Kickstart Application

KickStart Application

Name
Address
MM slash DD slash YYYY

Parent Info

Parent Name
Parent Address
If different than student's

Application

Can you participate in the Summer Program at the Hoyt? (Tuesdays and Thurs­days, July 5-August 16 from 10am - 1 pm; Plus August 12th for all day event)
Can you commit to attending every Monday during the school year at LCCTC, 3-6 pm (September 12-May 22)?
Text Reminders
Yes! I would like to receive text reminders about this activity and information about other ac­tivities like it.
Photo Release(Required)
I herby grant Arts & Education at the Hoyt, its representatives and employees the right to photo­graph or video me/my child in connection with this activity. I authorize Arts & Education at the Hoyt, its assigns and transferees to copyright, use and publication of the same in print and/or electronically for any lawful purpose, including publicity, illustration, advertising, and web content.