Excel Photography Program Fall 2015

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1 Excel Photography Program Fall 2015 The Excel Photography Program offers a range of opportunities for 6 th 8 th grade students who either live or attend school in the HOPE Village to develop their knowledge of digital photography using DSLR (digital single lens reflex) cameras like the pros! This 3-month program (October December 2015) will operate on Tuesdays after school with opportunities for special field trips. Excel has a strong emphasis on aesthetics, creative selfexpression, and technical aspects. The curriculum is designed to cover a broad range study of photography including: landscape, architectural, self-portraiture, photojournalism, personal vision, fine art, and commercial photography. Classes are mentored by current career-level professionals in the field. Excel students will go on a variety of photo shoot excursions and will discover their own creativity and learn the foundations of composition and photography. All aspects of Excel are intended to challenge participants and encourage and inspire them to express and strengthen their artistic voices. Students should be passionate about learning, self-expression and curious about photography, and should enjoying walking and seeing varied Metro Detroit sites. The program will culminate with a student photo exhibition and a recognition ceremony to celebrate student s achievements and talent! FREE!

2 Excel Photography Program Fall 2015 Schedule & Application Process When: Time: Where: Contact Info: How to enroll: Other: Tuesdays (see schedule below) 4:30 7:00 p.m. (Arrive as early as 4pm for snacks. Note: some sessions may run a little after 7pm) Focus: HOPE, Center for Advanced Technologies (CAT), 1400 Oakman Blvd., Detroit, MI Annette Vanover, or vanovea@focushope.edu Step 1: Call Annette Vanover by September 24 th (the sooner, the better since limited spots are available). Step 2: Complete the application, medical history and treatment forms, parent waiver, and minor image release in full and deliver to Annette Vanover, Focus: HOPE, 1400 Oakman Blvd., Detroit Step 3: Ms. Vanover will contact you via phone regarding your child s admission into the program. 1) Light snacks and juice is served from 4:00-4:25 if students would like to arrive early. 2) This program is first come, first served- please enroll quickly! Session Dates: Orientation for new students and parents: Tuesday, 10/6/14 from 4:00-4:30 p.m. Session 1 Tuesday, 10/6 Session 2 Tuesday, 10/13 Session 3 Tuesday, 10/20 Session 4 Tuesday, 10/27 Session 5 Tuesday, 11/3 Session 6 Tuesday, 11/10 Session 7 Tuesday, 11/17 Session 8 Tuesday, 11/24 Session 9 Tuesday, 12/1 Session 10 Tuesday, 12/8 Session 11 THURSDAY, 12/10 from 6:00 8:00 p.m. - Student Exhibition and Recognition Ceremony

3 Expectations for Excel Participation Attending school is mandatory but attending an after-school program is voluntary. Participating in the Excel Photography Program is a privilege and would typically cost $350 per semester. Excel provides an outlet for creative self-expression but also works toward developing positive characteristics and social skills in youth. As an Excel student and parent, we request that you adhere to and respect the below expectations: 4:00-4:25 is snack and social time (talking with friends, playing card games, etc. No running, jumping, roughhousing, loud voices, or touching each other). 4:25 Students clear their tables and general area of all food, beverage and trash. Students shall listen attentively when their mentor or Ms. Annette is speaking or anytime when students are asked to give their attention. Respect of others and self is vital in all Focus: HOPE programs, verbal and non-verbal. Students, mentors and Focus: HOPE staff are requested to adhere to this guideline. Cell phones and all other electronics are not permitted during Excel class time. Students will be asked once to put away their devices. If devise use continues, it will be confiscated until the end of class. All students will keep their hands to themselves. Dress appropriately no sagging pants, wearing hoodies or hats (or than religious coverings) while indoors, no revealing shirts or those with inappropriate language on them,. Timeliness is critical in order to operate the program successfully. Please arrive no later than 4:25. Attendance will be taken before and after each session. It is critical for students/parents/schools to contact the Focus: HOPE Community Arts Department when an emergency prohibiting attendance does arise. Cell is best: Absences are limited to 2 however we prefer none. This is a brief program with many deadlines. Students are responsible for the care of equipment while in their possession and responsible for reimbursing any equipment due to neglect or lose. The cameras are professional grade DSLRs. Other relevant information: Students are responsible for their transportation to and from Focus: HOPE. We encourage students to car pool as much as possible. Dress for the weather since many class sessions will be held outdoors. Think of layering your clothes and wearing appropriate shoes for walking and possible inclement weather. Grounds for dismissal from Excel: Step 1: Student is asked to change his/her behavior. If child continues to misbehave, parent is notified to pick up their child immediately. Step 2: Continued behavioral issues in the program: Student is asked not to attend the next session Step 3: Continued behavioral issues: Student is dismissed from the program

