Teen Girls: Voices of Alopecia Areata Workshop at Girls Garage in partnership with the National Alopecia Areata Foundation.
PLEASE READ THE APPLICATION INSTRUCTIONS AND PROGRAM DESCRIPTION BEFORE BEGINNING:

Event Timing: Saturday, April 20, 2024, 10 a.m. - 1:30 p.m. (with 30 minutes of lunch/hang time)
Event Address: Girls Garage (2080 Second St. Berkeley CA 94710)
Who:  Teen girls and gender expansive youth.  7th - 12th grade with alopecia areata.
Contact us at:  walk@naaf.org

  • In this workshop, participants will explore the complex ways in which alopecia areata impacts their daily lives. Participants will collaborate to create risograph prints with words and images that give voice to their personal experiences, and in doing so, provide validation, hope, and inspiration to others in the alopecia areata community.  

  • Each participant will take home 15 risograph-printed signs, adorned with block stamp designs.  

  • Risograph-prints will be showcased at NAAF's 2nd Annual Walk for Alopecia in San Francisco, September 28, 2024. We hope you will join us at the Walk!


    *Applications open March 25, 2024 at 7 a.m. and will be accepted on a rolling basis until 20 students are enrolled.

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Email *
Student First Name *
Student Last Name *
Which pronouns do you prefer  *
Student date of birth *
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Student or parent cell phone: *
Student address: *
Student city: *
Student state: *
Student zip: *
Have you attended Girls Garage in the past? *
Have you attended a National Alopecia Areata Foundation (NAAF) program or event in the past? *
If you have attended a NAAF program in the past, which have you attended?  *
Why are you interested in the Teen Girls:  Voices of alopecia areata workshop? What do you hope to get out of this experience? 
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I'd like more information about NAAF and how NAAF supports people living with alopecia areata.  (If yes, please enter your email address below.  If no, write N/A).  *
Emergency contact name and phone number: *
I, Parent, give my consent to NAAF, its agents or volunteers, to use risograph artwork, risograph images, or risograph quotations made  at the Workshop by my child at the Walk For Alopecia in San Francisco Golden Gate Park on September 28, 2024 or other public relations activities. My child will not be identified by their name. 
 *
I, Parent, give my consent to NAAF, its agents or volunteers, to use photos of my child at the Workshop for other public relations activities. My child will not be identified by their name.  

*Answering No to this question does not disqualify anyone from participating.
 *

Please read this document carefully before signing. It contains important information in participating in the Teen Girls:  Voices of alopecia areata workshop presented by Girls Garage. Participant’s parent is asked to acknowledge and assume risks and waive claims they might have in the event of injury or other loss. 

Description of Services: The purpose of the Teen Girls:  Voices of alopecia areata workshop is to offer education and support to help teen girls who have been diagnosed with alopecia areata. The program will be facilitated through Bethany Kaylor of Girls Garage. The facilitator(s) found that when working in groups, teens gain support from others who are experiencing similar situations or who have adjusted well after experiencing a similar situation in the past. 

Confidentiality: Please understand that the program may be described in written publications but that no information will be provided that could identify any individual participants in the program. 

I, Parent of minor child (hereinafter “Parent”), hereby consent for my child to participate in the Teen Girls:  Voices of alopecia areata workshop for teen girls with alopecia areata. 

I, Parent, understand that in order to encourage children to participate actively, parents and outside observers will not be allowed to attend. I also understand that participation in the group is completely voluntary, and confidentiality is addressed and respected. 

I, Parent, have read, understand and fully agree to the terms of this Consent Form. I have signed this Consent form freely, voluntarily, knowingly, under no duress, without inducement, promise or guarantee communicated to me not contained herein. My signature is proof of my intention to execute my consent on behalf of my child in participating in the Girls Garage Workshop.

I acknowledge that I have carefully read this document and understand the information herein. I agree to each of the terms and acknowledgements herein and agree to consent to my child’s participation in the Teen Girls:  Voices of alopecia areata workshop described herein.

Parent, please agree by typing your name below:

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