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Add New Student #1:
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Student's First Name:
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Birth Date:
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Student Email:
School:
Grade Level:
10th grade
11th grade
12th grade
1st grade
2nd grade
3rd grade
4th grade
5th grade
6th grade
7th grade
8th grade
9th grade
Adult
college
college-freshman
college-junior
college-senior
college-sophomore
kindergarten
pre-K
preschool
Disabilities (Leave blank if NONE):
Allergies (Leave blank if NONE):
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Student's First Name:
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Student Gender:
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Birth Date:
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Student Email:
School:
Grade Level:
10th grade
11th grade
12th grade
1st grade
2nd grade
3rd grade
4th grade
5th grade
6th grade
7th grade
8th grade
9th grade
Adult
college
college-freshman
college-junior
college-senior
college-sophomore
kindergarten
pre-K
preschool
Disabilities (Leave blank if NONE):
Allergies (Leave blank if NONE):
Medications (Leave blank if NONE):
Race (Used for grants)::
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Pronouns: :
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Student's First Name:
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Last Name:
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Student Gender:
Female
Male
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Birth Date:
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(format=mm/dd/yyyy)
Student Email:
School:
Grade Level:
10th grade
11th grade
12th grade
1st grade
2nd grade
3rd grade
4th grade
5th grade
6th grade
7th grade
8th grade
9th grade
Adult
college
college-freshman
college-junior
college-senior
college-sophomore
kindergarten
pre-K
preschool
Disabilities (Leave blank if NONE):
Allergies (Leave blank if NONE):
Medications (Leave blank if NONE):
Race (Used for grants)::
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Pronouns: :
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Student's First Name:
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Last Name:
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Student Gender:
Female
Male
Neutral
Birth Date:
*
(format=mm/dd/yyyy)
Student Email:
School:
Grade Level:
10th grade
11th grade
12th grade
1st grade
2nd grade
3rd grade
4th grade
5th grade
6th grade
7th grade
8th grade
9th grade
Adult
college
college-freshman
college-junior
college-senior
college-sophomore
kindergarten
pre-K
preschool
Disabilities (Leave blank if NONE):
Allergies (Leave blank if NONE):
Medications (Leave blank if NONE):
Race (Used for grants)::
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Pronouns: :
Additional Information:
Photo Release
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I grant permission to MSAC to take and use pictures of my child and their artwork to use in print and digital publications and for historical purposes (e.g. brochures, flyers, social media, grant application materials, etc). To opt-out of the photo release, please note email info@monroestreetarts.org.
I grant permission to Monroe Street Arts Center to display my artwork (with attribution by name and age) at MSAC and/or at off-site locations. I understand that the artwork will be returned to me following the close of the exhibit. To opt-out of the display of artwork release, please email info@monroestreetarts.org.
I've read the above and agree.
Marketing Emails
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I grant permission to MSAC to add me to the MSAC email list. To opt-out of the emails, either click the unsubscribe button or email info@monroestreetarts.org.
I've read the above and agree.
Non-Discrimination Policy
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Monroe Street Arts Center does not and shall not discriminate on the basis of race, color, religion (creed), gender, gender expression, age, national origin (ancestry), disability, marital status, sexual orientation, or military status, in any of its activities or operations. These activities include, but are not limited to, hiring and firing of staff, selection of volunteers and vendors, granting scholarships or financial assistance and provision of services. We are committed to providing an inclusive and welcoming environment for all members of our staff, students, volunteers, contractors, vendors, and clients.
I've read the above and agree.
General Policy
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Classes will remain a "peanut/nut-free zone." Please do not send in any food items to be consumed in the classroom that contains peanuts, nuts, peanut butter, nut butters, or peanut products. This includes almonds, filberts, Brazil nuts, cashews, hazelnuts, macadamia nut, pecans, pine nuts, pistachios, and walnuts. Read labels carefully to make sure the products are nut free. This includes labels that read "May contain traces of peanuts/nuts" or "processed in a facility that processes products that contain peanuts/nuts." Food labels and ingredients change over time, so always read the label each time before purchasing snacks.
During group art classes we ask that the student wears clothing that is ok to get messy and/or possibly stained.
I've read the above and agree.
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