ARTIS LOVE & ACTION Summer Day Camp Application

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Thank you for your interest in joining us for an incredible two weeks this summer where young people in Hoboken will have the opportunity to learn from professional artists, play together, and express their ideas about the world.

We would love for you to be a part of it.This application is to get to know you better. We have 20 spaces available for this year and are looking for a group of committed young people who are open to being exposed to new things and would like to share their experiences with community at the end of the program. This year, our theme is "What Is in a Name: Identity Politics of People & Places".

Please read the Press Kit about the camp, and look at our website so you have an idea of the work we've done in the past. Also, if you have any questions about this form or the camp, please reach out!

-Namibia
Executive Director, ARTIS Love & Action

Participant Information: Please complete all three sections

Full Name (Participant) *

Home Address *

If you are not a Hoboken Resident, does your parent or guardian work in Hoboken?

Yes

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Cell Phone # (Participant)

Email (Participant) *

Full Name (Parent/Guardian)

Email (Parent/Guardian)

Cell Phone

Emergency Contact Name *

Emergency Contact Number *

What is the relationship to the participant? (mom, brother, uncle, friend, guardian etc.?)

Age (Participant) *

Grade (Participant) *

School Name *

Please list any food allergies, or intolerance we need to be aware of:

Are you taking any medications that we should remind you about during the day? If so, please email us with this information so we can be sure the participant has what they need during camp.

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