Sewing for Beginners - Sewing as Art Therapy Middle School - Summer Enrichment Program 2021 Registration Form

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Sewing for Beginners - Sewing As Art Therapy is a week-long class designed to help budding artists explore sewing as a creative outlet. This is a beginning level course, so no experience is required. Students will learn new skills that will serve them throughout their lives. Students will have an opportunity to create one large or several small projects over the course of the week.

Camp Goals
The goal of the camp is to provide an opportunity for kids to learn the fundamentals of sewing, gain valuable skills with guided practice, build a foundation for creative problem solving, practice patience in seeing a project through from start to finish, and most importantly, explore creative, non-digital artistic expression.

Supplies needed:
Water bottle, personal snacks, creative mind, a bit of patience.
Students will be provided materials for the course as needed.

Teacher: Virginia Seefeld
Dates: August 23 - 27, 2021
Times: 9:00 a.m. - 1:00 p.m.
Location: Roosevelt Middle School - 500 E 24th Ave, Eugene, OR, 97405
Grades: Grades 6 - 8

Email *

Student's LAST Name *

Student's FIRST Name

Student's 4J Identification Number

Middle School Student Will Be Attending in FA2021: *

Arts and Technology Academy

Cal Young Middle School

Kelly Middle School

Kennedy Middle School

Eugene Online Academy

Madison Middle School

Monroe Middle School

Roosevelt Middle School

Spencer Butte Middle School

Other:

Student Home Address: *

Example: 200 N Monroe St., Eugene, OR 97402

Parent / Guardian Last Name: *

Parent / Guardian First Name: *

Parent/Guardian Phone Numbers - Cell, Home, Work *

Please list all available numbers. Examples: 541-790-7700 (Cell) 541-790-7701 (Home) 541-790-7702 (Work)

Name of Emergency Contact : *

Emergency Contact Relationship: *

Example: Grandmother, Aunt, Family Friend, etc.

Emergency Contact Phone *

Example: 541-790-7700

Health Conditions: Please indicate if any of these or other conditions apply to your child.

Asthma (please list more specific information below)

Diabetes (please list more specific information below)

Heart Condition (please list more specific information below)

Hearing Loss (please list more specific information below)

Orthopedic Condition (please list more specific information below)

Mobility Limitation (please list more specific information below)

Severe Bee Sting (please list more specific information below)

Seizures (please list more specific information below)

Severe Food Allergy (list which food or foods below)

Speech Disorder (please list more specific information in prompt below)

Other Allergies (please list more specific information in prompt below)

Other:

Please indicate if your student is supported by

IEP

504

As appropriate, please provide more specific information on health conditions, including required accommodations.

If the student requires prescription medication while attending this Summer Intensive Course, please list.

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