GIRL Project Summer Color Splash 2022 Registration Form
Join us for our summer GIRL Project sessions! This program is for middle-school female and nonbinary youth.

Location: 111 Fairmount Ave, Oakland, CA 94611
When: July 5–8, 9 AM–3:30 PM

Spaces are limited!
Student First Name *
Student Last Name *
Student Nickname
Student Date of Birth *
Student Email *
Student Phone Number *
Parent/Guardian Name *
Parent/Guardian Phone Number *
Parent/Guardian Email *
Mailing Address *
Is your mail secure?
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Student Shirt Size
(Please clarify whether this is child's or women's sizing.)
Student Pant Size
(Please clarify whether this is child's or women's sizing.)
Student Shoe Size
(Please clarify whether this is child's or women's sizing.)
Any health/dietary restrictions we should be aware of?
Safety Information
Parents/Guardians of students will be advised to monitor their child for signs and symptoms of COVID-19. GIRL Project participants should stay home when they are sick, when household members are sick, or when required by a healthcare provider to isolate or quarantine themselves or a member of their household.

Do not come to class if you or anyone in your household has had any of the following symptoms in the last 24 hours:

1. Fever > 100.4 degrees Fahrenheit
2. Cough, usually dry
3. Shortness of breath
4. Sore throat
5. Unusual headache
6. Chills
7. Congestion
8. Muscle and joint pain that are unexplained
9. Nausea or vomiting
10. Loss of sense of smell
11. Diarrhea
12. Pink Eye
CDC guidelines continue to change in response to COVID-19 and the emerging delta variant. We will follow guidelines and continue to adapt to the changing recommendations by the county and the CDC.
With COVID-19 still being prevalent in our community, we would like to keep all GIRL Project staff and participants safe. Will your student be vaccinated? *
Some of the students attending the GIRL Project sessions may not be vaccinated. I understand and agree to let my child attend sessions with other students, regardless of vaccination status. *
GIRL Project staff are fully vaccinated. Outdoor staff would like to be unmasked while outdoors and physically distanced. *
We support your choice to decide if you want your child masked or unmasked when at GIRL Project. Please share your preference. *
Image Release: dNaga strives to share images that reflect our programming and dance community. We may take photographs and video/audio recordings during the workshop and performance for inclusion in a variety of media. We will not share your daughter’s full name or school with the public. Do we have permission to share images of your child participating in Girl Project programming? *
Please initial and sign below: I GRANT PERMISSION to dNaga to publish, reproduce and distribute photographs, electronic images or video of my daughter. This permission extends to printed materials, broadcast media and the dNaga website.
Is there anything you would like us to know?
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