Mission Bit Wellness Workshop June 23, 2021
First Name (student)
Last Name (student)
Please use non-school email account that you access most frequently.
Student's Date of Birth
Do you live in San Francisco?
What city do you live in?
Parent / Guardian
First Name (parent)
Last Name (parent)
This email must be different from the student's email.
Please verify that your parent has been notified that you are sharing their contact information with Mission Bit.
<<Check to verify
What is your expected graduation year?
What high school do you attend/plan to attend?
Academy of Arts and Sciences
City Arts & Tech
Immaculate Conception Academy
International Studies Academy
KIPP Bayview Academy
KIPP SF Bay Academy
KIPP SF College Prep
Ruth Asawa SOTA
Sacred Heart Cathedral Preparatory
SF International HS
St. Ignatius College Preparatory
Please Specify (School):
Which best describes your ethnicity?
Which best describes your race?
American Indian/Alaskan Native
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native AND Black/African American
American Indian/Alaskan Native AND White
Asian AND White
Black/African American AND White
If other, please specify (race):
What gender do you identify as?
Please Specify (gender):
How did you hear about us?
I would like to receive informational and promotional emails from Mission Bit to both the student and parent in this form.