Thanks for your interest in attending our Voting Life Skill Class!

Please RSVP below by 3/21 and make sure all your friends attending also complete this form! The event is March 23rd from 5pm-6:30pm at Flourish's South location. 20 Southampton Drive, Suite 105, Columbia MO 65203. We are located across from the RBHS football stadium, in the Swan Lake parking lot. We are right next to the old bank drive through. If you go past Las Margaritas or The Grind, you've gone too far. We will have a representative greeting folks outside the front door!

Questions? Please email mel@allyouthflourish.org

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* 1. First and Last Name:

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* 2. Email (will be used to contact you about event reminders and upcoming Youth MOVE events):

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* 3. Phone Number:

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* 4. What grade are you in?

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* 5. What school do you attend?

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* 6. What is your zip code?

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* 7. What is your gender? Please select all that apply.

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* 8. What is your race / ethnicity? Please select all that apply.

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* 9. Do / did you qualify for free or reduced lunch at school?

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* 10. Do you plan to vote in the April election?

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* 11. I feel well-prepared to participate in upcoming elections.

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* 12. This event is an earnable activity! Are you currently enrolled in Flourish's $AVES program? (You do not need to be enrolled in $AVES in order to attend this event, but you can follow the link below to see if you qualify for this program that you can earn money through!)

$AVES Screener Link

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* 13. Flourish Youth MOVE events are spaces for youth to have fun and learn important life skills in a safe environment. To do so, we strive to eliminate the presence of drugs, alcohol, or weapons of any kind at Flourish Youth MOVE events Do you pledge to keep this a safe space for everyone?