Teens Register: TEA (Wednesdays 4:30PM- 6:30PM) Fall 2020

2022 Teen Equity and Action, Weds 5:00PM-6:00PM

TEA- Teen EQUITY and Action
Full Name*

First NameLast Name
Preferred Pronouns
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E-mail*
Phone Number*

Area CodePhone Number
Grade Level for 2021-22 academic year*

FreshmanSophomoreJuniorSeniorArtshop Alumni (in College)
Birth Date*

MonthDayYear
Parent Name*

First NameLast Name
Parent E-Mail*
Parent Phone Number*

Area CodePhone Number
School Name*
School Art Teacher Name (Hyde Park staff will reach out to school teachers for recommendations, if needed)*

First NameLast Name
School Teacher Email
What art areas do you currently work in? (please list as many or as little as you like, this will help us understand you a little bit)

Painting/DrawingPhotography - DigitalSculpture/Ceramics/ClayVideo/FilmmakingScreenprintingPrintmakingFiber/TextilePhotography - DarkroomGraphic DesignArchitectureCollageComic ArtStreet Art/GraffitiInstallation ArtIllustration ArtSketchbook/Artist BooksOther
What is EQUITY to you? What comes to mind when you think about joining an equity team?*
What does an anti-racist institution look like to you? What are some examples that you can provide to envision it?*
Photo Consent: I allow photographs of me or my artwork taken by Hyde Park Art Center to be published online or in print, for promotional purposes.*

YES (I allow)NO (I do not allow)
Should be Empty:

2022 Teen Equity and Action, Weds 5:00PM-6:00PM