FREEDOM SUMMER: Arts & Activism Youth Program NYC
Registration for FREEDOM SUMMER: Arts & Activism Youth Program, presented by The People’s Judson and The Power of Love Project.

Held week days, July 11-15 & August 8-12, from 12pm to 6pm EST at Judson Memorial Church: 239 Thompson Street. New York, N.Y. 10012

All NYC Middle-through-High School students welcome (ages 11-21). Free to attend.
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Email *
Your Full Name: *
Pronouns
Name Of Your School: *
Address of Your School: *
Your grade (for the 21/22 school year): *
Which art form(s) are you MOST interested in? *
Very Interested
Somewhat Curious
Not Really Interested
Visual arts (painting, drawing, etc.)
Musical arts (singing, songwriting, etc)
Performance arts (dancing, acting, etc)
What Additional art form(s) you may be interested in? *
What is your email address (the one you will check frequently over the summer)? *
Parent or guardian email address: *
Parent or guardian phone number: *
What is the best number to reach you (student) on? *
I give permission for The Power of Love Project to use my number in private SMS messaging as it relates to the Freedom Summer 2021 Arts & Activism program. *
Do you already follow @thepowerofloveproject on Instagram?   *
(Optional) Please list your Social Media handle(s) so we can follow you back:
Food Allergies or Dietary Restrictions *
How Did You Find Out About Freedom Summer? *
MEDIA/PHOTO WAIVER: I hereby authorize and give my full consent to The Power of Love Project and The People's Judson to copyright and/or publish any and all photographs, videotapes and/or film in which I appear while attending this summer program. I further agree that TPLP/TPJ may transfer, use or cause to be used, these photographs, videotapes, or films for any exhibitions, public displays, publications, commercials, art and advertising purposes, and television programs without limitations or reservations. *
FOR PARTICIPANTS OF MINORITY AGE: This is to certify that I, as parent/guardian with legal responsibility for this participant, do consent and agree to his/her release, and, for myself, my heirs, assigns, and next of kin, I release and agree to indemnify and hold harmless The Power of Love Project and The People's Judson from any and all liabilities incident to my minor child's involvement or participation in the summer arts program, EVEN IF ARISING FROM THEIR NEGLIGENCE. *
A copy of your responses will be emailed to the address you provided.
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