Kick Ash Coalition Membership form

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The Kick Ash Coalition is a Club that focuses on creating a smoke and vape free PV Peninsula.
Members can gain community service hours, leadership, public speaking experience, letters of recommendation and more!

Our meetings are on Zoom on Wednesday.

Contact us at: Instagram: @pvphskickash
gmail: pvphskickash@gmail.com

Email *

Name *

What do you want from this experience?

Leadership

Community Service hours

Advocacy

Public Speaking

Letters of Recommendation

Other:

How did you hear about this Club?

Bulletin

Friend

Newsletter

Other

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Grade level

Freshman

Sophomore

Junior

Senior

Other:

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Comments and/or questions

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