“Healing-Informed Art Application (Youth)” Logo

  • Healing-Informed Art Center Youth

    Program Application

  • The Healing-Informed Art Center program provides free Healing Art classes and Mentorship for youths 13-17 to have a safe space to express their feelings through various healing art activities, one-on-one, group mentorship, housing search assistance, health education workshops, employment search, entrepreneur information, various trainings, and food resource assistance.

    We also have a community closet with clothing donations and computers for clients access to come in the center and complete job applications, virtual interviews and research. This program is offered at the Healing-Informed Art Center by appointment only Monday through Sunday 2:00pm-8:00pm. In addition to our wonderful resources and assistance, youth and young adults have the opportunity to participate in our monthly Healing-Informed Art Contest, and other activities throughout the year.

    The Healing-Informed Art Center also provides workshops, enrichment, and other services to the community, parents, guardians and caregivers.


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  • The following information below is used for applicant assessment; service planning and recording data for Alacarte Professional Services DBA Healing-Informed Art Center. This information is confidential and will not be used for any other purpose.

  • Emergency Contact & Pick-Up Information

    Authorized Persons for Pick Up (Must be 18 years or older) and name on the emergency contact list. ID must be shown to pick up applicants under 18 years old. Parent/Guardian/Caregiver(s) are responsible for providing transportation for applicant enrolled in the Healing-Informed Art Center. The Healing Informed Art Center does NOT condone or allow applicants in the program to walk home without parental consent. Applicants may walk home from the Healing-Informed Art Center if his/her parent/guardian/caregiver provides written consent by completing the liability release waiver. Parent/Guardian/Caregivers(s) who wish to give permission for their child to walk home must provide consent and sign the liability release waiver below.

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  • Liability Release Waiver

    In consideration for participation in Alacarte Professional Services DBA Healing-Informed Art Center Program, on behalf of myself and my ancestors, descendants, spouse, dependents, executors, heirs, administrators, assigns, employers, teams, unions and anyone else claiming by, through or under me, and each of them, in all capacities, hereby RELEASE, WAIVE, DISCHARGE AND COVENANT NOT TO SUE Alacarte Professional Services DBA Healing-Informed Art Center its parents, predecessors, successors, subsidiaries, affiliates, directors, officers, principals, managers, representatives, employees, agents, receivers, assignees, shareholders, attorneys, and assigns (hereinafter referred to as "RELEASED PARTIES") from any and all liability, claims, demands, actions and causes of actions whatsoever arising out of or related to any loss, damage, or injury, including death, that may be sustained by me, or to any property belonging to me, WHETHER CAUSED BY THE NEGLIGENCE OF THE RELEASED PARTIES or otherwise, while participating in the Event or while in on or upon the premises where the activities are being conducted. It is my intent that this Release, Waiver of Liability and Hold Harmless Agreement shall bind my family, ancestors, descendants, spouse, dependents, executors, heirs, administrators, assigns, employers, teams, unions, and anyone else claiming by, through or under me, and shall be deemed as a RELEASE, WAIVER, DISCHARGE, INDEMNIFICATION AND CONVENANT NOT SUE of the above-named RELEASED PARTIES, I hereby further agree that this Release, Waiver of Liability and Hold Harmless Agreement shall be construed in accordance with the laws of the State of California.In signing this release, I acknowledge and represent that l have read and understand it and sign it voluntarily; I am at least (18) years of age, applicant, parent, legal guardian, foster parent or caregiver of the applicant or the applicant and fully competent; and I execute the Release for full, adequate and complete consideration fully intending to be bound by same. I HAVE READ THIS WAIVER OF LIABILITY AND FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.
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