IN-SIGHT PHOTOGRAPHY PROJECT

HomeSchool Class: The Shape of Movement Fall 2026

Tuesday, Oct 6, 2026	Class
Tuesday, Oct 13, 2026	Class
Tuesday, Oct 20, 2026	Class
Tuesday, Oct 27, 2026	Class
Tuesday, Nov 3, 2026	Class
Tuesday, Nov 10, 2026	Class
Tuesday, Nov 17, 2026	Class
Tuesday, Dec 1, 2026	Class

AGES: 11 - 19

TRANSLATE THIS FORM: Español, Português, Française, Kiswahili, Tiếng Việt, Tagalog, Kreyòl ayisyen

FOR WHOM?

I AM A PARENT OR GUARDIAN
REGISTERING A NEW CHILD/MINOR TO PARTICIPATE

I AM A RETURNING PARENT OR GUARDIAN:

OUR FAMILY or HOUSEHOLD HAS REGISTERED FOR OTHER PROGRAM ACTIVITIES WITHIN THE PAST 3 YEARS

YOUR (PARENT/GUARDIAN) NAME:

YOUR (PARENT/GUARDIAN) CONTACT INFORMATION:

NAME:

NICKNAME: (optional)

CONTACT INFORMATION:

BIRTHDATE:

Please enter a valid birthdate here...

GENDER:

Please enter a gender information here...

use button or write in anything!

Male

Female

Non-Binary

PRONOUNS:

use button or write in anything!

He/Him/His

She/Her/Hers

They/Them/Theirs

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HOUSEHOLD/FAMILY DETAILS:

PARTICIPANT MAILING ADDRESS:

* ONLY IF OUTSIDE OF USA

YOU MAY ENTER ONE OR TWO RELATED ADULTS
WHO LIVE or WORK AT THIS ADDRESS:

ADULT #1

(optional)

parent, step-parent, guardian, spouse, etc.

(optional)

ADULT #2

(optional)

parent, step-parent,
guardian, spouse, etc.

(optional)

I WANT TO INCLUDE ANOTHER ADULT/PARENT/GUARDIAN AT A DIFFERENT ADDRESS

SUBMIT ADULT CONTACT INFORMATION

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PERSONAL INTRODUCTION

What specifically interests you in this program?
What other interests / hobbies / activities do you enjoy?

What specifically interests your child in this program?
What other interests / hobbies / activities do they currently enjoy?

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IMPORTANT DETAILS:

DIET:

NONE

Please describe any special dietary restrictions, and indicate whether they result from personal preference, religious custom, or medical necessity.

ALLERGIES:

NONE

Any ALLERGIES?
To foods? To medications? To insect stings or other environmental agents?
If so, please explain the symptoms and the severity of these allergies: ( MILD DISCOMFORT or SEVERE LIFE THREATENING ANAPHYLAXIS )

MEDICATIONS:

NONE

Any regular MEDICATIONS? If so, please list the medications, their dosage and frequency, and their purpose. This information may be used to administer medications during a program, but more importantly it will help medical professionals in the event of an emergency.

CONCERNS:

NONE

Tell us any concerns you may have about participation in our programs: Any injuries or physical limitations, or any emotional, behavioral, or mental health issues, any sleep issues, substance abuse, history of infections, or anything else that you can let us know in advance to help our staff to make the program safe and enjoyable for everyone.Please note: failure to disclose significant medical or learning issues undermines our work and the safety of our programs, and we reserve the right to dismiss any participant who arrives with undisclosed conditions.

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CLICK TO CHOOSE ANY OF THESE OPTIONS:

TUITION0%-REDUCED-STUDENT-REGISTRATION,

$500.00

TUITION25%-REDUCED-STUDENT-REGISTRATION,

$375.00

TUITION50%-REDUCED-STUDENT-REGISTRATION,

$250.00

TUITION75%-REDUCED-STUDENT-REGISTRATION,

$125.00

TUITIONFULLY-REDUCED-STUDENT-REGISTRATION,

$0.00

TUITIONNAME-YOUR-PRICE-CLASS-REGISTRATION,
A staff member will reach out to you to ask the amount you'd like to contribute.

