ARtsway 2024 Summer Tech: Mural Arts Program
Please fill out the form below accurately indicating your availability and interest in our 2024 cohorts.
West-Side Cohort
Located at 480 W Town St, Columbus Ohio, 8am to 12pm, July 29 - August 13, Monday through Friday
Southeast Cohort
Located at 867 Mt. Vernon Ave, Columbus Ohio, 10am to 2pm, July 29 - August 13, Monday through Friday
Cohort Selection (Please select the cohort closest to your home or school)
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Southeast Cohort (All People Arts and Maroon Arts Group)
West-Side Cohort (Hilltop Collective and Franklinton Arts District)
Student will be available for all 12 sessions to the cohort to which they are applying?
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YES
NO (you will be contacted for further discussion)
Student's Name
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First Name
Last Name
Student's Date of Birth
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Please select a month
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Please select a year
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Student's Phone Number
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Student's Email
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example@example.com
Student's Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Student's Gender Identity
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Female
Male
Non-Binary
Prefer not to disclose
Student's Pronouns
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What school will the student attend in the Fall?
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Does the student have any known allergies we should be aware of?
What grade will the student be entering this Fall?
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What is the student's medium? (e.g. paint, digital, sculpture, etc.)
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In the student's words, how tech-savvy are they?
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Not my thing
I know the basics
I know more than most
I would consider myself very tech-savvy
Why does the student want to participate in this program?
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Student's T-Shirt Size
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Small
Medium
Large
XL
XXL
Parent/Guardian Information
Parent/Guardian's Name
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First Name
Last Name
Parent/Guardian's Email
*
example@example.com
Parent/Guardian's Phone Number
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Please enter a valid phone number.
Emergency Contact Information
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Does the student have transportation to/from their selected cohort each day?
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YES
NO
Waiver & Release
Consideration: I acknowledge the personal benefits accruing to my child by reason of participation in the ARtsway Summer Youth Program and am aware of the activities in which my child will be involved through said participation. Release / Indemnification: I hereby, in consideration of such benefits and other good and valuable consideration received, consent to the above-listed participation and release absolutely, forever discharge, hold harmless, and covenant not to sue the City of Columbus, Community Development for All People, Maroon Arts Group, Franklinton Arts District, Summer Jam West, Inc (dba Hilltop Arts Collective), all instructors and guest speakers involved in the program, and session location, its directors, employees, agents, volunteers, and affiliates from any and all present or future liability, claims, demands, actions or rights of action, whether asserted by me or a third party arising out of my child's participation in the event activities (the "Claims"). I agree to indemnify and hold harmless the City of Columbus, Community Development for All People, Maroon Arts Group, Franklinton Arts District, Summer Jam West, Inc (dba Hilltop Arts Collective) and session location for any such Claims brought by me or a third party from any costs associated with defending or litigating such claims, including but not limited to attorney fees, costs, and legal expenses. Assumption of Risk: I am aware of the risks associated with participation in the above event and do hereby voluntarily assume full responsibility for any risk of loss, property damage, or personal injury, including death, that may result from participation in event activities. Understanding: I represent and acknowledge that I have completely read and understand this document and all its terms and all matters referred to herein, and I signed voluntarily as my free act and deed that I have had ample opportunity to obtain the advice of counsel and that, by signing this document, I understand that I am relinquishing legal rights and remedies that may have otherwise been available to me. I understand that this Waiver and Release shall be construed broadly and inclusively as permitted by applicable law, and I agree that if any portion of this document is held invalid, the remaining shall continue in full force and effect. To the extent the restriction on filing lawsuits is deemed unlawful, I agree to submit any Claims to a mediation organization for binding resolution. Media Consent: I give my consent and permission for the taking of photographs and/or video of my child during the described event and waive and/or assign any and all rights (including copyright) in such media to the City of Columbus, Community Development for All People, Maroon Arts Group, Franklinton Arts District, Summer Jam West, Inc (dba Hilltop Arts Collective), as the sole owner of such media, shall have exclusive rights to control and determine the use, display, performance, reproduction and dissemination of any such photographs and/or videos.
Do you accept the terms of the above Waiver & Release, Media Consent, and Assumption of Risk Release? By selecting "yes," you agree to the binding terms of the Waiver & Release and Media Consent.
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YES
NO
Signature accepting the application information, waiver, and media consent. Must be 18+ or a parent/guardian must sign.
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Submit Application
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