BLACK POET RESIDENCY FALL REGISTRATION
Email address *
Legal name of participant *
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Parent/Guardian Name: *
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Parent/Guardian phone number: *
Your answer
Parent/Guardian phone number: *
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Mailing Address *
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Participant alternate phone number: *
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How did you hear about this program? *
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What is your experience/relationship with writing and poetry? *
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What are you expecting from this residency? What do you hope to learn? *
Your answer
What are you expecting from this residency? What do you hope to learn? *
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