Artists & Practice Online: Student registration form
Individual students should complete the form below, to register for one or more of the after-hours online Electives (workshops & graduates panel), or to join the 'schools launch' (Webinar)

Parent/carer permission is required to join the after hours sessions.

Workshops & Panel will be conducted via Zoom Meetings, supervised by C-A-C Art Educators.

Places are limited. Please register early to avoid missing out.

Please contact Education Officer if you have any questions: Edwina.hill@campbelltown.nsw.gov.au or 0419 213 872.

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STUDENT INFO
1. Please fill in this form at least 1 week before your earliest Elective. Limited places - apply earlier to avoid missing out.
2. C-A-C will contact you and your parent/carer at least 6 days prior to your session(s), to confirm your Registration, and send you the meeting link.
3. Some materials or preparation may be required before the Workshops.

1) Name *
2) Email address *
3) Phone number (for text reminders only)
4) School *
5) Year level in 2022 *
6) Are you an Aboriginal and Torres Strait Islander descendent?
Clear selection
7) What is your cultural background?  
8) Please list access needs or requests to help you participate in this program? (eg. Auslan interpreted)
REGISTRATION
9) Do you want to register for the Schools Launch: 1 - 2pm, Tuesday 12 October *
10)  Please select which after-hours, online Electives you would like to join (video workshops & panel conversation). If registering for more than one Elective, please indicate your order of preference.
1st Preference
2nd Preference
3rd Preference
4th Preference
5th Preference
6-7pm, Thurs 21 Oct: Graduates Panel
6-7pm, Thurs 28 Oct: Drawing with Safdar Ahmed
6-7pm, Thurs 4 Nov: Ceramics with Natalie Valiente
6-7pm, Thurs 11 Nov: Painting with Merindah Funnell
6-7pm, Thurs 18 Nov: Get to Know Yourself as an Artist - Drawing & Sculpture with Audrey Newton
Clear selection
PARENT / CARER TO COMPLETE
11) PARENT / CARER  -   Name *
12) PARENT / CARER - Phone *
13) PARENT / CARER - Email
14) PARENT CARER TO COMPLETE: Online Participation  -  I give permission for my child to participate in online video chats, coordinated and supervised by Campbelltown Arts Centre (part of Campbelltown City Council).   *
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15) PARENT CARER:  Photo Permission *
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16) Please add any comments or information you would like us to know.
DISCLAIMER:  
The personal information provided on this application form will be used and disclosed by Campbelltown Arts Centre for general administration and communication, or for any purpose required or permitted by law. This information will be held securely and disposed of when no longer needed.  

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