Scarborough Youth PhotoVoice Project 2019
Registration Form
Email address *
"Where I Stand" is a Scarborough Youth PhotoVoice Project mentorship program that trains youth (ages 16-21) in participatory photography methods and the core photography skills they will use to run a PhotoVoice photography workshop in their community. Digital cameras will be provided to all youth for use during the workshop. This program is made possible in partnership with ArtReach.
PARTICIPANT INFORMATION & CONDITIONS OF ENROLLMENT
First Name:
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Last Name:
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Age: *
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Email: *
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Address: *
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Are you currently a student?
If you are a student, please tell us which school, college, or university you currently attend:
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Tell us about your current photography skill level
Do you own a camera? (point and shoot or DSLR?)
Can you commit to attending all 5 training sessions during the months of January to May 2019? (Dates to be confirmed in Dec.) *
PARENT/GUARDIAN CONTACT INFO (FOR PARTICIPANTS 18 YRS UNDER)
Parent/Guardian Name:
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Parent Guardian Home/Cell/Work Number:
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Alternate Emergency Contact Number:
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Please list any dietary restrictions or allergies?
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Media Release Waiver
The parents/guardians submitting this application give their permission for any photographs, videos or testimonials of the applicant to be used in Project Kids & Cameras and Healthy Living Through Art promotional materials and on their websites and social media pages, unless indicated here:
I've read and understand the media release waiver
While all reasonable precautions are taken for the safety and good health of the students, Project Kids & Cameras and Healthy Living Through Art staff are hereby released from any liability in the event of illness, accident or misfortune that may occur to the participants and his/her property. I have read, understood, and agree with the conditions of enrollment. I the undersigned, the parent/guardian of the aforementioned child, do hereby consent to his/her participation in the Project Kids & Cameras and Healthy Living Through Art's Scarborough Youth PhotoVoice Project program.
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Name:
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Signature:
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Date:
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How did you hear about this program?
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Please submit form by January 31st. For questions about registration please contact Diana Nazareth, project facilitator at info@projectkidsandcameras.com or 416-320-0546.
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