NMARB Youth Ambassador Application

This program is intended for students grades 9-12.

Program calendar:

TBD

Afterschool workshops will be held February-May at South Valley Academy. Monthly weekend fieldtrips to cultural and community locations will be announced. What would a field trip look like? Places that are culturally important to our identity as Albuquerque citizens. This may look something like this Old Town to document the spaces that have inspired hauted stories, to the Bosque to document the animal life and migrating fowl, Tinker Town in the East Mountain to create our own stories of wonder, a touring walk of Albuquerque street art. Students will brainstorm the areas we focus on.

Parent Name*

First NameLast Name

Parent E-mail*

example@example.com

Parent Mobile Number*

Area CodePhone Number

Address*

Street Number and NameCity and Zip Code

Student Name*

First NameLast Name

Address*

Street Number and NameCity and Zip Code

E-mail*

Mobile Number*

Area CodePhone Number

Name of school currently attending.

Grade level this year?

Will you have transportation to and from our weekly meetings and community outings? Please be specific on how you will be transported For parents: who has permission to drop off/pick up your child?

Tell us about one person in your life who has made an impact and how.*

Is there a place in our community that inspires you and why?*

Is there an NM figure (from the past or present) who inspires you and why?*

What interests you about this project?

RELEASE OF LIABILITY. PLEASE READ BEFORE SIGNING.

This agreement releases The New Mexico Academy of Rock and Blues and The New Mexico Youth Arts Ambassador programs from all liability relating to injuries, and/or illness that may occur on site and/or during our workshops and events. By signing this agreement, I agree to hold NMARB/NMYAA entirely free of all liability including finanical responsibility for injuries and illness. I also acknowledge the risks involved in the activity, including and not limited to possible exposure to community spread illness. Additionally, I attest that my child does not have any conditions that may increase his/her likelihood of experiencing injuries or illnes while engaging in these activities. By signing below, I attest that my child will be kept home if any of the following signs are present:

Body Temperature above 100.4

Nausua/Vomiting/Diarrhea

Sore Throat/Cough

Headache/Body aches do to illness

If you child shows any symtoms of illness, please keep them home and do not send them to workshop until they are well. They must be fever free for 24 hours before returning.

Student Signature*

Signature date*

Parent Signature*

Signature date*

Photo Release: I grant permission to NMARB/NMYAA to take the following (check all that apply) of my child for use in promotional or educational materials. These materials might include printed or electronic publications, websites, or other communications. I further agree that my child's name may be revealed in descriptive text or commentary in connection with the image.

Signature

NMARB and Youth Arts Ambassadors SPRING 2026 Grades 9-12