Marrow Enrollment
We require everyone 10-24 to enroll with us, both for your safety, and also to collect basic information about attendance for our funders. If you have an issue, please send an email to or come by the space!

ONLY the program director (Daylynn) will see this form.

(Enrollment is three pages: the second page is a safe(r) space contract, the third page is an optional survey.)
Your age: *
(Enrollment at Marrow is for youth 10-24 only).
Name you go by (FIRST & LAST): *
Your answer
Your legal name (FIRST & LAST):
If different from the name you go by, listed above. (We will NEVER deadname you. This goes into a collapsed column in our spreadsheet and will be looked at in case of emergency only.)
Your answer
Your pronouns: *
(check any that apply, or write them in)
Your birthday: *
(Please be sure to put your BIRTH YEAR, not the current year!)
Your email address: *
Your answer
Your phone number: *
Your answer
Is it okay for us to contact you? *
(check any that apply)
May we post photos and videos of you (taken at Marrow) to our social media/website/other media (like flyers)? *
(if you don't like something we post, we will always take it down!)
How did you find out about Marrow? *
Is there anything else you'd like us to know about you?
(if so, here's your space to do so! special needs, interests, concerns, etc)
Your answer
(someone we can contact if there's an emergency that involves you. if you're under 18 years old this should be someone who is 18+, preferably a parent or other adult you trust.)
Their name: *
Your answer
Their phone number: *
Your answer
Their email address: *
Your answer
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This form was created inside of Marrow PDX.