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MY ArtSpace (merced youth art space)
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Intake form
Help us serve you better
Name
*
Email address
*
What is your age?
Select
14
15
16
17
18
What is your current school?
What type of art are you interested in?
Please select at least one option.
Visual Arts
Music
Dance
Theater
Literature
Digital Arts
Have you participated in any art programs before?
Select
Yes
No
What type of mentorship are you seeking?
Please select at least one option.
Artistic Skills
Career Guidance
Creative Collaboration
How did you hear about MY ArtSpace?
Please select at least one option.
Social Media
School
Friend
Community Event
What days and times are you available for workshops?
Which service or services are you interested in?
Please select at least one option.
Open studio hours
Workshops with local artists
Art exhibitions
Additional questions or comments
Submit
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