PLANT THE SEED: A Program for Parents Interest Form

Parents of BIPOC children are invited to participate in a series of workshops that will help support the development of the Dandelions Rising youth program. Parents are an integral part of planting seeds of instruction for the Dandelions Rising Program and we want to partner with you to make the program as successful as possible. 

If you are interested in learning more about how you can participate, complete this interest form.

Sign in to Google to save your progress. Learn more
First Name *
Last Name *
Pronouns
EMail
phone number
preferred method of contact *
Do you identify as Black, Latinx/Hispanic, Indigenous, or a Person of Color? 
*
If comfortable, briefly describe how you personally identify racially / ethnically?
Are you the parent, guardian, or caregiver of a child who identifies as Black, Latinx/Hispanic, Indigenous, or Person of Color?
*
How long have you lived in Colorado? *
What school does your child attend?
Which age group fits best for your child? *
Has your child said anything about school experiences or experiences with other children?  *
Required
What is your level of interest in participating as a parent advisor?  *
Not Interested at all
Very Interested
Please select your availability for these workshops
What barriers, if any, would keep you from participating in these workshops?
Anything else you would like to share regarding your or your child's experience in Colorado as a person of color? *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Foothills Unitarian Church. Report Abuse