For Internal Use:
Please Join us for
Take Our Children to Work Day
___________
Date Received:
_________________
Thursday, April 24, 2014
Parent First Name:
Last Name:
Email:
Address:
City:
Home Phone:
State:
Zip:
Cell Phone:
I am open to being contacted about chaperoning
For each child 8 and older, please complete a box below indicating their 1st, 2nd, and 3rd choices:
Child’s Name:________________ Age:______
Marketing/
Communication
Technology
Arts
Culinary Arts/
Hospitality
Fashion
Publishing
Finance
Sports/
Management
Architecture/
Engineering
Science
Legal/Government
Philanthropy
Entertainment
Police/Fire
Child’s Name:________________ Age:______
Marketing/
Communication
Technology
Arts
Culinary Arts/
Hospitality
Fashion
Publishing
Finance
Sports/
Management
Architecture/
Engineering
Science
Legal/Government
Philanthropy
Entertainment
Police/Fire
Child’s Name:________________ Age:______
Marketing/
Communication
Technology
Arts
Culinary Arts/
Hospitality
Fashion
Publishing
Finance
Sports/
Management
Architecture/
Engineering
Science
Legal/Government
Philanthropy
Entertainment
Police/Fire
Child’s Name:________________ Age:______
Marketing/
Communication
Technology
Arts
Culinary Arts/
Hospitality
Fashion
Publishing
Finance
Sports/
Management
Architecture/
Engineering
Science
Legal/Government
Philanthropy
Entertainment
Police/Fire
Please email or fax this form by April 14th to secure your child’s choice.
Tuesday’s Children fax: 212-332-2998 or jennifer@tuesdayschildren.org If you have questions, contact Jen
RSVP by Friday, April 14th, 2014 (assignments will be on a first-come first-served basis)
Should none of the choices above meet your child’s first choice, please share their preference and
we will do our best to accommodate:______________________________