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MPA Registration Form
To become
an MPA member, please complete t
he registration form below. For questions, contact us at
info@mpa.la
.
First name
Last name
Email
Phone
Select what applies to you
Parent
Student
Administrator
Teacher
Other
If parent, indicate what grade your child is in.
K-5
Middle School
Freshman
Sophomore
Junior
Senior
What county do you live in?
Los Angeles County
San Bernardino
Orange County
Ventura County
Kern County
Other
If Los Angeles, which District is your child in?
District 1
District 2
District 3
District 5
District 7
Don't Know
Would you like to volunteer for MPA? If yes, in what capacity?
Outreach (Ie: Social Media)
Website Content Development
Communication
Legal Support
Grant Writing
Mobilization (Ie: Protest, strike, walkout)
Other
Do you want to be added to the WhatsApp group for live updates?
Yes
No
Are there any other topics you would like MPA to address that pertain to American-Muslim children in the school system?
Is there anything else you would like to share with MPA?
Submit
Thanks for submitting!
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