MIDDAY Event Registration Form
Thank you for joining the MIDDAY BIPOC Professional Dancer Mentorship final events. Since September 2022, we have joyfully worked with the inaugural Mentees to navigate and root their careers. As our program draws to a close, we look forward to celebrating with you at any -or all- of our Final Events! Free and open to the public, pre-registration recommended.
Participant Name
*
First Name
Middle Name
Last Name
Participant E-mail
*
example@example.com
Phone Number
City of Residence
City (or Cities) of Work
Company/Organization(s) - if applicable
Artists: please feel free to list "freelance artist," "arts entrepreneur," or any other role that describes your work.
Event(s) You Wish To Attend:
*
Friday, April 21 @ 6PM: Cultural Equity Incubator, 15 Channel Center St, Boston
Saturday, April 22 @ 2PM: Rooted Cafe at The Armory, 191 Highland Ave, Somerville
Monday, April 24 @ 6PM: Multicultural Arts Center (Gallery), 41 Second St, East Cambridge
Will You Require Any Accommodations to Attend?
*
Allergies/Dietary Restrictions?
*
I wish to donate to this program: (note this 8-month program costs about $10,000 to produce)
*
Yes, I will donate below or via the "Give" tab on the MIDDAY website.
No, I am not interested in donating to this program.
I cannot donate now, but please contact me about donating in the future.
Other
Donate to the MIDDAY BIPOC Professional Dancer Mentorship Program:
prev
next
( X )
USD
Enter your one-time donation amount here.
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Submit
Should be Empty:
Now create your own Jotform - It's free!
Create your own Jotform