Adult Name: *

Please provide the preferred name of a primary contact for yourself or your group

First Name

Last Name

*

Now fill in the preferred names of the youth you'll be bringing with you today!

First Name

Last Name

First Name

Last Name

First Name

Last Name

First Name

Last Name

Phone: *

(###)

###

####

Which event are you registering for? *

Select all dates that you'd like to attend!

Drag Story Hour w/ The Vettick What, 5/24 @ 3 PM

Drag Story Hour w/ The Vettick What, 7/26 @ 3 PM

Drag Story Hour w/ The Vettick What, 8/23 @ 3 PM

Drag Story Hour w/ The Vettick What, 9/27 @ 3 PM

Drag Story Hour w/ The Vettick What, 10/25 @ 3 PM

Age: *

Please indicate the age level of everyone attending today! Select all that apply

Pre-K

Grade School (1st - 5th)

Middle School (6th - 8th)

High School (9th - 12th)

Adult

Gender Identity:

Select all that apply

Woman

Man

Non-binary

Transgender

Genderqueer / Gender Non-conforming

Agender

Prefer to self-describe:

Prefer not to say

Sexual Orientation:

Select all that apply

Asexual

Bisexual

Gay

Lesbian

Pansexual

Queer

Questioning

Straight / heterosexual

Prefer to self-describe:

Prefer not to say

Race/Ethnicity:

Select all that apply

Black or African American

Hispanic or Latino/a/x

Asian

Native American or Indigenous

Middle Eastern or North African

White

Multiracial or Mixed Race

Prefer to self-describe:

Prefer not to say

Do you identify as a person with a disability?

Yes

No

Prefer not to say

Housing Status:

Own

Rent

Living with family

Other

Prefer not to say