STEAM Fashion Program Registration Form
STEAM Fashion Program is a 4-6 week virtual program that focuses on science, technology, engineering, art and math (STEAM) and fashion. Our participants learn physical and technical skills but also social skills such as self esteem and community building. Each group is also attached to an advocacy and social justice issue.

Our next Cohorts are Knitting (Date TBD) and Embroidery (July 8th). You will learn basic techniques but also we will discuss intersectionality, disability justice, color theory, design, eye hand coordination, entrepreneurial skills, and more... Each cohort and group is different.

The STEAM Fashion program is FREE but we do ask for a $25 registration fee or a donation to keep our programs free or low cost. The registration fee and/or donation can be paid through our Paypal preventionmeetsfashion@gmail.com

NO ONE WILL BE TURNED AWAY FROM THEIR INABILITY TO PAY REGISTRATION FEE- PLEASE STILL COMPLETE REGISTRATION FORM AND JOIN US!

We look forward to meeting you!
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Do you have a computer, tablet or a smart phone?
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Do you have access to the internet?
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Name (if over 18 years of age) *
Child's Name (if not applicable, put N/A below) *
Parent/Guardian's Name (if not applicable, put N/A below) *
Phone Number *
Email *
Pronouns *
Required
Gender Identity (check all that apply) The information will not be used for a discriminatory purpose. *
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Race/Ethnicity *
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Sexual Orientation (check all that apply) *
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What is your age? *
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Household Income *
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Address (we will use this to mail you swag or items needed for the program)
Do you need any disability accommodations? If so, please briefly explain what assistive device or assistive technology, etc you may need? If none please write N/A *
Tell us what made you join the program *
How did you hear about us? *
Anything else you would like to tell us?
Please indicate below which cohort you are registering for. The actual day and time (TBD). The program and materials are free but there is a $25 registration fee per session (no one will be turned away for inability to pay). Online payment is due at the time of registration. If you are registering more than one person or for more than one session, you will need to complete separate registration forms. *
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