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Metalworking: Welding
Contact Information
Have you taken an Operation ART class with The Joel Fund in the past?
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Yes
No
Name
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First Name
Last Name
Phone
*
Email
*
Verify Email
*
Address
*
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
In which county do you reside?
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Wake
Durham
Orange
Johnston
Franklin
Granville
Vance
Person
Warren
Other
I don't know
If other, please provide in which county you reside.
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Emergency Contact Information
If you would like to, you may add an emergency contact to your registration. This person will be contacted by the Operation ART Program Manager if there is an emergency while in class.
Would you like to add an emergency contact?
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Yes
No
Emergency Contact Name
First Name
Last Name
Emergency Contact Phone Number
Demographic Information
Please complete the demographic questions so we can understand the diversity of our class. This information is optional and does not affect your participation in the class.
What is your gender?
Male
Female
Non-Binary
Transgender
Prefer not to state
What is your current age range?
18 - 21
22 - 30
31 - 40
41 - 50
51 - 60
60+
Prefer not to state
What is your race/ethnicity?
American Indian or Alaska Native
Asian or Asian American
Black or African American
Hispanic or Latinx
Native Hawaiian or Other Pacific Islander
Caucasian or White
Multiracial
Prefer not to state
Military Information
What is your military connection?
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Service member (active, reserve, or National Guard)
Prior service member (Veterans and Retirees)
Military family member
Caregiver for a military connected individual
Branch(es) of service
*
Please provide proof of service for yourself or the individual with which you are connected.
*
This could be a Military ID, VA ID, or DD214.
Class Details
How did you hear about this class?
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How often do you engage in creative expression activities?
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Infrequently (less than once an month)
Sometimes (at least once a month)
Regularly (at least once a week)
What is your experience in Metalworking?
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Please provide information on accommodations you may need to be successful in this class:
Media Release
Do you agree to be photographed/videoed for TJF media and shared with grantors and partners?
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Occasionally we like to post photos/videos of activities happening during TJF Operation ART Classes on our social media, website, and share with our partners that help fund our programs.
YES
NO
Payment Information
I understand that my registration is non refundable if I am unable to attend class. Refunds will be granted if the class is canceled or if you withdraw from class up to 2 days before the start of class.
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I understand
Amount
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$25
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Operation ART Class Registration
Add 3% to my total amount to help cover the payment processing fees