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The Legacy Arts Project Saturday Institute Registration Form
Please enter the youth information in the section below.
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Email
*
Your email
Youth Name
*
Your answer
Age
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Gender
*
Male
Female
Non-binary
School
*
Your answer
Grade
*
Your answer
Address
*
Your answer
Phone Number
*
Your answer
Neighborhood
*
Your answer
Pronouns
*
She/her/hers
He/him/his
They/them/theirs
Option 4
Race
*
Your answer
Special Needs
*
Hearing device
wheelchair
medication
other support
Other
None
Dietary Restrictions
*
Vegetarian
Vegan
No Red meat
No Pork
None
Other:
Food Allergies
*
Your answer
LAP Alum?
*
Yes
No
How did you learn about the LAP?
*
Your answer
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