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* 1. Organization Name

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* 2. Are you a 4K First Steps organization?

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* 4. School District (if applicable)

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* 5. Contact Person

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* 6. Email Address

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* 7. Phone Number

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* 8. Confirm approximate number of students you will bring

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* 9. Age range of student participants

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* 10. Approximate Number of Adults

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* 11. Number of Vehicles

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* 12. Please let us know any accessibility needs you or your students have

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* 13. How did you hear about this event?

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* 14.
NOTICE OF FILMING OR PHOTOGRAPHY

While attending the 2023 Read-In, all participants may enter areas where photography, audio, and video recording may occur.
By participating in the 2023 Read-In, anyone attending consents to such recording media and its release, publication, exhibition, or reproduction.

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