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.)
(Enrollment at Marrow is for youth 10-24 only).
INFO ABOUT YOU:
Name you go by (FIRST & LAST):
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.)
(check any that apply, or write them in)
(Please be sure to put your BIRTH YEAR, not the current year!)
Your email address:
Your phone number:
Is it okay for us to contact you?
(check any that apply)
You can email me.
You can text me.
You can call me.
Please don't, unless it's an emergency.
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?
I saw a flyer
I went to an event at Marrow
I walked/drove past
Social media (Facebook, instagram, etc)
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)
EMERGENCY CONTACT INFO:
(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 phone number:
Their email address:
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