Interest & Engagement Form
Share your details and community preferences so we can keep you updated on upcoming camps and opportunities.
I'm filling this form as a...
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Family/Parent/Guardian
Organization/Community Partner
Parent/guardian first and last name
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First Name
Last Name
Email address
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example@example.com
Mobile number
Please enter a valid phone number.
Format: (000) 000-0000.
I would like to receive text updates
Opt in to receive text messages
City
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State
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ZIP code
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Student grade(s) or age range
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Number of children potentially interested
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Preferred timing
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Summer
School Break
Weekend
No Preference
How did you hear about us?
Student's school
I'd be interested in helping bring Let's Grow Together to my child's school or community.
Yes, please contact me about helping
Contact name
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First Name
Last Name
Organization
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Title/role
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Email
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example@example.com
Phone
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Please enter a valid phone number.
Format: (000) 000-0000.
City/State
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ZIP code
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Who do you represent?
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School/District
Youth Organization
Nonprofit
Church/Faith Community
Municipality/Parks Department
Foundation/Funder
Business/Corporate Partner
Parent/PTO
Other
What are you interested in?
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The Power of Being Yourself Life Skills Camp
Student workshops/Labs
Schoolwide student experience
Ongoing youth community/Campfire
Staff/professional development
Sponsorship opportunities
Not sure — I'd like to talk
Approximate number of young people you hope to serve
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Grade/age range
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Preferred timeframe
Tell us a little about your community and what you're hoping to accomplish.
Submit
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