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Parent & Family Group Virtual Registration
This is the registration form for the Cape Breton Youth Projects monthly Virtual Parents & Family program. Please note some of the demographics information here is collected for use in future funding applications to run programs just like these. This information is strictly accessible to The Youth Project and will not be shared for any other reason. Any information used would be made anonymous and only made to give a snapshot of the backgrounds and intersections of the folk we serve. On many of these questions you will have the right to pass. Disclosing demographic information is not required to join our programs!
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* Indicates required question
Email
*
Your email
First Name & Last Names of all parents/guardians attending:
*
(the names you go by)
Your answer
First Name & Last Names of all youth attending:
*
(the names they go by)
Your answer
Ages of everyone joining:
*
This program is open to youth and family of all ages!
Your answer
Full name of the schools your children attend:
*
Ex: Glace Bay Elementary; Etoile de l'Acadie; from home; Riverview Rural High School; etc
Your answer
The youths grade levels:
*
Your answer
Does their school have a GSA/Diversity Group/Pride Club?
*
Yes
No
Other:
Phone number in case we need to contact you outside of email:
Your answer
How will you be joining us on Zoom?
Laptop/Desktop Computer
Tablet
Smartphone
Available technology at a public service (Ex: Library; etc)
Other:
Your Gender Orientation or Gender Identity:
Please self-describe! Lists for these questions can be restrictive :) Ex: Cis-Male; Trans Woman; Demi-girl; Non-binary; GNC; Gender-fluid; etc
Your answer
Pronouns of everyone attending:
Ex: Mitch (They/Them); Madonna (She/Her); Sefin (He/They)
Your answer
Your Sexual Orientation:
Please self-describe! Lists for these questions can be restrictive :) Ex: Gay; Queer; Lesbian; Asexual; Bisexual; Pansexual; etc
Your answer
Your racial/ethnic backround(s):
Please self-describe! Lists for these questions can be restrictive :) Ex: African Nova Scotian or Black; Mi'kmaq or First Nations; white or Caucasian; Indian; Asian; Latinx; etc
Your answer
Your city/town/community:
We don't need your full address, just where you are from! Ex: Sydney; Eskasoni; Arichat; Membertou; Glace Bay; North Sydney; Inverness; etc
Your answer
Accessibility needs:
Are there any accommodations needed to participate in our programming
Your answer
What do you hope to get from attending this virtual program?
Your answer
Do you have any suggestions for activities you would like to see from our program or topics to discuss?
Your answer
Have any questions for us?
Your answer
Is there anything else you would like to let or know, or think we need to know?
Your answer
We are excited to have you sign up! These meetings will be on the 1st Thursday of every month! These meetings will run from 6:30 p.m. to 8:00 p.m. After registering we will be in touch over email to send you the joining information for Zoom. The link we send you can be used for EVERY drop-in so make sure to hold on to it and not share it with others.
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