Community StorySlam Registration

Bergen's Promise Community StorySlam Registration
If more than one person from your family/group will be participating, please submit a separate registration form for each participant.

Workshop 1:
April 30, 2026 – Finding Your Story
Bergen’s Promise Office, 6:30pm-8:30pm

Workshop 2:
May 14, 2026 – Shaping Your Story
Bergen’s Promise Office, 6:30pm-8:30pm

StorySlam Performance
June 25, 2026
Venue in Hackensack, TBD

Bergen’s Promise Office Details:

3 University Plaza Drive, 3rd Floor

Hackensack, NJ

Please park in an unmarked parking space or in spots labeled “Visitor” or “Compact.” Vehicles parked elsewhere may be towed.
Name of Participant

First NameLast Name
Age of Participant
Suggested age 14+
Which of the below describes the participant?

Other
Who is your Bergen's Promise Care Manager?
Email for event information
example@example.com
How many people will be attending with you?
By choosing to take part in this Bergen’s Promise activity, I understand that there may be risks involved. I agree to take full responsibility for any risks related to my participation, for myself and for anyone participating with me.

I also agree not to hold Bergen’s Promise, the event location, volunteers, sponsors, or anyone connected with this event responsible for any injuries or damages that may occur as a result of participating.

I give permission for Bergen’s Promise to use photos of me and members of my group for reports, promotions, and social media related to this event or future events.
By signing below, I confirm that I have read and understand this waiver and agree to all of its terms.

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Bergen's Promise Community StorySlam Registration