#DEEPENDCHALLENGE
Interest form to participate in the #deependchallenge wellness workshop and swim initiative.
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
I am:
Age 15-20
Age 21+
My swim cap size is:
Please Select
small/regular
large (long or big hair)
extra large (long, bulky braids or locs)
I am interested in participating during the:
Macalester College (February 24th-25th)
Spelman (February 10th-11th)
furure session
My Products
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next
( X )
Payment Methods
Debit or Credit Card
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Please click one of the PayPal options to complete payment and
submit
the form.
Submit
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