One moment please...
Have you taken an Operation ART class before?
*
Yes
No
Contact Information
Name
*
First Name
Last Name
Email
*
Verify Email
*
Phone
*
Address
*
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
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 Coordinator if there is an emergency while in class.
Would you like to add an emergency contact?
*
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 Affiliation
What is your military connection?
*
Service Member (active, reservist, National Guard)
Prior Service Member (retiree, veteran)
Military family member
Caregiver for a military connected individual
Branch 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?
*
How often do you engage with creative expression activities?
*
Infrequently (less than once a month)
Sometimes (at least once a month)
Regularly (at least once a week)
Which of the following creative writing activities do you engage with?
*
Poetry
Journaling
Stories (fiction and/or nonfiction)
Memoir
Drama, screen plays
Other
None
Please provide information on accommodations you may need to be successful in this class:
Media Release
Occasionally we like to post photos/videos of activities happening during TJF Operation ART Classes. We may photograph/video action shots of art being created. Do you agree to be photographed/videoed?
*
YES
NO
Registration Payment Processing
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.
*
I understand.
Amount
*
$25
-
Class Registration Fee
Add 3% to my total amount to help cover the payment processing fees