Self Help Graphics & Art 2022  S.O.Y. Artista Registration & Release Form
IN PERSON PROGRAM DATES:
June 21 - July 22, 2022
Tuesday - Friday

Group A: Ages 12 -16
10:00 a.m. - 1:30 p.m.

Group B: Ages 17- 24
1:00 p.m. - 4:30 p.m.

Self Help Graphics & Art
1300 E. 1st Street
Los Angeles, CA 90033

*Space is limited and preference will be given to youth living in these zip codes: 90031, 90032, 90033, 90063, 90022, 90023, 90012. Preference will also be given to students who are able to attend the full 5 weeks of the program.*

Applications will be open until capacity is reached for the workshops.
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Email *
Participant's First and Last Names: *
Participant's Phone Number: *
Participant's Date of Birth *
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Has the SOY Artista participant been part of any of the following Self Help Graphics programs in the past? Please select one if yes, otherwise skip this question.  
Is the SOY Artista participant under 18? *
Name of Parent/Guardian or Emergency Contact *
Parent/Guardian or Emergency Contact Email Address *
Parent/Guardian or Emergency Contact Address *
City, State, Zip *
Work Phone Number
Cell Phone Number *
Other Number
Primary Language spoken by Parent/Guardian
Please select the age group your youth is part of *
Do you have any dietary restrictions? We will provide snacks.  If yes, please write them below.
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