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MichelleHardy.org
Nominate A Student to Attend Black Thai Oakland
Note: If Student is selected to attend Black Thai based on a nomination, the student will receive a
special code
to use at checkout for their ticket. The ticket selection will be
Black Thai Nominated
.
Your Name (person completing the form)
Your Last Name (person completing the form)
Email
Phone
Students Grade
Pre-K
1st - 3rd
4th - 6th
7th - 8th
9th - 12th
College
Students First Name Only (We only require the first name. We will get permission from the parent/guardian to use their entire name if needed)
Parent/Guardian Name & Phone
Will you be attending the event as well?
Yes
No
I feel this student deserves an opportunity attend Black Thai Oakland because...(FIRST NAME ONLY)
Submit Application
Thanks for submitting!
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