Clone of BHCC Spring Break Camp Application 2023

LCC Spring Break Camp Application
The Latino Cultural Center is hosting a Spring Break Art Camp, a free camp for Dallas students, March 16-20, 2026, Monday-Friday, 9 AM to 5 PM.

Dallas youth between the ages of 11-14 will participate in a one-week arts intensive. Participants will work with local artists on creative painting, cartoneria, and various hands-on arts activities throughout the week.

No pre-requisites or prior artistic experience is required to participate in this program. Space is limited.

2600 Live Oak St. Dallas, TX 75204 | lcc.dallasculture.org

For questions about the camp, contact Raul Rodriguez, Education and Outreach Coordinator at raul.rodriguez@dallas.gov or 214-670-7952
For more information about this camp, visit LCC Youth Programs

APPLICATION DEADLINE: Saturday, March 7, 2026 (midnight Central Time).

The application must be filled out by a custodial parent or legal guardian.
Student Name*

First NameMiddle NameLast Name
Age:*
Is your child eligible for free or reduced-price school meals?
School Name:*
Address*

Street Address

Street Address 2

CityState / Province

Postal / Zip Code
Parent/Legal Guardian Name*

First NameMiddle NameLast Name
Address*

Street Address

Street Address 2

CityState / Province

Postal / Zip Code
E-mail*
example@example.com
Parent's Mobile Number*
Emergency Contact 1*

First NameLast Name
Relationship to Student:
Phone Number*
Emergency Contact 2

First NameLast Name
Relationship to Student:
Phone Number
AGREEMENT

(Please read below before signing)

For more information about the LCC Spring Break Art Camp, visit LCC Youth Programs

As a parent or legal guardian of a student attending the Latino Cultural Center Spring Break Art Camp, I agree to the following:
- I understand that attendance of the camp is mandatory. If my child misses more than one day of class, he/she will be withdrawn from the program.
- I will be responsible for the transportation of my child to and from the camp venue. My child will be at the center from 9 AM to 5 PM and will be picked up no later than 5:15 PM. If I am unable to transport my child, I will make arrangements and notify staff.
- I authorize the camp organizers to use photographs and/or video of my child for educational and promotional purposes.
- I give permission to the organizers to take my child to local field trips with staff and instructors.
- I understand that my child is expected to behave in a respectful and proper way throughout the camp. I understand that if my child continually misbehaves or disrespects the camp organizers and teachers, I will be asked to remove my student from the program.
- I understand that the camp organizers will not accept my child into the camp unless I sign a waiver and/or liability release (available on the first day of camp). These documents will state that neither the cultural center, the City of Dallas, nor the camp organizers will be held liable for injuries or damages that happen to my child while he/she is attending the camp.
- I understand that my involvement in this process is integral to the success of my child and the entire process of the camp. I will assist the camp organizers by working with my child on assignments, volunteering time (if possible), and being a champion for my child's success.
Signature*

Clear
If your child has permission to take public transportation to travel to and from the camp site, please sign below.
Signature

Clear
Student Questionnaire

Please have your child answer the following questions:
Why is the LCC Spring Break Art Camp is a program that you want to attend?*
Do you have any experience with visual arts (painting, drawing, sculpting)? If so, please tell us about those experiences and how you felt about them (Note: Experience is not a requirement).*
Is there anything else that you would like the camp instructors to know about you?*
Should be Empty:

LCC Spring Break Camp Application

Student Questionnaire