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Express Yourself Application
Thank you for applying to Express Yourself! Membership will be limited to 20 individuals. The next workshop date is May 29th. Please contact me at isd114@gmail.com with any questions. Both boys and girls welcome. The program is completely free. No prior experience with the skills included in the workshops necessary. You do not need to make all the dates to participate! You can apply still once the program has begun, there is no application deadline.

Eligibility Requirements are as follows:
- Must be age 12-19
- Have a disability
- Fully complete application

Email address
Last, First Name
Your answer
Age:
Your answer
Cellphone:
Your answer
Parent/Guardian Cellphone
Your answer
Disability (so accommodations can be made if need be):
Your answer
What workshop dates work with your schedule?
Required
Why do you want to join this program?
Your answer
Tell me a bit about yourself (hobbies, interests, fun facts)
Your answer
Do you require any accommodations?
Your answer
Any allergies or food restrictions?
Your answer
How did you hear about the program?
Your answer
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