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About
After School at MuseumLab

After School at MuseumLab

After School at MuseumLab

"*" indicates required fields

FOR STUDENT TO COMPLETE

Student Name*

First Last

Student Preferred Name

Student Address*

Street Address Address Line 2 City State ZIP Code

Student Email*

Student Date of Birth*

MM slash DD slash YYYY

Student School*

Student Grade*

6th Grade

7th Grade

8th Grade

Student Preferred Pronoun (she/her, he/him, they/them)

Student Interests

Have you been to MuseumLab before?*

yes

no

Throughout the year we’ll be exploring a wide variety of art and making processes. In which, if any, do you have previous experience? Check all that apply.*

Traditional 2D arts (drawing, painting, cartooning, etc)

Fiber arts (sewing, embroidery, weaving, etc)

Digital arts (animation, laser cutting, 3D printing, etc)

Writing (poetry, short stories, etc)

Performance (acting, music, spoken word, puppetry, etc)

Sculpture (clay, paper mache, metals, woodworking, etc)

Printmaking (silkscreen, block printing, etching, etc)

Other

If you chose "Other," please describe:

What art and making processes are you interested in learning? Check all that apply.*

Traditional 2D arts (drawing, painting, cartooning, etc)

Fiber arts (sewing, embroidery, weaving, etc)

Digital arts (animation, laser cutting, 3D printing, etc)

Writing (poetry, short stories, etc)

Performance (acting, music, spoken word, puppetry, etc)

Sculpture (clay, paper mache, metals, woodworking, etc)

Printmaking (silkscreen, block printing, etching, etc)

Other

If you chose "Other," please describe:

How does art play a role in your everyday life?*

Your acceptance into the After School program will be based on your interest in art and making. Please submit an image of artwork you completed.

Accepted file types: jpg, jpeg, png, gif.

Please submit a picture of artwork that you are still working on.

Accepted file types: jpg, jpeg, png, gif.

Participants in After School at MuseumLab will learn from artists, while exploring current issues through a social justice lens. When you think about social justice, what does that mean to you?*

How could you contribute to making MuseumLab’s After School program feel more inclusive or welcoming for other kids?*

Why does a program that combines art and social justice interest you?*

Where do you get your knowledge of social justice issues? (Check all that apply)*

Please specify the type of print or digital media, social media or other source:

What else would you like us to know about you?

FOR PARENT/GUARDIAN TO COMPLETE

Parent/Guardian Name*

First Last

Parent/Guardian Email*

Parent/Guardian Phone*

Parent/Guardian Address (If different from student)

Street Address Address Line 2 City State ZIP Code

After School at MuseumLab will meet Monday through Friday. As the program builds on itself over time, is your child able to commit to attending at least two days per week?*

Yes

No

How will your child get to and from After School at MuseumLab?*

List the names of people who are allowed to pick up your child from After School at MuseumLab (ID will be required to pickup inside MuseumLab).*

How did you hear about After School at MuseumLab?

EMERGENCY CONTACTS

Emergency Contact #1 Name - Please list someone other than the parent or guardian of the student*

First Last

Emergency Contact #1 Phone*

Emergency Contact #1 Email*

Relationship to Student*

Emergency Contact #2 Name*

First Last

Please list someone other than the parent or guardian of the student

Emergency Contact #2 Phone*

Emergency Contact #2 Email*

Relationship to Student*

Δ

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Our Commitment to Inclusion
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Location

10 Children’s Way
Allegheny Square
Pittsburgh, PA 15212
412.322.5058

Hours

Monday – Sunday
10 am – 5 pm

Closed on select Wednesdays
Check the Calendar

MuseumLab Hours:
Saturday + Sunday
Noon – 5 pm

Interested in renting or buying an exhibit or Museum design services?
Visit Pittsburghkids Design.

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Interested in renting or buying an exhibit or Museum design services?
Visit Pittsburghkids Design.

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