Collage and Me: Student Registration Form (Grade 4)
Students will create a collage box that will be an abstract self portrait of themselves.  Students will cut out and paste items such as; photographs, magazine images, newspaper clippings, decorative papers, sketches, journal entries onto a box.  Upon completion the box will be a 360 degree piece of art that represents the students personal story.  

ADVISOR:
Ms. Melodia

CLUB LOCATION:
Intermediate School

CLUB SCHEDULE:
*January 27, 2022 - March 17, 2022
*Thursday of each week
*3:15 p.m. - 4:15 p.m.

Fill out the following registration form to reserve your seat in Collage and Me.  If transportation is needed, you can also reserve your seat for the bus below.  REGISTRATION DEADLINE FOR TRANSPORTATION:  Friday, January 7, 2022.
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Student Name *
Student Grade Level: *
Parent/Guardian Name: *
Parent/Guardian Email Address: *
Parent/Guardian Phone Number: *
Do you need transportation? *
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