"Black Girls Glow!" Membership Form
Congratulations and thank you for your interest in TRANSIT ARTS and our "Black Girls Glow" Project! As a youth/young adult member you now have the opportunity to participate in this special project, as well as all programs of TRANSIT ARTS, a citywide youth arts development program of Central Community House.

"Black Girls Glow" is supported by The Women's Fund of Central Ohio. TRANSIT ARTS works in partnership with the Ohio Alliance for Arts Education and numerous community partners. Our programs are provided at no cost to our members.

Students should answer questions in sections 1 through 2. Parents/Guardians (or students ages 18+) must fill out sections 3 through 7.
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Black Girls Glow Fall 2021
First Name *
Last Name *
Date of Birth *
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DD
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YYYY
Gender/Preferred Pronoun *
Street Address *
City *
Zip Code *
Race (check all that apply) *
Required
Are you an immigrant?
Clear selection
If yes, what is your country of birth?
What school are you attending for the 2021_22 School Year *
What grade are you in for the 2021_22 School Year
Participant's Phone Number *
Participant's Email Address *
Which is the best method of contacting you? *
In the event of an emergency or accident, please notify the person(s) below and please provide their relationship to you and their phone number(s): *
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