101 Residency Registration Form If you would like to answer this form in a different format, please contact us at hello@101outdoorarts.com Question Title * 1. Name Question Title * 2. Preferred Pronouns (optional): Question Title * 3. Company who you work for Question Title * 4. Company who you're in residency with at 101 (if different from above) Question Title * 5. If you're coming as part of a 101 lab or symposium, please specify here e.g. Shedonism, Toolbox, Summer School, Flexlab etc. Question Title * 6. Email Question Title * 7. Do you want to find out about bursaries, commissions, free residency opportunities and professional development labs? Join the 101 Newsletter! I would like to receive the 101 Newsletter I do NOT want to receive the 101 Newsletter Question Title * 8. Social Media (so we can tag you in content during your residency) Instagram @ Facebook @ Twitter/X @ Question Title * 9. Phone (in case we need to contact you when you're on-site/ for fire safety) Question Title * 10. Will you be at 101 for the full length of your company's residency? Yes No Question Title * 11. If no, what dates will you be at 101? (please use date format "Mon 1 Feb"/ "Mon 1 - Tue 2 Feb") Question Title * 12. Do you have any allergies? (food/ dust/ materials etc.) No Yes (please specify) Question Title * 13. Do you have any access requirements? No Yes (please specify) Question Title * 14. Do you have any faith requirements? No Yes (please specify) Question Title * 15. Have you completed the Equal Opportunities and Monitoring Form? If you haven't, please fill it in here. Yes Question Title * 16. Any other comments? Thanks for filling in this survey and we look forward to seeing you at 101! :) Done