Spirit Project Intake Form
 The Spirit Project is a Fredericton, NB based company of artists with and without intellectual and/or physical disabilities, Autism and dual diagnosis whose mission is to share the joys of inclusive living and create dynamic, engaging, luminous art.  We meet once a week at The Charlotte Street Arts Centre to create, perform, eat, laugh, and share the joys of living in community.

Welcome to the Spirit Project!  We ask that everyone involved in The Spirit Project takes the time to fill out this form including partners, support workers, parents, participants and artists.  This form helps us to gather key information and hopefully learn more about you so we can make your experience with The Spirit Project the best it can be.
Are you comfortable with us sharing pertinent information from this form with the artists and other folks who work with us?  (For instance we will be working with an Occupational Therapist this year and we would share information that support their feedback for us!)
What is your name? *
We want the Spirit Project to be a safe space for people to create together. One way we can do that is by respecting everyone's pronouns. Pronouns are used when referring to someone in the third person. Pronouns are also used in the second person, with the term "you", and in the first person, with the term "I" or "We". 

For this form, we are specifically looking for your pronouns to be used to refer to you in the third person.

What are your pronouns?
 *
What is your home address?
What is your primary phone number?
This can refer to your own number or the number of your parent/guardian. Please specify who the number belongs to (Mom, Dad, Cell, Home, etc)
 *
What is your secondary phone number? 
Whose number is this?
We use email as our primary point of contact to pass along information to our friends. 

What email would you like to receive Spirit Project updates/important info? (Project time changes/cancelations/etc) 
Whose email is this?
 *
Who is your primary emergency contact?

Please answer in this format:

Name:
Relationship:
Phone Number:
Email:
 *
Odznacz
If you have a secondary emergency contact, please provide their information here.

Please answer in this format:

Name:
Relationship:
Phone Number:
Email:
Dalej
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