A Day of Self-Care 2024 Registration 
Developing Despite Distance (3D) will be hosting “A Day of Self-Care: A Dedication to Young Men Experiencing Parental Incarceration” on Saturday, May 4, 2024 from 9am to 2pm at Dauch Scout Center (1776 W. Warren Avenue) in Detroit, MI. 

This event is FREE to young men (ages 13 to 18) with incarcerated parents. All attendees must register to secure a spot by Thursday, May 2, 2024.

For more information regarding registration or sponsorship opportunities, please contact our Administrative Assistant, Jazmyn Bradford, at developingdespitedistance@gmail.com or (313) 495-5226. 

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Email *
Youth Participant's Full Name (i.e. Jane Doe) *
DOB: *
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Youth Participant's Current Age: *
Youth Group Participant's Grade *
Youth Participant's School:
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Youth Participant's Mailing Address (City, State, Zip Code)
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Youth Participant's Residential Zip Code 
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Youth Participant's Dietary Restrictions or Allergies:

If none, please put "N/A"
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How did you hear about this event? Check all that apply.  *
Required
Name of Caregiver or Guardian:
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Caregiver or Guardian's Email Address:
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Caregiver or Guardian's Phone Number:
(in case of emergency)
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Does your youth have an incarcerated parent?
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Full Name of your youth's incarcerated parent:
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Name of facility your youth's incarcerated parent lives in:

If you don't know, please indicate that below. 
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Incarcerated Parent's ID# 

If you don't know, please indicate that below. 
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Would you like to receive further updates on 3D's upcoming events and resources for young men of incarcerated parents? *
Liability Waiver

I hereby release and forever discharge and agree to indemnify and hold harmless Developing Despite Distance (3D) from any and all claims, liabilities, losses, damages, costs and expenses resulting from injury or death of any person or persons property damage or that may arise while participating at the party. I understand that this release discharges 3D from any liability that may result from my participation at this party. 

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Media Release Disclaimer

I grant to Developing Despite Distance (3D) the right to use photographic images and video or audio recordings of me that are made by the volunteers of the event during my attendance at this party. I agree that 3D may use such photographs of me with or without my name and for any lawful purpose, including for example such purposes as publicity, illustration, advertising, and Web content. 

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Program Overview 
A Day of Self-Care will include wellness workshops that may require comfortable clothing for physical activity.  It is not recommended to wear jeans, as youth will be participating in a yoga workshop.

To receive the full wellness experience, we are promoting community by encouraging young men to be fully engaged with limited distractions.  
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Program Arrival Time
A Day of Self-Care is filled with wellness activities that requires timelines from all attendees to received the full experience. 

Please aim to arrive by 9am at Dauch Scout Center (1776 W Warren Ave, Detroit, MI 48208) to receive the full experience. 
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Additional questions, comments or concerns:
A copy of your responses will be emailed to the address you provided.
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