4 Excel Photography Program Fall 2015 Application Student Information: Student name: Address/City/Zip: Student Cell: Do you permit the program administrator to text your child with updates? Y or N Date of Birth: / / Grade: School: Parent Information Parent/Guardian Name: Address/City/Zip (if different from child): Home Phone: Parent Cell Phone: Do you accept text messages on your cell? Y or N Work Phone: What is the best way to contact you in case of emergency? Home phone / Cell phone / (please circle) Additional emergency contact person: Home Phone: Cell Phone: Work Phone: Transportation How will your child get to Focus: HOPE and home after the session lets out? Are you expecting and allowing your child to take the bus or to walk home after sessions let out? If so, please sign below: Parent or Guardian signature

5 MINOR PARTICIPANT MEDICAL HISTORY FORM Name of Minor s Doctor: Phone: Health Insurance Co.: Health Card#: Health Insurance Co Phone #: The following information must be completed by the parent or legal guardian. The intent of this information is to provide Focus: HOPE staff and mentors with the background to provide appropriate care. We always strive to protect the privacy of your child. Please provide all possible information so we can be aware of your needs. Check either YES or NO. If yes, please give specific information. Use the back if more space is required. Bleeding disorders NO YES Epilepsy NO YES Diabetes or any problem with blood sugar control NO YES Asthma NO YES Allergy injections NO YES Fainting NO YES Kidney trouble NO YES Heart trouble NO YES Frequent headaches NO YES Motion sickness NO YES Frequent stomachaches NO YES Other NO YES If yes to any, please provide background/adequate information for Focus: HOPE staff and mentors to best provide appropriate care and have an understanding of the condition: List allergic reactions to the following, if applicable. If yes, please note specific item/items reaction. Plants/Flowers Don t know NO YES Medications Don t know NO YES Food or Drink Don t know NO YES Other: Any special allergy treatment needed? Please list: Are there special dietary restrictions of the student? Please list/describe:

6 MINOR PARTICIPANT TREATMENT RELEASE FORM Name of Minor: Full Address: Birthdate: / / As a parent/guardian, I hereby authorize the treatment by a qualified and licensed physician in case of severe illness or emergency which, in the opinion of the physician, is deemed necessary and appropriate. I understand that every effort will be made to contact me before treatment is given. Parent/Guardian Information: Parent/Guardian s Name Parent s Emergency Phone Number(s) Alternate Emergency Contact Information: Name Relationship to child/family: Emergency Number(s) I hereby authorize Focus: HOPE to seek and authorize emergency medical treatment for my child in the event That none of the above people can be reached. I further authorize the person who presents the minor to sign the acknowledgment of Receipt of Notice Privacy Rights that may be presented by the physician or health care facility. This release form is completed and signed of my own free will with the sole purpose of authorizing medical treatment deemed necessary and appropriate by the treating physician. Please note that most hospital emergency rooms require notarization for permission to treat a patient. To promote optimal treatment security for your child, please have this form notarized if you so choose. Signature of Parent/Legal Guardian Date Witness (Notary optional) Date Notary (optional) Date

7 MINOR PARTICIPANT IMAGE RELEASE Focus: HOPE is committed to protecting the privacy and safety of all students who participate in its programs and is sensitive to the various issues which might be involved in the publication of students image, voice, and/or art work in a public forum. Therefore, prior to publication of such materials by Focus: HOPE, a release from the student s parent or guardian is required. As parent or guardian of, I hereby grant permission to Focus: HOPE to publish the following information in print, video or on its website and/or social media sites: Publish my child's photograph or videotape of his/her likeness Publish my child's name Publish a recording of my child's voice Publish images and/or copies of my child's photographs, artwork, poetry, etc. No, Focus: HOPE may not use my child s likeness, his/her name, or project-specific works. (Please sign & date below; do not check following permissions.) Printed Name of Parent/Guardian: Signature of Parent/Guardian: Date:

8 Parent Waiver and Student Commitment Parent/Guardian Waiver and Commitment: I,, parent or guardian of, have reviewed and completed the application, schedule, expectations, image release, and all medical forms for Excel Photography Program Fall 2015 and agree to my child s participation. I understand that my child is responsible for attending all sessions and that the schedule is subject to change. I also understand that my child and I are responsible for the replacement of any lost or neglectful damage to photography equipment while on loan to him/her. I understand and agree to my child participating in photo shoots which will occur in various metro Detroit communities and in the Focus: HOPE neighborhood. I also understand that Focus: HOPE retains all rights to my child s photographs and writings to exhibit, present, or bestow as it sees fit. I waive and release all rights and claims for damages or injuries suffered by my child while participating in Excel Photography Program October December 2015 whether they be against Focus: HOPE, Focus: HOPE representatives and/or affiliates. I will assist my child in completing this program successfully. Signature of Parent/Guardian Date Student Commitment: I, understand, as a student in the Excel Photography Program Fall 2015 my attendance at each session October December 2015 as listed is required. In addition, I understand that I am responsible for the care of all equipment loaned to me by Focus: HOPE. I also understand that Focus: HOPE retains all rights to my photographs and writings to exhibit, present, or bestow as it sees fit. Additionally I agree to the expectations and rules listed in this package. As a participant in a Focus: HOPE program, I understand that I am now an ambassador for Focus: HOPE and am representing the organization, therefore I will conduct myself in a mature manner at all times and respect my peers, mentors and Focus: HOPE staff members. Signature of Student Date

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