-
-
- I go by (preferred name):*
- What pronouns can we use for you?*
-
-
-
- Date of Birth*
-
-
-
-
-
-
- What grade will you be entering for the school year this coming Fall? **
- Racial Identity: We acknowledge that while race is a social construct, racism is real and continues to disproportionately impact communities of color. We ask registrants to self-identify their racial identity so that we can evaluate our racial equity efforts. Which of the following racial identities do you most identify with? Please check all that apply:*
-
- Optional- Do you personally identify as or with any of these things? We ask you for demographic data specifically for grant and funding reporting purposes. This information will remain anonymous when counted and never be shared by any means outside of tSB. (Please select all that apply):
-
- Is English the primary language spoken in your home?*
-
-
-
Format: (000) 000-0000.
-
-
- Do you live in a single-parent household?
-
-
- Is your household enrolled in a Washington State Basic Food Assistance Program such as SNAP?*
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
- Peer Leader Interviews
-
-
-
-
- Date Signed*
-
-
-
- Date Signed*
-
- Should be Empty: