JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Our Narratives Youth Art Camp Registration Form
Event Timing: March 6-8, 10am - 4pm
Event Address: Stearns History Museum, 235 33rd Avenue South, St. Cloud, MN 56301
Contact Heidi Jeub at (320) 828-1437, thewhitgal@gmail.com
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Child's Name
*
Your answer
Parent's Name #1
*
Your answer
Parent's Name #2
Your answer
Address
*
Your answer
Phone
*
Your answer
Grade
*
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Gender Identity
Your answer
Racial / Ethnic Identity
Your answer
Explain your child's interest in art, music, writing, or performing:
Your answer
Does your child have an interest in history, geneology, or social issues?
Yes
No
Somewhat
Not Sure
Clear selection
Dietary restrictions
*
None
Vegetarian
Vegan
Kosher
Gluten-free
Other:
Zipcode (for research reasons)
Your answer
The Stearns History Museum staff wants to be a good host and provide you with specialized content prior to the workshop. Do you have a significant address, school, business, or geographic location found in Stearns County that could be helpful to your story? Throw down possibilities, and we
may
be able to grab some files prior to the workshop weekend.
Your answer
Any Questions or More information to share about your child:
Your answer
A copy of your responses will be emailed to the address you provided.
Submit
Page 1 of 1
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
