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Your Play Like a Girl Story!
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1.
First Name
(Required.)
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2.
Last Name
(Required.)
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3.
Email Address
(Required.)
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4.
Mobile Phone Numer (555) 555-5555
(Required.)
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5.
Role or connection to Play Like a Girl?
(Required.)
Girls/Mentees/Alumnae
Parent/Guardian
Corporate Partner
Donor
Staff
Scholarship Recipient
We Got You Crew Member
Board Member
NextGen Member
Community Partner
School Partner
Mentor/Volunteer
Other (please specify)
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6.
Employer/Company/School
(Required.)
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7.
Gender
(Required.)
Male
Female
Prefer not to say
Other (please specify)
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8.
Race/Ethnicity
(Required.)
American Indian or Alaska Native
Asian or Asian American
Black or African American
Hispanic or Latino
Middle Eastern or North African
Native Hawaiian or other Pacific Islander
White
Multi-racial
Prefer not to say
Other (please specify)
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9.
How would you like to share your story?
(Required.)
Write it (fill out a few questions in this survey)
Record it (submit a video telling your story)