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Video Chats for Ask an Artist Series Form

Ask an Artist: Home help with Body of Work 

Video chats: Tuesdays in term 2, 3.45 – 4.30pm 

This is a FREE program, but limited places available. 

The program is open to students studying HSC Visual Art. 

Aboriginal and Torres Strait Islander students are encouraged to register. 

 C-A-C will contact you and your parent/carer at least two days before your chosen VIDEO CHAT to confirm whether you have been accepted for this program.  

Dates
Video chats are held Thursdays, 3.45 – 4.30pm.  
(each artist will chat with students the week following the launch of their video) 

Abdul Abdullah – Thursday 28 May  
Nicole Barakat – Thursday 4 June 
Dennis Golding Thursday 11 June  
Claudia Nicholson Thursday 18 June  
Anney Bounpraseuth Thursday 25 June 
Sabella D’Souza – Thursday 2 July   

Registrations Due: Apply at least 4 days before your first VIDEO CHAT (but get in early!) 

Enquiries
Feel free to contact Edwina Hill, Education Officer for more information or to discuss different ways to register. 

Edwina Hill 
Education Officer 
0419 213 872 
[email protected] 

Student Details
Name*
School
Grade
Do you identify as Aboriginal and Torres Strait Islander?
What is your cultural background?
Phone
-
E-mail
Please include any access needs to help us support your participation in the program. This information is for planning and access purposes only.
How did you hear about this program? (Please include teacher’s name if applicable)
Student Application Question
Which VIDEO CHAT(s) would you like to join?* (please name the artist(s)) *
Please describe your Body of Work (work in progress) and explain how you think the artist(s) might be able to help.*
• Students are to keep behaviour and content appropriate, as you would in a classroom environment
• We encourage a supportive, collaborative conversation not just with the artist but between students. Please respect and support your peers with their body of work development.
I have read the above responsibilities for group chats *
Parent/Carer to complete

Name. *
Phone. *
-
E-mail *
I give permission for my child to participate in this group video chat. I understand the chat is moderated by Campbelltown Arts Centre, and all facilitating adults have Working With Children Clearance numbers.
Permission to Participate*
I do hereby grant / deny (please select) permission to Campbelltown City Council c/- Campbelltown Arts Centre to use the image and likeness of my child as outlined below: • Recordings and images from this program may be edited and used to publicise and promote Campbelltown Arts Centre, or as part of reporting requirements for funding. • Such use includes the display, distribution, publication, transmission, or otherwise use of photographs, images, and/or video taken of participants (including Your Child) for use in materials that include, but may not be limited to, printed materials such as brochures and newsletters, videos, and digital images such as those on the Campbelltown City Council and Campbelltown Arts Centre website. • This permission applies to workshops, performances and other activities conducted by C-A-C. I acknowledge that if at any stage I no longer wish for My Child’s images to be used, I will notify the Arts Centre in writing via email to [email protected]
Photo Permission*
Disclaimer

The personal information provided on this application form will be used and disclosed by Campbelltown Arts Centre for general administration and communication, or for any purpose required or permitted by law. This information will be held securely and disposed of when no longer needed. 

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