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Summer Safe Spaces Application
Make a difference.
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Summer Safe
Space
Student Application
Student information
First Name
Student’s Race/Ethnicity (select all that apply):
American Indian or Alaska Native
Asian
Black or African American
Hispanic
Native Hawaiian or Other Pacific Islander
White
Other
Last Name
Student's DOB
Student's Phone
Student's current school
Parent contact information
Parent's First Name
Parent's Last Name
Parent's Email
Parent's Phone
Why are Safe Spaces important?
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