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Summer 2017 Boys Write Now, Philadelphia Workshop Form
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https://www.smore.com/nfpqp-boys-write-now
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FULL NAME
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Your answer
DATE OF BIRTH
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MM
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DD
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YYYY
MAILING ADRESS
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Your answer
TELEPHONE/ CELL NUMBER
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Your answer
GRADE / SCHOOL IN SEPTEMBER
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Your answer
PARENT(S) GUARDIAN NAME
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Your answer
PARENT(S) GUARDIAN TELEPHONE NUMBER
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Your answer
SELECT YOUR SAVE THE DATE FOR WORKSHOP
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August 04 2017, National Museum of American Jewish History 10:00:AM - 2:30-PM
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SELECT A FAVORITE ART FORM
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Break out sessions maybe provided based on responses
Poetry & Sports Writing
Comics & Visual Art
Coding & Game Design
Media Making & More
PARENT(S) GUARDIAN EMAIL
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Your answer
EMERGENCY CONTACT NAME & NUMBER
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Where did you hear about the Boys Write Now, Philadelphia Workshops?
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Follow Us on Twitter @PhillyBoysWrite
Play, Tinker, Make
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