New Firefly Registration

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We are so glad you found us! Fire is a space with limited staff (4) and capacity, but we are doing our best to ensure the space is ready for you. Fill out the form below and a staff member will contact you as soon as they can to schedule an intro meeting or send you information about the next program that may fit your interests!

First Name *

Last Name *

Nickname/alternative name if you have one you'd like us to use (let us know if we shouldn't use it around your guardians).

Gender (The way you express yourself, not your biological sex, that doesn't matter)

Pronouns (let us know if we should use different one's with your parents!)

What is the best way to contact you? (i.e. Text, Instagram DM, Discord, email.) Please let us know below and what your handle or number is. *

Birthday *

YYYY

Emergency Contact Name & Number *

What made you interested in Fire? What would you like us to know about you?

What would you like to know about Fire?

Are you eligible? ( you don't need to check them all!) *

I am in the age range of 13-21

I would like to express myself more creatively

I would like to learn more about myself, my community, and what growth looks like for me

I am committed to growing my powerful self and healing violence within myself and my community

I live in Kalamazoo County (or really close to it)

Required

What forms of art are you interested in? Choose as many as you want!

Drawing (digital or by hand)

Painting

Other mediums of visual art

Creative Writing (poetry, story and character building)

Slam poetry performance

Music (performance or recording)

Community Organizing

World building and tabletop RPG games (like Dungeons and Dragons)

Would you like to be added to our Discord channel? *

Yes

Maybe, you'll have to give me more information about it!

I don't have a discord

What even is that?

Already in there!

If you attend a school, what school do you attend?

Cool! And if it can be more cool, you can say something. If you have any questions, DM us @kzoofire on Insta or email director@thisisfire.org

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This form was created inside of Fire Historical and Cultural Arts Collaborative.