2017 Fluid Revolutions Registration
Register for 2017 LGBTQIA+ Camp for youth aged 14-18, August 7th-11th 9AM-5PM at Triangle Circus Arts, 1408 Christian Avenue Suite C, Durham, NC 27705
Name
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Contact Information (Phone, Email, FB Name/link)
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Preferred Contact Method
Gender Pronoun(s)
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Guardian/Parent Name(s) & Contact Information
Your answer
We'll need your guardian/parent to sign a safety waiver. Is it okay to mention to them that this is a queer-oriented camp?
Town you're located in
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Will you need to carpool?
What Aerial/Circus-related apparatuses are you interested in? Check as many as you want.
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What non-apparatus circus-related activities are you interested in? Check as many as you want.
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What social justice topics are you interested in? Check as many as you want.
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Any allergies we should know about?
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Any injuries (current or previous) we should know about?
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Fluid Revolutions is donation-based - we'll accept anything $0-350! Let us know what you can pay here:
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Anything else we should know about you? Any questions or concerns?
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Allies - if you want to be involved please check in with our fundraising committee (info@youthcommunityproject.org). For non-LGBTQIA+ specific aerial camps see http://www.theflowjo.com/pages/camp-descriptions
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