Submit an Event Idea
Your Name
*
First Name
Last Name
Your Mobile Phone
*
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Area Code
Phone Number
Your Email Address
*
Relationship to CCS Scholar
*
Please Select
Learning Coach
Parent
Step-Parent
Adult Sibling
Grandparent
Aunt / Uncle
If you are not the learning coach, please select from the additional options in the dropdown above
County of Field Trip (Virtual Event? Type in Virtual)
*
Event Vendor Name
*
Event Vendor Website
*
Event Contact Information (Phone, Email or Both)
What is your preferred day of the week and time of day for this event? (Optional)
Submit
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