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AGREEMENTS

Class Safety

As the parent/ guardian of the student enrolled in In-Sight's class, I agree to take full responsibility for the safety of the student participating. I recognize that In-Sight will do its best to teach all participants the art of photography with as much care and safety as is reasonably possible. In-Sight's staff and volunteer instructors will take reasonable care and precautions to maintain student safety. As accidents do happen, we agree not to hold In-Sight, its staff, or volunteers legally responsible for the safety of the participant. If a student cannot meet the safety expectations, In-Sight will have to reconsider class participation.

Downtown Travel

In-Sight Photography Project's central, downtown location allows for our classes to often leave the premises and take photos around town, weather permitting. This may include visiting the Brattleboro Museum and Art Center, Vermont Center for Photography, other galleries, and public spaces in the immediate downtown area. Your student's safety is of utmost importance, and students will remain within seeing and hearing range of instructors. If any class plans to leave the downtown area, we will notify your in advance with more details about each field trip.

Equipment Release

In-Sight Photography Project provides all of the equipment for each class and students are able to borrow equipment from In-Sight in order to practice and grow their skills. However, they can also use their own! If you have questions about whether or not your personal camera will work for a class, please contact Program Director, Rachel Boettcher, rachelb@insight-photography.org, before the start of class.

Parents/ guardians and students take full responsibility for the photographic equipment students borrow from In-Sight Photography Project. Anything lost or broken will need to be replaced. We expect equipment to be returned at the end of the last class unless other arrangements are made.

Content Disclaimer

Art is expressive and can sometimes elicit intense emotions. It is the priority of In-Sight staff and instrucotrs to make the classroom a welcoming space for all students by managing these topics appropriately. We will not allow nudity or depictions of harm to be show in the classroom.

Mandated Reporting

Additionally, if a student makes an In-Sight staff member aware of abuse or neglect, it is our responsibility as mandated reporters to share this information with Vermont DCF.

By typing your name below, you are indicating that you have read and agree to the above.

SUBMIT THIS SECTION

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OPTIONAL DEMOGRAPHIC FORM

Our programs are made possible through grants and the generosity of our community. Please help us collect the needed data to demonstrate our students' need for reduced tuition. Please select all that apply - all information is confidential and it is OPTIONAL to share. If you don't wish to share, select the last option on the list and click submit. Thank you!

Select all that apply to this student's family

The student/student's family qualifies for aid such as SNAP food assistance (3Squares VT), Medicaid, Section 8 Housing Assistance, etc.	YES NO
At least on legal guardian serves/has served in the armed forces	YES NO
The student is in foster care or has been in foster care	YES NO
The student has limited English proficiency	YES NO
The student is houseless or at risk of being houseless	YES NO
At least one legal guarding is serving time or has served a period of time in jail or prison	YES NO
The student is at risk of not completing high school	YES NO
The student is eligible for free or reduced lunch at school	YES NO
The student regularly uses public transportation	YES NO
The student does not have access to adequate broadband internet at home	YES NO
Prefer not to answer	YES NO
NONE	YES NO

SUBMIT THIS SECTION

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OPTIONAL: HOUSEHOLD INCOME

What is the household income of the student's family

Our programs are made possible through grants and the generosity of our community. Please help us collect the needed data to demonstrate our students' need for reduced tuition so we can apply for grants and make the case to funders! All information is confidential and it is OPTIONAL to share. Thank you!

$0 - $50,000

$50,000 - $100,000

$100,000 - $150,000

$150,000 +

Prefer not to share

SUBMIT THIS SECTION

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USE OF PHOTOS OF PARTICIPANT

In-Sight has permission to use images of the participant to promote and market In-Sight Photography Project and its mission. We will not use a student's full name with the image.

Yes

SUBMIT THIS SECTION

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USE OF PHOTOS TAKEN BY PARTICIPANT

In-Sight has permission to use images produced by the student to promote and market In-Sight Photography Project and it's mission. We will give credit to a student for their work, but will not use a student's full name.

Yes

SUBMIT THIS SECTION

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ALMOST DONE, KEEP GOING!

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	ITEM	QUANTITY	SUBTOTAL






			* INCLUDES SALES TAX

FOR WHOM?

HOUSEHOLD/FAMILY DETAILS:

PERSONAL INTRODUCTION

TELL US ABOUT YOURSELF:

TELL US ABOUT YOUR CHILD:

IMPORTANT DETAILS:

ALMOST DONE, KEEP GOING!