FYI ARTS REGISTRATION FORM
If you have more than one child participating please fill out a separate form.


Welcome to FYI ARTS. FYI ARTS sessions will be held at Tecumseh Middle School. This is FREE of COST to all that participate. We do ask that you help with a fundraiser so we can cover the program's expenses.

Space is limited to 20 participants

March 14, 2022 through April 25, 2022
Mondays -3:30PM-5:30PM

*OGC DASH YOUTH COMMITTEE MEMBERS & HIGH SCHOOL PEER-to-PEER MENTORS MAY ATTEND

 Parents will need to pick their child up from the location at the end of the session.  

Snacks will be provided

Program led by staff from Family & Youth Initiatives

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Participant Name *
Parent/Guardian Name *
Address *
Parent/Guardian Phone *
Participant Phone *
Participant Date of Birth (Must be born before 2013 to participate) *
MM
/
DD
/
YYYY
Email *
What School does your child attend? *
What grade is your child in? *
Does your child have any allergies, mental health issues, or a medical condition? If yes, please indicate. *
Do you or anyone in your household receive TANF or Medicaid Benefits from Clark County Jobs & Family Services *
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