Hilltop Artists Program Application

STUDENT INFORMATION

Please select your language:
Racial Identity
Hidden Details
Address
Please have your student answer these questions to the best of their abilities

GUARDIAN INFORMATION



Parent/Guardian Address
Parent/Guardian
I, the Parent/Guardian listed above, grant permission for my child(ren) to participate in Hilltop Artists' after-school program. I will not send my student(s) to the in-person program when they have a fever or any symptoms of illness.
 
Medical Release/Waiver
Hilltop Artists takes reasonable and appropriate precautions to ensure the safety of the student participants; however there is an element of risk when working with hot glass and related equipment. I understand that my student(s) will be trained in safety procedures and I agree to hold Hilltop Artists and supporting agencies harmless in the event of injury.
In the event of an accident or illness, every effort will be made to contact the parent or guardian (me) immediately. However, if I cannot be reached, I authorize Hilltop Artists in Residence to obtain necessary emergency medical care for my student(s). I understand that it may include emergency surgery and/or medication for my child(ren), and reasonable effort will be made to contact me, or the emergency contacts.
 
Photography & Video Release
I, the Parent/Guardian, listed above, hereby grant permission to Hilltop Artists in Residence to allow photographs, slides or videos to be taken of my student(s) as a participant in Hilltop Artists. I understand such photographs or videos may be used for private or public television viewing, be reproduced in newspapers, Tacoma School District, or other publications, social media, or in slide shows.
By entering your initials here, you confirm that you have read and agree to the terms listed above.