AYW Student Application
Student Name *
First and Last
Your answer
Student Age *
Grade *
Name of School *
Parent/Legal Guardian Name *
First and Last
Your answer
Parent/Legal Guardian Phone Number *
Your answer
Parent/Legal Guardian Email Address *
Your answer
Emergency Contact *
Your answer
Any dietary restrictions? *
Your answer
Which Saturdays are you available to attend? *
Required
Have you been bullied?
If yes to the above please describe your experiences.
Has a bully physically hurt you? Did you remain silent? Did you tell an adult?
Your answer
Do you enjoy being creative? What are some of your favorite creative outlets?
Your answer
Photographic Release *
I grant to You Will Rise Project the right to take photographs of me and my artwork in connection with the above-identified event. I authorize You Will Rise Project to use and publish the same in print and/or electronically. I agree that You Will Rise Project may use such photographs and video of me with or without my name and for any lawful purpose, including for example such purposes as publicity, illustration, advertising, and web content. I have read and understand the above.
Stonewall Columbus is an all inclusive non-discriminatory public space in Columbus Ohio. *
I understand that Stonewall Columbus does not discriminate based on sexual orientation, gender identity, and gender expression. That all children and volunteers will be welcome to participate in the Art Your Way Foundation Workshops as a safe space (all volunteers must pass background check).
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