Out Boulder County's 2019 Night of Noise Speakers and Performers Application for Youth (13-18)
Night of Noise is an event following Day of Silence, where we stay silent for a day to bring awareness to the silencing of LGBTQ+ people facing bullying. During Night of Noise, we break the silence and share our stories. If you are interested in speaking or performing at our Night of Noise event (April 12, 2019), please fill out this form to the best of your abilities. This form is for applicants between the ages of 13 and 18. For the adult (19+) application click here: https://docs.google.com/forms/d/1-zCErFIExQHlUZEZOo-zUzlngq_nlZXECrxNKt7Ud70
Email address *
What is your name? This does not have to be your legal name, just whatever you would like to be called. *
Your answer
What are your pronouns? *
Your answer
How old are you? *
Your answer
What school do you go to? *
Your answer
Are you in a GSA? *
What is your race/ethnicity? Select all that apply. *
Required
What sexuality/orientation do you identify with? Select all that apply. *
Required
What is your gender identity? Select all that apply. *
Required
Are you interested in speaking or performing? *
If you are interested in giving a speech, what topic would you discuss? If you selected performing, please write N/A in the text box. *
Your answer
If you are interested in performing, what would you perform and what would you need us to provide (microphone, props, etc.)? If you selected speaking, please write N/A in the text box. *
Your answer
How can we make sure this event is accessible to you (wheelchair access, stool/sitting place on stage, etc.)?
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service