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PARENT/LEGAL GUARDIAN INFORMATION
To be contacted first in the event of an emergency.
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How does student refer to them self (i.e., He/Him, She/Her, They/Them
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If there are no known allergies, please type "None"
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Please describe accessibility accommodations needed, if known. If no accommodations are required, please put NONE.
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How will the student get home after class?
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Input name of Adult that will pick up student.
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WINTER - JANUARY to MARCH 2025
Household information
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Are you eligible for public assistance? *
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WINTER - JANUARY to MARCH 2025
List of available adult classes with Scholarships for students aged 16-18:
Saturdays 9am-12pm:
-Watercolor | January 11-March 15 *10 sessions
-Contemporary Landscape Painting | January 11-March 15 *10 sessions
-Screenprinting | January 11-March 15 *10 sessions
-Intro to Ceramics | January 11-March 15 *10 sessions
-Metalwork and Jewelry for Beginners | January 11-March 15 *10 sessions
-SAORI Weaving | January 11-March 15 *10 sessions
Saturdays 1:30-4:30pm:
-Intro to Oil Painting | January 11-March 15 *10 sessions
Sundays 9am-12pm:
-Multi-media Drawing | January 12-March 16 *10 sessions
-Intro to Fiber Arts | January 12-March 16 *10 sessions
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After looking at the selection above, please list your top three class choices below, including class name and weekday of the class. Only one scholarship will be awarded and we will do our best to accommodate first choice. Assigned class will be determined by availability and Art School Administration.
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How did you hear about our scholarship program?
Please let us know how you heard about our HoMA Scholarships.
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WINTER - JANUARY to MARCH 2025
Application for students ages 16-18
Terms & Conditions
Please read all terms and conditions carefully and agree by signing below. All terms must be accepted to apply for a scholarship and register for a class.
Beginner level adult art classes are open to youths ages 16 and up with a parent or legal guardian’s consent. By signing this form, I acknowledge that I am providing consent for the scholarship applicant, ages 16 to 18 years old, to register and participate in an adult level class at the Honolulu Museum of Art School.
Scholarships are non-transferable; if you need to decline or cancel for any reason, please do so before December 21, 2024, to be considered for the next scholarship cycle.
By participating in Honolulu Museum of Art’s classes and events, permission is given for free use of the student’s likeness, name, voice, artwork, and photo in any advertising or promotion of the Honolulu Museum of Art.
Assumption of Risk, and Indemnity Agreement
I, for myself, my heirs, personal representatives or assigns, do hereby release, waive, discharge, and covenant not to sue the Honolulu Museum of Art, its officers, directors, employees, and agents from liability from any and all claims including the negligence of the Honolulu Museum of Art, its officers, directors, employees and agents, resulting in personal injury, accidents or illnesses (including death), and property loss arising from, but not limited to, participation in Honolulu Museum of Art classes (The Activity).
Assumption of Risks: Participation in The Activity carries with it certain inherent risks that cannot be eliminated regardless of the care taken to avoid injuries. The specific risks vary from one activity to another, but the risks range can from 1) minor injuries such as scratches, bruises, and sprains 2) major injuries such as eye injury or loss of sight, joint or back injuries, heart attacks, and concussions to 3) catastrophic injuries including paralysis and death. I have read the previous paragraphs and I know, understand, and appreciate these and other risks that are inherent in The Activity. I hereby assert that my participation is voluntary and that I knowingly assume all such risks.
Indemnification and Hold Harmless: I also agree to INDEMNIFY AND HOLD the Honolulu Museum of Art, its officers, directors, employees and agents, HARMLESS from any and all claims, actions, suits, procedures, costs, expenses, damages and liabilities, including attorney’s fees, brought as a result of my involvement in The Activity and to reimburse them for any such expenses incurred.
Acknowledgment of Understanding: I have read this waiver of liability, assumption of risk, and indemnity agreement, fully understand its terms, and understand that I am giving up substantial rights, including my right to sue. I acknowledge that I am signing the agreement freely and voluntarily, and intend by my signature to be a complete and unconditional release of all liability to the greatest extent allowed by law.
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By inputting your first and last name, you acknowledge that you have read the Terms & Conditions and Assumption of Risk and Indemnity Agreement as noted above.
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Please fill in date form submitted.
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Mahalo!
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