STAND Creative Skills Academy Application

STAND Creative Skills Academy Application

Share your details, interests, and permissions to apply for the youth program.
Student Information
Student Full Name

First NameMiddle NameLast Name
Age
Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Gender

Other
School Name
Grade Level
Student Email
example@example.com
Student Phone
Please enter a valid phone number.Format: (000) 000-0000.
Parent/Guardian Information
Parent/Guardian Full Name

First NameMiddle NameLast Name
Parent/Guardian Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Parent/Guardian Email
example@example.com
Home Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Emergency Contact Name
Emergency Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Skills & Experience
Has your child ever done any creative projects before?
If yes, please describe the creative projects, classes, or activities.
What creative skills is your child most excited to learn?
Medical & Behavioral Information
Allergies or medical conditions?
Please describe allergies or medical conditions
Behavioral or learning concerns?
Please describe behavioral or learning concerns
Permissions & Agreements
Photo/Video Release Consent
Permission to Participate in All Creative Activities
Agreement to Use Tools Safely
Parent/Guardian Signature
Date Signed

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Should be Empty: