Junior Feminists Book Club Fall 2022 Sign-Up

Thank you for signing up for the Junior Feminists Book Club. The first session of book club will be Wednesday October 19 We are excited to see you there!

Name(s) of child(ren) participating:
Age(s) of child participant(s):
Name of parent or guardian: Name of parent or guardian: First Last
Has your child participated in the book club before?

Has your child participated in the book club before? Yes No
Email address (@Emory.edu or @EmoryHealthcare.org preferred):
Which day would you like your child to participate?

Which day would you like your child to participate? Wednesdays 6:00-7:00 PM ET Saturday 10:00-11:00 AM ET None of these days work for me
More dates may become available as Emory students volunteer. Would you like to be notified if new dates open up?

More dates may become available as Emory students volunteer. Would you like to be notified if new dates open up? No Yes If yes, what day(s) would you prefer? If yes, what day(s) would you prefer?
To ensure the safety of the children in the program, we use a verification process. Please indicate how you would like to be verified.

To ensure the safety of the children in the program, we use a verification process. Please indicate how you would like to be verified. I am a current Emory student or employee. (Please enter your emory.edu email address in the box below if different from the one above) I am a past book club participant My child attends an Emory Reads affiliated school (Please enter the name of the school in the box below) I am a paid subscriber of The Remix I have an Emory reference (Please enter their emory email address in the box below) I have a past book club participant reference (Please enter their name in the box below). None of these apply. I would like to schedule a time for a brief zoom to verify the identity of my child. Enter verification information here: Enter verification information here:
In order to participate in the Virtual Junior Feminist Book Club, you must agree to the following (please check boxes to indicate agreement):

In order to participate in the Virtual Junior Feminist Book Club, you must agree to the following (please check boxes to indicate agreement): I give permission for my child to utilize the Zoom platform to participate in Virtual Book Club Meetings. I will not share the Zoom link with anyone other than my participant. The Center for Women will not record or share any images or audio or information from participants. Participants may not record, take screen captures, or capture audio from the Virtual Meeting. I understand that the Center for Women will utilize a Zoom Waiting Room, and only approved registrants will be permitted to attend virtual book club meetings.
The Center for Women provides a free copy of the book to each participant. In what format would you like to receive the book we will be using?
(Stand Up by Brittney Cooper and Good Night Stories for Rebel Girls: 100 Inspiring Young Changemakers).

The Center for Women provides a free copy of the book to each participant. In what format would you like to receive the book we will be using?
(Stand Up by Brittney Cooper and Good Night Stories for Rebel Girls: 100 Inspiring Young Changemakers). Hard copies Digital E-books I already own a copy of one or both of these books. Please indicate which book you already own.
If you selected Digital E-book, please provide the email address to send the book. If you selected hard copy, please provide a mailing address or indicate that you'd like to pick it up from the Center for Women.
Questions, Comments, or Concerns?
You may receive an error message after filling out the form. We have received your application. If you have not received an email from us within 24 hours, please contact cwe@emory.edu.

Junior Feminists Book Club Fall 2022 Sign-Up

Junior Feminists Book Club Fall 2022 Sign-Up

You may receive an error message after filling out the form. We have received your application. If you have not received an email from us within 24 hours, please contact cwe@emory.edu.