest-based groups may or may not be co-ed depending on need.
Girls Circle
Boys Council
LGBTQ+
Other
Name of Youth
First Name
Last Name
Grade (If filling out during summer months, please indicate rising grade)
What school does your child attend?
Aspen ES
Barranca ES
Chamisa ES
Mountain ES
Pinon ES
Los Alamos Middle School
Los Alamos High School
Topper Virtual Academy
Homeschooled
Other
Is there a future group that you would be interested in participating in?
Mother/Daughter
Village of Motherhood
Not at this time
Other
Is there another type of group you or your youth would be interested in?
Do you have any questions for the One Circle Coordinator?
Submit
Should be Empty: