Legal Name
*
First Name
Last Name
Preferred Name (if you have one)
First Name
Last Name
Gender Identity
*
Cis-Gender Male
Cis-Gender Female
Transgender
A-Gender
Non-Binary/Non-Conforming
Two Spirit
Prefer not to respond
Unsure
Other
What community are you from?
*
Please Select
STP
Wass
Red Sucker Lake
Garden Hill
Baker Lake
BILCN
Gakijiwanong
Webequie
Pikangikum
Tasiujaq
Tataskweyak
Mosakahiken
Poplar River
Kettle & Stony Point
Pinaymootang
Personal Pronouns
*
He/Him
She/Her
Prefer Not To Say
They/Them
Other
Birthday
*
-
Month
-
Day
Year
Date
Grade
*
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12 - not graduating in June 2026
Grade 12 - graduating in June 2026
Grade 12 - unsure if graduating
This is my _________ joining the OLI Dance Program
*
First Year
2nd Year
3rd Year
4th Year
More than 4 Years
Unsure
Facebook Name
Submit
Should be Empty: