OPEN LAB REGISTRATION

TIME: 4 PM - 6 PM

LOCATION: Youth FX Studio

25 Warren St. Albany, N.Y. 12202

(btwn. Phillip & Grand St.)

Albany, NY 12202

 In an effort to bridge the gap between our 6-week summer intensive program and fall programming, Youth FX presents OPEN LAB in an effort to offer young people between the ages of 14-19 a safe space to learn, create, connect and collaborate with each other, as well as local teaching artists and other community members.


Participant Name *
Participant Name
Participant Phone *
Participant Phone
Please provide a phone number that we can reach you at throughout the summer and afterward.
Participant Address *
Participant Address
Gender *
Race/Ethnic Background *
SOCIAL MEDIA
We will be posting regularly on social media throughout the duration of Doc Lab. Please share any social media you have below to be tagged in our posts.
HEALTH | WELLNESS
We will be offering snacks and would like to be aware of any allergies to lower the risk of an allergic reaction.
Do you have any accessibility needs? If so please list them below.
PARENTAL INFORMATION
If you are under the age of 18, please complete this section. If you are 18 years or older, please scroll to the "Emergency Contact" section of this form.
Parent Name
Parent Name
Parent Phone
Parent Phone
Parent Address
Parent Address
EMERGENCY CONTACT
Please list an emergency contact that is not your parent.
Emergency Contact *
Emergency Contact
Emergency Phone *
Emergency Phone