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