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Home Page
Meet the Team
About Us
Our Mission
SEVA
Programming
Creative Expression
Contact Us
Blog
Ways to Help
PARTICIPANT REGISTRATION
Date today
*
Name
*
You can include either your name given at birth or the name you prefer to be known as. Be aware that this name is how we will refer to you unless told otherwise.
Date of Birth
*
Street number
*
Street Name
*
City
ZIP / Postal Code
Gender/Sex
*
Male
Female
X
Transgender Boy/Man
Transgender Girl/Women
GNC/Non-Binary
Other
Ethnicity
*
Asian/Bangladeshi
Asian/Burmese
Asian/Chinese
Asian/Filipino
Asian/Indian
Asian/Korean
Asian/Japanese
Asian/Nepalese
Asian/Pakistani
Asian/Vietnamese
Asian/Other
Pacific Islander/ Guamanian and Chamorro
Pacific Islander/Native Hawaiian
Pacific Islander/Samoan
Pacific Islander/Other
White
Black or African American
Hispanic or Latino
American Indian or Alaskan Native
Two or more Races
Other
Age
*
Primary Language Spoken at Home / Second Language Spoken By Family
*
Arabic
Bengali
Chinese
English
French
Haitian Creole
Italian
Korean
Polish
Russian
Spanish
Urdu
Yiddish
Other
Phone
*
Select an option (choose one)
I would like the Town Shop to send monthly calendar and promote events to this phone number .
I would not like this number to be contacted except in the case of emergency or for safety reasons.
Checkbox
*
PLEASE READ BELOW AND CHECK BOX TO AGREE
PLEASE READ AND AGREE: Thank you for joining us! To keep the Town Shop an excellent place to be, we expect you to actively participate in maintaining the high standards that you and your peers deserve. That means treating everyone with the respect you would expect in return, protecting our equipment so that future generations can enjoy it, and keeping the space you share with others clean and litter-free. We expect everyone to moderate their language and behavior to keep this space open, accessible, and safe. This includes keeping sensitive conversations private, honoring consent and maintaining personal space, speaking only highly of another in the presence of other participants, building each other up, being honest, and always being safe.
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