Tuesday, January 23, 2018
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Registration for A Work Of Art North Idaho
A Work of Art Pre-Employment Skills Development Wait list Registration
Information about the student who will be attending:
Student's First Name
Student's Last Name
Decline to Answer
Is the student capable of engaging in employment expereinces such as working independently and collaboratively with others? (This program requires students to work together as a functional design team to complete projects. *Non-compliant behaviors are not a fit for this program.)
Will the student be accompanied by a support person?
Does the student have any allergies we should be aware of?
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Are there any accommodations needed for the student?
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Parent/Guardian information (If Applicable)
Parent/Guardian's First Name
Parent/Guardian's Last Name
Video/Photo release authorization:
I grant permission to Idaho Parents Unlimited, Inc. and their respective programs, directors, employees, agents (including but not limited to photographers, advertising agents, audio and video technicians and recorders) successors, assigns authorization to reproduce myself or my child's physical likeness, voice and words in video, television, radio, films, newspapers, magazines and other media.
Please Enter text below to submit
Thank you for registering with us for A Work of Art!
This session of Work of Art will be taking place twice a week, Wednesday and Saturday. On February 7, 10, 14, 17, 21, and 24, 2018.
Wednesday sessions from 6-8 p.m. Saturday Sessions from 9 a.m. to Noon
At the Emerge Gallery
208 N. Fourth St. Coeur d'Alene ID 838314
You will receive an email with more information and a copy of the information you just sent us. If you do not see this email, please check your spam folder.