Creative Youth Art program

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* 1. Are you aged between 13-17 years

Yes

No

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* 2. Do you identify as female?

Yes

No

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* 3. Are you able to commit to the full eight week program (starting on 7th May 3.45-5.15pm)?

Yes

No

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* 4. Do you enjoying being creative?

Yes

No

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* 5. What do you hope to gain from attending the program?

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* 6. Contact details for registration

Name of child

Contact telephone number

Email address