True Kids 1 Media Intensive Registration Form

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True Kids 1 teaches, trains, and inspires students for the digital age. Our mission is to provide youth with media skills and opportunities to open career paths and promote digital citizenship.

Please fill out this registration form to sign up for TK1's Fall 2021 Media Intensives. Upon submission, you will receive a follow-up email acknowledging your registration and details about the class and an introduction to your mentor. NOTE THAT TK1 RESERVES THE RIGHT TO RESTRICT ALL IN-PERSON WORKSHOPS TO THOSE WHO ARE VACCINATED AGAINST COVID-19.

Student First Name *

Student Last Name *

Student Email *

Student Phone (enter N/A if they don't have one) *

Parent First & Last Name (Guardian) *

Parent Email *

Parent Phone Number *

Student's age *

What is the name of your school? *

What is your ethnicity? *

American Indian or Alaskan Native

Hispanic

White

Asian

Black or African American

Native Hawaiian or Other Pacific Islander

Other:

Do you (student) qualify for free or reduced lunch programs? *

Yes

Are you (the participating student) fully vaccinated against COVID-19? Note that TK1 may only offer indoor workshops to students who can prove their vaccination status. *

Yes

Under Age 12

Please identify the TK1 Media Intensive you would like to join. *

Social Influence + Social Media = Social Change (ages 12-18). In-person at The Taos Hive. Dates TBD

Required

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