PBG School Program Interest Form (CPS)

Program Interest Form (Chicago Public Schools)

Thank you for your interest in Pretty Brown Girl Program for your students! Please complete the form below to receive a custom quote.

"*" indicates required fields

Your Name*

First Last

Your Email Address*

Your Direct Phone Number*

Your Title*

School Website

Name of School or School District*

School Address*

Street Address City State ZIP / Postal Code Country

How many girls are looking to serve?*

How many groups are you looking to order?*

What is your budget?*

What is your funding source?*

Please share any comments and/or feedback (optional)

Comments

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