Emerging Artists 2024 Registration Form
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Student Name *
Student Email: *
Student Phone Number: *
School *
BCPS School ID # *
Age *
Birth Date *
MM
/
DD
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YYYY
Pronouns(she/her, he/him etc.)
Home Address *
Zip code *
Grade: *
Do you have an IEP (Individualized Education Plan)? 
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Do you need any specific accommodations? (i.e additional wait time, 1 to 1 Assistant scaffolding etc.) *
Do you have any different learning abilities that we need to be aware of? (i.e. autism, dyslexia, ADHD etc.)
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Ethnicity
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Ethnicity (select one)
Race (select one)
Parent/ Guardian name & relationship to student *
Parent/ Guardian Phone Number *
Parent/Guardian Email: *
Emergency Contacts - Name & Phone Number *
Emergency Contacts - Name & Phone Number
Any food allergies? *
There will be a $15 registration fee for each Saturday Workshop. Are you able to pay the $15 registration fee? (Workshops must be paid via the payment form sent prior to the workshop.)
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How will your child leave the program? *
Parent/Guardian Pick-up: name, relationship to child & phone number
Household family status
Is your family homeless?
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Has your child participated in RISE programming before?
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If you started your own business, what would kind of business would it be? If you are NOT interested in starting your own business, what jobs/careers are you interested in?
 *
What type of Art are you interested in learning? (Only Drawing, Painting, Digital Art, Graphic Design, Illustration & Arts & Crafts are offered in Fall 2024) (Check all that apply)
 *
Required
What do you and your child hope to get out of this program?
Photography & Media Release 

I hereby grant permission to R.I.S.E Arts Center of Baltimore Inc. to use my child’s photograph or videotaped image for appropriate educational or publicity materials pertaining to the mission of R.I.S.E Arts Center of Baltimore Inc. 

I understand I will not receive compensation or royalties now or in the future for the use of my child’s likeness.

 *
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