YAE! Young Artists Empowerment

REGISTER FOR 2020!

Child's First and Last Name*

Child's Preferred Pronoun*

Child's Age & Grade*

Child's School*

What (if any) is your child’s previous experience with dance and/or visual art?*

Are there any food allergies or other medical information we should know about? *

Child's T-shirt Size

Parent/Guardian Name*

Parent/Guardian Email*

Parent/Guardian Phone Number*

Emergency Contact Name (Person authorized to assume responsibility for the child if parent/guardian is not available)*

Emergency Contact Relationship*

Emergency Contact Phone Number*

BY SUBMITTING THIS FORM I promise to arrive on time each day and show respect to myself, my mentors and all my peers. I also promise to participate in all camp activities to the best of my abilities. If for some reason I am no longer able to attend YAE! camp after my enrollment form is processed, I will give the camp director at least two weeks notice to ensure my refund and to allow a wait listed student the opportunity to attend in my place. I give YAE! camp permission to use my child’s likeness for publicity purposes, specifically pertaining to only the marketing and operations of YAE! camp. *

Agree