in partnership with
Cufflinks & Pearls
Ambassador Registration
Which High School do you attend?
*
Please Select
Brookstone
Carver HS
Central Freshman Academy
Central HS
Columbus HS
Glenwood
Hardaway HS
Jordan HS
Kendrick HS
Northside HS
Rainey-McCullers
Russell County HS
St. Anne-Pacelli
Shaw HS
Spencer HS
Other
Ambassador's Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Sex
*
Please Select
Male
Female
Race
*
Please Select
Black
White
Hispanic
Asian
Date of Birth
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
T-shirt Size
*
Please Select
Extra Small
Small
Medium
Large
XLarge
2XLarge
3XLarge
4XLarge
Other
Photograph Terms
*
By checking this box below, I am aware photographs and videos will be taken and used for marketing including the use of social media for this program. I have proper authorization for each student attending to be photographed or videoed. If you have questions, please email us at info@letsgrowsteam.org or call 706-577-3409.
Survey Questions
Why did you choose Let’s Grow STEAMx, Inc.?
*
What unique qualities/skills will you bring to your volunteer experience?
*
Have you worked with Let's Grow STEAMx, Inc previously?
*
Yes
No
Submit
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