MY STORY through printmaking a handmade book 2024 Registration Form Summer Intensive Program 2024 Registration Form

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Course Description: Students will create an illustrated handmade book telling their story through words and printmaking illustrations. Their story will be one of the following: an autobiography (about self, family and/or friends), a creative writing story and/or poem made up by them, or illustrations-only. The book illustrations will be reduction linocut prints. Students will learn linocut printmaking techniques and bookmaking skills. To make each linocut print, students will use sharp tools to cut designs into soft linoleum printing blocks, roll ink onto the block, and transfer the image to paper. Each class session will be spent working on the capstone project illustrated handmade book.

Instructor: Greg Cantwell

Dates: July 24 - 26, (Wed, Thurs, Fri)

July 29 - Aug 2, (Mon - Fri)

Aug 5 - 9 (Mon - Fri)

Times: 8:30 a.m. -12:00 p.m
Grades: 9, 10, 11, 12

Location: Sheldon High School art room F5

Credit: 0.5 AF

Email *

Student's 4J Email Address *

Student's LAST Name
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Student's FIRST Name
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High School Student Will Be Attending in Fall 2022:
*

Churchill

ECCO

Eugene Online Academy

North Eugene

Sheldon

South Eugene

Other:

Student Home Address:

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

Parent / Guardian Last Name:
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Parent / Guardian First Name:
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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 :
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Emergency Contact Relationship:

Example: Grandmother, Aunt, Family Friend, etc.

Emergency Contact Phone
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Health Conditions: Please indicate if any of these or other conditions apply to your child.
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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 below)

Other

Required

Please indicate if your student is supported by
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IEP

504

None of the above

As appropriate, please provide more specific information on health conditions, including required accommodations.
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If the student requires prescription medication while attending this Summer Intensive Course, please list.
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