Beyond the Lens: Jackson Ward
Digital Photography at the Black History MUSEUM of Virginia

PROGRAM APPLICATION:

APPLICATION QUESTIONS:
(To be filled out by student)
(No experience is needed, this class is for all levels)
STUDENT INFORMATION
(To be filled out by parent/guardian)
Student's Name *
Student's Name
Student's Address *
Student's Address
Date of Birth *
Date of Birth
Parent/Guardian's Name *
Parent/Guardian's Name
Address (If different from above)
Address (If different from above)
Parent/Guardian's Phone Number *
Parent/Guardian's Phone Number
Emergency Contact #1 *
Emergency Contact #1
Emergency Contact #1, Phone *
Emergency Contact #1, Phone
Emergency Contact #2 *
Emergency Contact #2
Emergency Contact #2, Phone *
Emergency Contact #2, Phone
Oakwood Arts will provide snack and lunch unless otherwise noted *
Does your child need assistance with transportation to/from the program? *

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