Studio S Registration

Student Name* This field is required.

First Name

Last Name

Student Nickname (if applicable)

Preferred Pronoun* This field is required.

He/Him/His

She/Her/Hers

He/Him - They/Them

She/Her - They/Them

They/Them

Prefer not to say

Student Email

example@example.com

Student Cell

Please enter a valid phone number.

Current Grade* This field is required.

High School* This field is required.

If other - please indicate* This field is required.

Your School District* This field is required.

Stillwater

Hastings

St. Peter

Mankato

Forest Lake

Inver Grove Heights

Janesville-Waldorf-Pemberton

Roseville

South St Paul

White Bear Lake

Other

If other - indicate district* This field is required.

Birth Date* This field is required.

Which program will you participate in?* This field is required.

YEB - Wednesdays

Studio S - Fridays

2022Please click the year 2022 (this is for our records)

2022

Which medium would you like to participate in?* This field is required.Choose all that apply

Podcast

Film

Literary Arts

Race/Ethnicity/Communities* This field is required.This information is required by our grantors. Your willingness to indicate helps us receive resources to serve students. Please note that this information will remain PRIVATE and names will never be attached to data.

Disability/Different Ability?* This field is required.If applicable. If none then please write none

I am LGBTQIA2+* This field is required.This information is required by our grantors. Your willingness to indicate helps us receive resources to serve students. Please note that this information will remain PRIVATE and names will never be attached to data.

Yes

Prefer not to say

Your Address* This field is required.

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Parent/Guardian Name* This field is required.

First Name

Last Name

Parent/Guardian Email* This field is required.

example@example.com

Phone Number* This field is required.

Please enter a valid phone number.

Why do you want to participate in Studio S?* This field is required.

Anything we should know?Please detail anything we should know about the student that can help us create the best possible creative environment

Parent Signature* This field is required.I authorize my student, named above to participate in StoryArk's online communities through video conferencing and other remote technologies. I acknowledge that all sessions will be recorded and archived and may be used or reviewed.

Intellectual property rights* This field is required.In consideration for the mentoring and educational opportunities being given to me by StoryArk and in recognition of StoryArk's collaborative creative process, I give StoryArk permission to use my image and my voice in its publications, podcasts, videos, social media and in all other formats without additional compensation. I hereby assign and transfer to StoryArk all right, title and interest that I may have in materials created while working for or with StoryArk, including but not limited to: written materials, videos, audio recordings, digital recordings, images and anything else produced for StoryArk or its projects, podcasts and videos. StoryArk hereby grants me a license to use the images, audio and materials on my personal reels, portfolios and resumes. I may also reproduce and distribute the materials to my instructors, teachers, and professors to receive academic credit for the work performed. This license does not give me the right to revise, add content or otherwise create derivative works from the items listed above without express permission of StoryArk.

Terms and Conditions* This field is required.StoryArk strictly adheres to its Codes of Conduct for both youth and adult participants. Click here to view all StoryArk Policies.

Please verify that you are human* This field is required.

Studio S Registration