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RTW and JQ Baltimore Zine Making Event
Home
RTW and JQ Baltimore Zine Making Event
Repair the World and JQ Baltimore Zine Making for Trans Rights
Name
*
First and last
Have you registered to participate with Repair the World Baltimore before?
*
Yes, I have registered on the JVC website before
No, this is my first time participating with Repair the World
Date of Birth - Please Include Birth Year!
*
Month/Day/Year (i.e. January 1, 1991 or 1/1/1991)
Email Address
*
janedoe@gmail.com
Phone Number
*
(000)000-0000
Neighborhood
*
Charles Village/Remington
Hampden/Woodberry
Fells Point/Upper Fells/Butchers Hill
Federal Hill/Otterbein/Locust Point
Mount Vernon/Midtown Belvedere
Highlandtown/Greektown
Canton/Brewers Hill
Baltimore County
Patterson Park
Downtown/Inner Harbor/Harbor East
Little Italy/Jonestown
Reservoir Hill/Bolton Hill
Mount Washington
Sandtown/Winchester
Mondawmin/Coppin Heights/Parkview
Washington Heights/Pigtown/Hollins Market
Cherry Hill/Brooklyn/Curtis Bay
Oliver/Greenmount/Barclay
Abell/Waverly
Other
Neighborhood
Let us know whereabouts you live/work/spend the most time!
Liability Waver
*
I agree
For all volunteers: I release and hold harmless The Associated: Jewish Community Federation of Baltimore and Repair the World, the affiliates, officers, employees and agents from and against all claims, damages, liabilities, losses and expenses actually incurred, arising out of any personal injury or property damage resulting from participation in any activity. This release shall be binding on my family, heirs, executors, administrators, personal representatives and guardians.
Photo Release
*
I agree
I give my permission to have my photograph used by The Associated: Jewish Community Federation of Baltimore and Repair the World. My signature on this Photograph Release Form gives photography release rights to The Associated and Repair the World. This release pertains to print as well as electronic media, including brochures, advertisements, annual reports, the website and other materials used to promote The Associated and constituent agency programs to the community as well as Repair the World.
Questions/Comments?
Submit