peace * love * journey * destiny * spirit - "IMAGINE"
"CLUB IMAGINE"
WELCOME to Youth In The Arts-Imagine (YITA) “CLUB IMAGINE"
COVID-19 "Sheltering In Place Training"
**
Please fill out the form below.
What is your Name?
What is your Birthdate?
Parents or Guardians Name/s
Do you have WIFI access?
If you have have WIFI access what is your email address?
What are the best days and times to call especially, if you Do Not Have WIFI Access?
Tuesday
Wednesday
Thursday
Between 11am - 1pm
Between 1pm - 3pm
Between 3pm - 6pm
Between 6pm - 8pm
What is the name of your School?
What grade are you in?
How did you become a "Club Imagine" member? Please select the one that applies.
ENROLLED OR REFERRED BY SCHOOL
ALUMNI
Please complete form and within 24-48 hours you will be emailed a video link, a questionaire and/or given a phone call for your weekly "Club Imagine" sessions and/or information.
PLEASE CLICK SEND BUTTON.