Auction Voucher Registration FormPlease complete the form below Parent Name * First Name Last Name Phone Number #1 * Phone Number #2 * Email * Participant's Name * First Name Last Name Participant's Gender * Female Male Non-Binary Other Participant's Current Age * 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 Participant's Race/Ethnicity * Name of School * Participant's Current Grade * Participant's Home Burough * Manhattan Bronx Brooklyn Queens Staten Island Other Share any allergies, learning assessment plans (such as an IEP or ISP), or special notes below: What is your preferred day of the week for the class? * Redeem your Auction Voucher for a one-time class session. What is your preferred date for the class? * MM DD YYYY Thank you! We will reach out to you soon
