Name *

First Name

Last Name

Phone *

(###)

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How would you like to participate in the pop-up community space? (Please select all that apply)

Perform as a musician, artist (concerts, poetry recitals, plays)

Install an exhibit/gallery showing (informational, artistic or historical)

Offer a workshop

Sell a product/share information

Organize an event (book club, knitting group, community meet-up)

Volunteer

Other