Self Help Graphics & Art 2021  S.O.Y. Artista Registration & Release Form
IN PERSON PROGRAM DATES:
June 22 - July 22, 2021
Tuesday - Thursday

Group A: Ages 12 -16
10:00 a.m. - 1:30 p.m.

Group B: Ages 17- 24
1:00 p.m. - 4:30 p.m.

VIRTUAL PROGRAM DATES (via Zoom):
June 22 - July 1st , 2021
Tuesday-Thursday

Ages 10-24
10:00 a.m. - 11:30 a.m.

Self Help Graphics & Art
1300 E. 1st Street
Los Angeles, CA 90033

*Space is limited and preference will be given to youth living in these zip codes: 90031, 90032, 90033, 90063, 90022, 90023, 90012.*
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Email *
Participants Name: *
Participants Phone Number: *
Participant Date of Birth *
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Has the SOY Artista participant been part of any of the following Self Help Graphics programs in the past? Please select one if yes, otherwise skip this question.  
Is the SOY Artista participant under 18? *
Name of Parent/Guardian or Emergency Contact *
Parent/Guardian or Emergency Contact Email Address *
Parent/Guardian or Emergency Contact Address *
City, State, Zip *
Work Phone Number
Cell Phone Number *
Other Number
Primary Language spoken by Parent/Guardian
Please select the age group your youth is part of *
If Group A, Please the select the weeks that your youth is committed to participating in. Theme: Metamorphosis / Glow Up
Select all that apply.
If Group B, Please the select the weeks that you or your youth is committed to participating in.  Theme: Let's Go Analog.
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