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  3. Kolot Registration form

Kolot Registration Form - An Evening of Culture and Conversation with Kendell Pinkney



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Email
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We’d love to know a bit more about you. We invite you to fill out these questions if you are comfortable doing so. This will help us shape and improve programming in the future.
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Are you a practicing artist? If so, what is your discipline/field/medium?
Do you consider yourself an arts enthusiast, and if so, what disciplines interest you? 
Do you identify as Jewish? If so, describe your Jewish background or your relationship to Jewish identity. 
What interests you about this specific session, An Evening of Culture and Conversation with Kendell Pinkney ? 
I acknowledge that there may be photographs and videos taken of me during my visit to the MJM/Segal Centre, and I consent to the use of these photographs or videos in future Segal Centre communications.
Thank you!