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MyVillage Project Annual Celebration Reservation
For MVP member organizations, Jacksonville Achievers and general public registration.
7
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1
MyVillage Project City Location
*
This field is required.
Please Select
Gainesville
Jacksonville
Miami
Orlando
Tampa
Please Select
Please Select
Gainesville
Jacksonville
Miami
Orlando
Tampa
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2
Are you attending on behalf of a MyVillage Project Member Organization?
*
This field is required.
This is for active MVP member organizations and nonprofits.
YES
NO
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3
Name of MVP Member Organization
*
This field is required.
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4
Are you attending to celebrate a 2025 Jacksonville Achiever student/teacher?
*
This field is required.
For parents and families of 2025 Jacksonville Achievers.
YES
NO
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5
Name of Jacksonville Achiever student/teacher
*
This field is required.
First Name
Last Name
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6
School
*
This field is required.
School of attendance/enrollment/employment.
Please Select
Becoming Collegiate Academy
George Washington Carver
Jean Ribault Middle
Jean Ribault High
Long Branch
Northwestern Legends
S.A. Hull
S.P. Livingston
Other
Please Select
Please Select
Becoming Collegiate Academy
George Washington Carver
Jean Ribault Middle
Jean Ribault High
Long Branch
Northwestern Legends
S.A. Hull
S.P. Livingston
Other
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7
Other School Name
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8
Your Email
*
This field is required.
example@example.com
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9
Your Phone Number
*
This field is required.
Please enter a valid phone number.
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10
Number of MVP partner attendees?
*
This field is required.
How many people will be attending?
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11
Jacksonville Achievers Attendees
*
This field is required.
List each person that will be attending. (*including student/teacher - 3 max)
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12
Photo and Video Release Form
*
This field is required.
By registering for this event, you grant permission for your likeness to be captured in both photographs and video recordings. These images may be used by the event organizers for promotional purposes, including but not limited to social media, websites, and marketing materials. Your participation in the event implies consent for the unrestricted use of these images. If you do not wish to be photographed or recorded, please notify event staff upon arrival. Questions: Email VP of Programs at antoya@myvillageproject.com. #ittakesavillage 💚💛
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