CLYP Registration Workshops and Professional Wednesdays take place:4:00-6:00 pmat415 OhioHelena, AR Student Name * First Name Last Name Student Email * Student Phone Number (###) ### #### Parent/Guardian Name * First Name Last Name Parent/Guardian Email Parent/Guardian Phone * (###) ### #### Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Birthdate * MM DD YYYY School * Grade * 7th 8th 9th 10th 11th 12th College What subjects are you interested in? Check all that apply Outdoor Recreation (biking, fishing, hiking, kayaking) Mural Painting Photography Videography Fimmaking Entrepreneurship Graphic Design Do you need transportation to Thrive? * We currently offer transportation to workshops from Helena Central, Barton-Lexa, and KIPP Helena schools. Transportation from other areas may be possible on an individual basis. Yes No Have you participated in Thrive workshops in the past? * Yes No Thank you!