Young Women Empowered · 2023 Marra Farm Volunteer Day signup

Contact Information

Name

*

First Name

Last Name

What are your gender pronouns? (optional)

she/her, they/them, he/him, etc.

Email

*

Verify Email

*

Phone Number

*

Do you have any medical considerations or major allergies we should know about in the event of an emergency? (for example, anaphylactic bee allergy, diabetic, etc)

Are there any accommodations you need to make this program accessible and comfortable?

Y-WE is dedicated to creating inclusive spaces and programs for all, including people with disabilities and specific accommodation needs.

Will this be your first Y-WE event/activity?

How did you hear about Y-WE? Select any/all that apply.

Been in Y-WE programs before

Friend

Teacher or other school staff

Mentor

Parent/Caregiver

Social media/fliers/promotional ads

Other

Demographic Information

Y-WE collects this data to better understand who we serve, and to improve and obtain support for our programs. Your answers are confidential and will not be shared outside of Y-WE except as part of anonymous percentages.

Are you willing to answer a few short demographic questions? This information helps Y-WE better understand who we serve and obtain support for our programs. Answers are confidential and not shared outside Y-WE except as part of anonymous percentages.

*

Select 'Yes' to see the questions. If you change your mind, just reselect 'No' and the questions will disappear. All questions have a 'prefer not to answer' selection if you'd like to skip some questions.

Do you identify as Black, Indigenous, or a Person of Color?

*

If you selected 'Other' please describe (optional)

Do you identify as LGBTQIA+? (select any/all that apply, or select 'prefer not to answer')

If you selected 'Other' please describe (optional)

Emergency Contact

A parent/guardian emergency contact must be provided for anyone under 18!

Emergency Contact Name

First Name

Last Name

Relationship to Participant (parent, spouse, friend, etc)

Emergency Contact Phone Number:

Volunteer Days with Y-WE at Marra Farm

Fridays from 10am to 12pm:

March 3, 10, 17, 24, 31

April 7, 14, 21, 28

May 5, 12, 19, 26

June 2, 9

If you have any needs or questions, contact Y-WE Grow Program Coordinator Tayah (she/they) at tayah@y-we.org.

If you want to bring a group (corporate, school, etc.) out to the farm, contact Neli at neli@y-we.org.