UAY School of the Arts Registration Form

UNITED ACTION FOR YOUTH School of the Arts
The United Action for Youth (U.A.Y.) School of the Arts is a collaboration between U.A.Y. and the University of Iowa's Art Education Deparment and the Department of Teaching and Learning. This program is a FREE, 9 session, studio arts program that is open to all students in grades 7-12. The School of the Arts program will be held in-person at the University of Iowa's North Hall located at 20 West Davenport Street, Iowa City. The program will take place each Thursday from 4:00pm-5:30pm beginning February 23rd and ending on April 27th. There will be a final Art Show on Thursday, April 27th to celebrate everyone's accomplishments.

Once accepted to the program, U.A.Y. Arts Program Coordinator, Lauren Linahon, will reach out to you with further details. If you have any questions, please contact her at Lauren.Linahon@unitedactionforyouth.org
Participant Name*

First NameLast Name
Pronouns
Participant Address
City
State
Zip
Cell Phone
Email*
example@example.com
Date of Birth*

MonthDayYear
Date
Grade
School
Allergies
Best way to contact you

EmailTextPhone Call
Questions for Participants

Don't worry, there's only 3 questions ;)
1. From the following list, which projects and art mediums do you have experience with?

PaintingBookmakingSculptureCeramicsVideoGraphic DesignPapermakingTextiles/FabricPhotographyDrawingPrintmakingGraffiti and Mural ArtsBookbindingOther
1. From the following list, which art mediums are you most interested in?

Acrylic PaintOil PaintWatercolor PaintClayVideo ProductionSpray PaintPaper ArtsTextiles/FabricPhotographyDrawingScreen PrintingLinoleum PrintingBookbindingOther
2. Are there any topics or themes you would like to explore? A theme could be anything from outer space to human rights.
Parent/Guardian Name*

First NameLast Name
Pronouns
Parent/Guardian Address
City
State
Zip
Cell Phone
Email
example@example.com
Best way to contact you

EmailTextPhone Call
Parental/Guardian Consent for Participation

I give permission for my youth/child, to participate in the United Action for Youth School of the Arts. In the event that my youth/child should receive injury while participating in this program, I waive and release each and every member of the UAY Board of Directors, staff and volunteers from any claim or liability as a result of any injury that might be sustained by my youth/child.
Parent/Guardian Signature*

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Parent/Guardian Name (Please Print)
Parental/Guardian & Youth Participant Consent for Media Release

I hereby grant permission to United Action for Youth and the University of lowa Art Department the right to use, reproduce, and/or distribute photographs, films, video-clips, and sound recordings of my youth/child and/or my youth/child's art work, without compensation or approval rights, for use in materials created for purposes of promoting the activities of the United Action for Youth.
Parent/Guardian Signature*

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Parent/Guardian Name*
Participant Signature*

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Participant Name*
Attendance and Participation Policy

**The registration fee for the UAY School of the Arts Program has been waived and will no longer be required. In its place, each participate must complete the School of the Arts Attendance and Participation Policy, found below. If you have any questions, please contact: Lauren.Linahon@unitedactionforyouth.org
The School of the Arts Program not only provides youth artists with an art school experience, but it also provides preservice Art Educators an opportunity to learn effective teaching techniques. Therefore, each participant is expected to attend every session. To make sure you do not have conflicts, please compare your schedule with the program dates. If you need to miss a day, please inform your School of the Arts teacher in addition to Lauren Linahon.

I have read the Attendance & Participation policy, and agree to attend each session of School of the Arts.
Signature of Applicant*

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UNITED ACTION FOR YOUTH School of the Arts

Questions for Participants