Positive Youth Enrichment Inc · Brunch to Bridge the G.A.P Registration Form

Contact Information

Your donation is grealtly appreciated. All proceeds benefit the Bridge the G.A.P Project.

*

$

Name

First Name

Last Name

Phone

About the Attendee (check all that apply)

In what way are you a member of the education community?

Administrator

Teacher

School Counselor

Other School Staff

Parent

Other

Please provide the name of the school or organization you are representing.

I understand this event is by invitation only

(No additional guests please.)

yes

Acknowledgement

This event will be filmed, and an edited portion may be added to our website, social media platforms, and used for the production portion of Bridge the G.A.P. Checking the acknowledgment box and attending this event is confirmation of your awareness of filming, and enables PYE to use the film as PYE sees fit for the purposes of supporting the organization and its projects, programs, and events.

I understand this event will be filmed.

YES