If you previously registered in our programs, there is no need to complete the rest of the registration form. You can move down and submit. If this is your first time joining us, please fill in the rest of the registration form. Thank you
Pronouns
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How old are you (or the person you are registering)
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Preferred method of contact
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Email
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Phone Number
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Instagram (optional)
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City of residence
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Food allergies and dietary preferences (eg. peanut allergy, vegetarian, halal, etc.) as we bring food and snacks in programs
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Emergency contact (Name, phone number and relationship)
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Demographic Information (Optional)
The information you provide in this section is anonymous and confidential and will help us provide better services for the communities we serve.
Do you identify as
Any other relevant information to share with LOVE's staff
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