Teen Art Program Application Winter/Spring 2018
Please complete the following form to register yourself or your teen for our Teen Art Program. A parent or guardian will need to complete the waiver portion of the form.
Name (First, Last)
Student Gender Identification
Female - She/Her
Male - He/Him
Non-Binary - They/Them
Date of Birth
Info on registering for classes:
Register for classes by clicking below on the classes that you would like to attend. You are not required to attend all of the classes. It is preferred that you be able to take at least 3 days of a category (Comic/Fine Art/Print/Sculpture) and preference will be given to students that register for multiple courses. All materials are provided by Push/Pull. Students need to arrive with any tools or materials that they have been given for a course.
Comics & Art Fall 2018 January 2019 - June 2019
Questions below are optional details about the student, but allow us to collect data for grant eligibility. Please let us know if you have questions or concerns. Identifying information about your student will never be released without the student and guardian permission.
Latinx or Hispanic
Native American/Alaska Native
Native Hawaiian/Pacific Islander
Does student identify as LGBTQ+?
Is the student or student's parents an immigrant?
Student family household annual income
$21,000 - $35,000
$36,000 - $45,000
$46,000 - $60,000
$60,000 - $75,000
Number of Family Members at primary home
Does the student have a job?
Possibly will in the next 6 months
Information about your student that we should know (optional, do not include health information here)
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