Youth Art Enrichment 2022 is Accepting Applications!

Click the image to learn more about the YAE program.

If you’d like a printable application form, please click here to download a pdf version of the form below.
This can be scanned and emailed, or dropped off in person.

DEADLINE: ASAP

Note: this form has sections to be filled out by the participating youth and a parent/guardian. it is a good idea to pre-write the long answers in a Word doc then copy and paste them into the form to ensure they are not lost if this page is closed by accident. Once you submit this application, it will be automatically emailed to programs@kiac.ca. If you do not receive a confirmation email from KIAC staff within 3 business days, please contact us at (867) 993-5005.

PARTICIPANT INFORMATION

Legal Name *

First

Last

Preferred Name

First

Last

If you prefer a nickname or name aside from the one above, please let us know.

Age *

Current Grade *

Participants must be in grade 8 to 12.

Have you participated in Youth Art Enrichment before?

Yup!
No, this is my first time!

Gender *

Male
Female
Non-Binary/Other

If you'd like to include any further information, please do so in the field below.

Student Email

If you do not have an email address, please leave this section blank.

I confirm that I live in Dawson City, YT.

PARENT/GUARDIAN INFORMATION

Parent/Guardian Name *

First

Last

Parent/Guardian Relatioship to Applicant *

Parent/Guardian Email *

Parent/Guardian Phone Number *

OTHER INFORMATION

To be filled out by parent or guardian

Allergies *

If the participant does not have any, enter "none". KIAC staff will follow up for more information regarding severity and medical assistance.

Other Needs or Considerations

Is there anything special our instructors and staff should know about the applicant to make their experience more comfortable? Do they need lots of quiet time? Super shy? Prone to nosebleeds? Recent loss of family? If there is any additional information you'd like to communicate, please do so here. This information is for student comfort only and has no relation to the acceptance/waitlist of the application. We will follow up if more information is needed.

REFERENCE

Please provide a reference. This can be a teacher, community leader, mentor, etc, but cannot be a family member.

Reference's Name *

First

Last

Reference Contact *

Phone number and/or email

Brief Recommendation *

If you would like to include a hand written or pre-typed reference letter instead of filling out this field, you can scan and email it to programs@kiac.ca, or have your reference email us directly, or drop off the letter at KIAC in person.

INTRODUCE YOURSELF!

Tell us about yourself *

In a couple sentences, please tell us about yourself. What do you like doing for fun? Where did you grow up? Any fun facts we should know?

Why do you want to participate in Youth Art Enrichment? *

There is no right or wrong answer, we're just curious!

WORKSHOPS

Participants will complete ONE workshop during the week. Please let us know which workshop you prefer. We do our best to accommodate.

A Printmaker’s Primer: Handmade Prints with Meshell Melvin *

First Choice
Second Choice

Printmaking is a very old process... Ancient in fact! Meshell will introduce students to the incredible world of colourful inks and printing techniques that have been refined over the last two thousand years! This class is a gallop through the basics of printmaking: from the quick impressions of the monoprint to the intricacies of the linocut, and all the potatoes in between. Students will be encouraged to develop their image making throughout their explorations with different printmaking techniques. Be warned: this workshop will be playful, messy (not too messy…), and COLOURFUL!

Move Your Body: Rhythm, Hip Hop Dance, & Choreography with Val Herdes *

First Choice
Second Choice

During this five day performing arts intensive, students will explore and hone their skills in dance and movement with Val Herdes of Heart of Riverdale. Each day will feature different games, physical activities, and movement-based learning culminating in solo or group dance pieces to be showcased to parents and friends at the end of the week. Students will learn the lingo of dance and performing arts (why are rehearsals important? What is a stage manager? And what does "from the top" mean!?) in a dynamic journey from tiny idea to rehearsal to performance - all in a safe, nurturing, and collaborative environment. This workshop is for EVERYONE. All experience levels and physical abilities are welcome!

SIGNATURE

Should my application be successful, I understand the following: *

Full participation and attendance in the program is required. This includes daytime classes and lunch time. Attendance will be relayed to RSS.

Should my application be successful, I understand the following: *

Lunches are not provided, a packed lunch must be brought to the program every day.

If this is an issue, please let us know in the "other needs & considerations" section above. Provided meals may be possible in some circumstances.

Should my application be successful, I understand the following: *

Parent/Guardian consent forms are required. If they are not submitted to us, the student cannot attend.

Name of Student Applicant *

Electronic Signature *

An electronic signature is simply a typed version of your signature

Current Date & Time *

Date

Time

Application Timeline

1. Following your application submission, you will receive a confirmation email within 3 business days.

2. Applications will be reviewed and processed as soon as possible.

3. Applicants will be notified of acceptance or waitlist status. Accepted applicants will be provided with additional paperwork (parental consent forms and student guidelines) which are required to secure their spot in the program.

4. Forms must be submitted by March 7th at the latest.

If you are submitting a hand written reference letter, don't forget to scan and email it to programs@kiac.ca

Questions? Contact Devon at (867) 993-5005 or programs@kiac.ca. We look forward to hearing from you!

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