Rhizome Day Camp Application Form
Join us at this years Youth-led Social Action Summer Day Camp RHIZOME. Running August 7-11, 2012. 1-7pm Daily. Dinner and snacks provided every day. In Victoria, BC. Applications *now* due by August 1st, 2012.
Info about You
Name you like to go by:
(eg: boy, girl, trans, genderqueer, etc.)
Do you prefer email, phone calls, or texts?
Emergency Contact Information
Name and Phone Number:
In preparation for Rhizome Youth-led Day Camp, we'd like to get to know a little bit. Have fun with these questions, and feel free to get in touch with us if you have questions!
Why are you excited about being a part of RHIZOME 2012?
(What do you hope to get out of it?)
What do you think young people need to know about preventing sexualized violence?
What is something you want to see change in your community?
What is one of your current favourite songs?
(We are making a playlist)
Are you interested to check out...?
(Check as many as you want)
Poetry / Spoken Word
RHIZOME hopes to bring together a diverse group of youth. Tell us a little bit about yourself!
Anything else you want to tell us about?
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