Mixed Berries Club Sign-Up

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Thank you for your interest in joining the Mixed Berries!

The “Mixed Berries” is a casual social club, committed to making an inclusive space for students of mixed race(s) to bond with other students in a comfortable, welcoming way that strays away from a traditional, formal format. From sport sampling to local outings, we aim to foster a community of social inclusion and identity bonding.

Anyone of any cultural or ethnic background is welcome to join the Mixed Berries! We are a social club and most events are open invite-- so bring your friends!

Fill out this form and we will be in contact with you soon concerning socials and formal meetings throughout the school year!

First and Last Name *

Phone Number *

Email *

Pronouns *

Year in School *

1st

2nd

3rd or 1st Year Transfer

4th or 2nd Year Transfer

Other:

Major(s)/Minor(s) *

How did you find out about the Mixed Berries?

EAF

Social Media

Word of Mouth/By friend

UCLA Clubs Page

Other:

Clear selection

How do you self-describe your ethnicity / cultural background? (optional)

Any questions for the club? (optional)

Don't forget to follow us on Instagram:

@mixedberriesucla (main club page)

@spikedmixedberries (intramural sports page)

Thank you and we look forward to seeing you soon!

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Forms