COLAGE Boston Chapter Interest Form

Thank you for your interest in COLAGE's Boston Chapter!

Please complete this form if you would like to be involved/stay informed about future events and get togethers.

If you have any questions, please contact boston@colage.org.

Your Contact Information

First Name *

Last Name *

Email *

Address Line 1

Address Line 2

Phone

City

State

State/Province

Zip

Postal Code

Country / Region

Please describe your family structure: * The field Please describe your family structure: is required.

Our family was created through... (mark all that apply): * The field Our family was created through... (mark all that apply): is required.

Are you new to COLAGE? * The field Are you new to COLAGE? is required.

I am a:

What is the age of the youth that will be involved? The maximum length for the field What is the age of the youth that will be involved? is 500 characters.

Are there any access needs you would like to disclose for anyone who will be involved? (ASL interpretation, allergies, sensory needs, etc.) The maximum length for the field Are there any access needs you would like to disclose for anyone who will be involved? (ASL interpretation, allergies, sensory needs, etc.) is 500 characters.

Is there anything else you would like us to know? The maximum length for the field Is there anything else you would like us to know? is 500 characters.

What types of programming/events/activities would you like to do as part of the Boston Chapter? The maximum length for the field What types of programming/events/activities would you like to do as part of the Boston Chapter? is 500 characters.