Mentorship Application

  • Student Section

  • Parent/Guardian-Please Complete

  • Consent and Acknowledgement

  • In consideration of my child’s participation in programs provided by First City Art Center, I indemnify and hold First City Art Center and its affiliates, employees and agents harmless from and against any and all liability for negligence or medical expenses resulting from my child’s participation in such programs or other activities. I further release First City Art Center and its affiliates, employees and agents from any and all negligence or other claims resulting from my child’s participation. I further understand that First City Art Center does not provide medical insurance coverage for my child and that any medical expenses incurred will be paid by either my own medical insurance or myself. I hereby grant permission for my child to participate in all activities.

    I give permission for my child’s photo and/or likeness to be retained and used by Frist City Art Center without any remuneration or compensation.

    I authorize FCAC staff to administer immediate and emergency medical treatment, including (1) transporting your child to a hospital emergency room or (2) calling the local rescue squad or ambulance.

    I give permission for my child to visit the art park during breaks. The art park is located directly across from the main entrance of FCAC at 1060 N Guillemard Street.

  • Student Code of Conduct

  • Consequences include time out, notifying parents, and or in the extreme case removal from the program for the safety and well-being of all parties.

    1. Physical harm to self or other campers
    2. Conduct which constitutes harassment or bullying
    3. Refusal to follow instructions to the point of threatening the safety of their-self or other campers.
    4. Disrespectful behavior or language toward the instructors or other participants.
    5. Theft of property
    6. Intentional destruction of property.
  • Cancellation Policy

    Scholarship recipients who cancel less than 7 days before class starts (exception for emergencies and illness) will not be considered for future opportunities.

    Scholarship recipients who only attend the program partially with no notice or explanation will not be considered for future opportunities.

  • In the field below indicates that you have read, understand, and agree to the Consent and Acknowledgment Terms and the Cancellation Policy.