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SPOTLIGHT ON WELLNESS
Please note - there is limited seating. Participants will be received on a first-come-first-serve basis. Completion of this registration form does not guarantee you a seat during any or all of the symposium. Doors will open at 745a.
Date Time
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Name
First
Last
Email
Zip-Code
Are you an artist?
Yes
No
I prefer not to answer
If you answered "yes," what is your artistic discipline?
Theatre
Dance
Music
Visual Art
Film
Culinary
Fashion
Multi-disciplined
Do you work as a full-time artist?
Yes
No
Gender
Female
Male
Non-binary
A gender not listed here
Race/ethnicity
Black or African American
Hispanic, Latino, or of Spanish origin
American Indian or Alsakan Native
White
Asian
I prefer not to answer
Age
Under 18
18-24 years old
25-34 years old
35-44 years old
45-54 years old
55+ years old
Will you participate in-person or on Zoom?
In person
On Zoom
