Open Lab Sign-Up Form

Open Lab Sign-Up Form

Open Labs take place on Fridays, 3:30- 6:30, starting Oct 4th through Dec 13th. Students can work in the digital or darkroom labs. Don't have a camera? No problem! You can borrow one. Fill out the form carefully and reach out to emily@insight-photography.org with questions
Student Name*

First NameLast Name
Birth Date*

MonthDayYear
Pronouns*
Participant's Email
example@example.com
Participant's Phone Number
Parent/ Guardian's Name*

First NameLast Name
Parent/ Guardian's Email*
example@example.com
Parent/ Guardian's Phone Number*
Participant's Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Which email and phone number should we use to share information about class?

Youth onlyParent/ Guardian OnlyBoth
Second Adult Contact*

First NameLast Name
Second Adult Contact Phone*
Please enter a valid phone number.
Second Adult Email*
example@example.com
Anything we should know about this student? Allergies, sensitivities, etc.
During Open Labs, Fridays (Oct 4th through Dec 13th) from 3:30-6:30, students can work in the digital or darkroom labs. Which do you think this student will prefer?

DarkroomDigital LabBOTH!!!
What Fridays can we expect the student?

Every week!Oct 4thOct 11thOct 18thOct 25thNov 1stNov 8thNov 15thNov 22ndDec 6thDec 13th
Our programs are made possible through grants and the generosity of our community. Please help us collect the needed data to demonstrate our community's need for financial support to our programs. Select all that apply. All information is confidential and it is optional to share. Thank you!*

The student/student's family qualifies for aid such as SNAP food assistance (3SquaresVT), Medicaid, Section 8 housing assistance.At least one legal guardians serves/has served in the armed forces.The student is in foster care or has been in foster care.The student has limited English proficiency.The student is houseless or at risk of being houseless.At least one legal guardian is currently serving time, or has served a period of time, in jail or prison.The student is at risk of not completing high school.The student is eligible for free or reduced lunch at school.The student regularly uses public transportation.The student does not have access to adequate broadband internet at home.
Household Income*

$0 - $50,000$50,000 to $100,000$100,000 to $150,000$150,000 +
In-Sight has permission to use images of the participant to promote and market In-Sight Photography Project and it's mission. We will not use a student's full name with the image.*

YesNo
In-Sight has permission to use images produced by the student to promote and market In-Sight Photography Project and it's mission. We will give credit to a student for their work, but will not use a student's full name.*

YesNo
Class Safety

As the parent/ guardian of the student enrolled in In-Sight's class, I agree to take full responsibility for the safety of the student participating. I recognize that In-Sight will do its best to teach all participants the art of photography with as much care and safety as is reasonably possible. In-Sight's staff and volunteer instructors will take reasonable care and precautions to maintain student safety. As accidents do happen, we agree not to hold In-Sight, its staff, or volunteers legally responsible for the safety of the participant. If a student cannot meet the safety expectations, In-Sight will have to reconsider class participation.

Content Disclaimer

Art is expressive and can sometimes elicit intense emotions. It is the priority of In-Sight staff and instrucotrs to make the classroom a welcoming space for all students by managing these topics appropriately. We will not allow nudity or depictions of harm to be show in the classroom.

Additionally, if a student makes an In-Sight staff member aware of abuse or neglect, it is our responsibility as mandated reporters to share this information with Vermont DCF.

By signing below, you are indicating that you have read and agree to the ablove.
Signature*

Clear
During Open Labs students will get expert help and support in creating their artwork while also using our facility, equipment, and supplies. There is a suggested $100 donation to In-Sight to participate in Open Labs but it is not required. Please make a pledge below*
I plan to pay using my*

Credit Card/ PayPal (link below)Checking Account (drop off at In-Sight)
Make a credit card payment

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USDIn-Sight asks for a deposit of 50% of the total pledged amount. The deposit pays for the preparation of the class: staff time, equipment, and supplies. In most cases we cannot refund deposits, but we can transfer funds for one class to another. An invoice will be sent in advance of the class and the remaining pledged fee is due the week of your student's class. We will not turn a student away for lack of family funds. Please contact Program Director Michael, michael@insight-photography.org, if you have questions.

Payment Methods

Debit or Credit Card

Please click one of the PayPal options to complete payment and submit the form.

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