Event Registration Form
Open to the public Join us as we pay homage to past and present Glass Shatterers—those persevering through generational atrocities while daring to dream, believe and achieve. During this reflective Juneteenth celebration, we will honor the Glass Shatterers who came before us—those whose broken glass we stand upon today, while recognizing that we, too, are Glass Shatterers. There are many forms of glass, and through a series of writing exercises and poetry, we will access our dreams and recognize the only glass ceilings are the ones we create for ourselves and have yet to break.
Event Start Time
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Are you woman-identifying, trans*, or gender-expansive?
Yes, I am woman-identifying, trans*, or gender-expansive
No, I am not
Are you 13 or over?
Yes, I am 13 or over
No, I am under the age of 13
This event is only open to mentees, mentors, and woman-identifying, trans*, or gender-expansive members of the public who are 13 or over. Please note you are not eligible to attend this event.
I understand I am not eligible to attend this event.
For reporting and planning purposes only (please reference the statement above). Please indicate how you describe yourself:
Black or African American
Hispanic or Latinx
Native American or Native Alaskan
Asian, Asian American
Pacific Islander, Native Hawaiian
Biracial, Multiracial, two or more races
Please indicate your age range:
For reporting and planning purposes only (please reference the statement above). Do you identify as LGBTQIA+?
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How did you hear about Girls Write Now?
I am a current mentor
I am a current mentee
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I am a donor or Circle member
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From a family member or friend
From someone currently enrolled in the program
From a staff or board member
From social media
Please enter the name of your company/organization (especially if
you are a corporate partner employee or member of a partner organization)
I am a:
I am a:
Corporate Partner Employee
I am a:
Prospective mentee (high school or college student interested in GWN programs)
Prospective mentor (adult interested in GWN programs)
Donor, Circle, or Board member
Corporate partner employee