*What is your first name?

What is your preferred name (if different from the first name)?

*What is your last name?

*What is your email?

*How old are you?

Do you have a Foundry account?

What discussion topics, activities, guest speakers, etc., would you find most interesting? (Optional)

Is there anything you need from us that can make this experience more accessible, safe, and enjoyable for you? (Optional)

What level of participation are you comfortable with for now (for example, audio, video, chat)? (Optional)

Throughout the program, we might send out supplies (e.g., art supplies etc.) for some of the sessions. Would you like to share your mailing address (if so, please include your unit number if you have one, street address, city, postal code, and name to write on the package). (Optional)

Anything else you want us to know?