MBM Workshop Series Sign-Up
Hello Parent/Caregiver,

Thank you for your interest in the Mapping Blackness in Montreal workshop series. If you'd like to sign you and your child up for the programming, please fill in the form below and we'll get back to you as soon as possible. If you have any further questions about the programming please consult the outline at www.annickmf.com/mbm-bhm or email me at info@annickmf.com

Please note:
- A Parent/Caregiver must attend the workshops with their child
- There are only 8 youth spots available for the BHM edition
- Priority is given to Black youth
- Priority will be give to participants who can attend all 3 sessions

Parent/Caregiver Name: *
Your answer
Contact Information: (phone and/or email) *
Your answer
Child's Name:
Your answer
Child's Age: *
Your answer
Are you and your child able to participate for all three sessions of the workshop [Sat Feb 9th 12-2PM, Sat Feb 16th 12-2PM and Sat Feb 23rd 12-2PM]? *
What language do you and your child feel most comfortable engaging in?
Is your child a member of the Black community?
What Neighbourhood will you be travelling from to attend the workshops?
Your answer
Do you need public transit fare for you and/or your child?
Do you or your child have any allergies or medical condition we should be aware of?
Your answer
What do you hope to gain from this workshop series?
Your answer
How did you hear about this workshop series?
Your answer
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