PA 2023 Winter Camp Application

Applicant Name*

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Phone*

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Email*

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Parent/Guardian Name*

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Parent/Guardian Phone*

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Parent/Guardian email*

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Grade in Fall 2023*

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School*

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Have you been a Program Aide for the Carpinteria Arts Center before?*

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Please write a short statement about your interest & experience with art and working with children*

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Please list any work experience or previous community service*

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Name of one reference*

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Reference's relationship to you*

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Reference's phone*

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Reference's email*

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T-Shirt Size*

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Photo Release*

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I grant LFCAC & its assignees permission to use any photographs and/or video taken during Summer Camp for promotional purposes, in print and electronic media

I acknowledge that I have read, understand and agree to the information provided above*

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Volunteer Signature

I acknowledge that I have read, understand and agree to the information provided above*

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Parent/Guardian Signature

My Account

PA 2023 Winter Camp ApplicationDecember 18-22

PA 2023 Winter Camp Application
December 18-22