Youth Arts Scholarship Program
Fall | October–December 2024 | Application for students ages 3–15
The scholarship program for HoMA’s Youth Art Classes provides opportunities for students
to further their artistic development. This application is only for youth classes for students
ages 3 to 15. Scholarships are awarded to students on the basis of financial need.
Classes are held at the Honolulu Museum of Art School on Saturdays and Sundays.
The classes connect to HoMA’s world-class art collection and are instructed by professional
artists in Drawing & Painting, Studio Art, Printmaking, Fiber Arts, Ceramics, and Metals & Jewelry.
TO APPLY

You may fill out and submit the form on our website or complete a printed scholarship application
then deliver it in person or by mail.
Online: Apply via the online form on our webpage at honolulumuseum.org/scholarships
In person: Scholarship applications may be dropped off at the Honolulu Museum of Art Schoolin person Thursdays through Sundays between 10am and 4pm.
By mail: Applications must be postmarked no later than the closing date, September 5, 2024.
Send the completed application to:
Honolulu Museum of Art SchoolAttn: Scholarships
1111 Victoria StreetHonolulu, HI 96814
APPLICATION DEADLINE: Fall 2024 applications must be submitted online, postmarked,
or dropped off to the Honolulu Museum of Art School by September 5, 2024 , end of day
to be considered.
SCHOLARS HIP CRITERIA•Scholarships are awarded to students based on financial need and a commitment to participate.

•A limited number of scholarships are available each session and are awarded to eligible students
on a first come, first served basis.

•Qualified applicants not awarded in the current scholarship cycle will be considered for the next
scholarship awarded session.

•Incomplete applications will not be considered.

•Scholarship awardees will be notified via email or phone by September 20, 2024, withconfirmation of the student’s enrollment.

•Scholarships are non-transferable; if you need to decline or cancel for any reason, please do sobefore September 27, 2024.

Should you have any questions please contact us:
Honolulu Museum of Art School | (808) 532-8741 | artschool@honolulumuseum.org

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Youth Arts Scholarship Application Form
Fall | October–December 2024 | Application for students ages 3–15
APPLICATION DEADLINE: Fall 2024 applications must be submitted online, postmarked, or dropped
off to the Honolulu Museum of Art School by September 5, 2024 , end of day to be considered.

Fill out all fields and write clearly. Incomplete applications will not be considered.
A valid email address and phone number are required for confirmation and communication.
If you prefer to be notified by phone, check the box here:

Notify by phone

PA R E N T / L EG A L G UA R D I A N I N FO R M AT I O N To be contacted first in the event of an emergency.
GUARDIAN FIRST AND LAST NAMECURRENT EMAIL * Emails will be used to send any class notifications or updates.

CURRENT MAILING ADDRESSCURRENT MOBILE NUMBER

ST U D E N T I N FO R M AT I O N														STUDENT FIRST AND LAST NAMECURRENT AGE

DATE OF BIRTH (MM/DD/YYYY)														STUDENT PRONOUNSCURRENT SCHOOL		Does the student have allergies? If so, please list: 								Does the student require accessibility accommodations for disabilities? If so, please describe below.														E M E RG E N C Y C O N TAC T I N FO R M AT I O N Other than Primary Parent / Legal Guardian listed in above.
EMERGENCY CONTACT FIRST AND LAST NAMECURRENT MOBILE PHONEST U D E N T P I C K U P I N FO R M AT I O N How will the student get home after class? Please choose all that apply.
Pickup*Walk (Student must be at least 16 year old)

Bus (Student must be at least 16 year old)

*PICK UP: If student will be picked up, list full name, current mobile number, and relationship of up to three
individual(s) (other than the Parent / Legal Guardian indicated) who are authorized to pick up the student.														FIRST AND LAST NAMECURRENT MOBILE PHONE

RELATIONSHIP TO STUDENT														FIRST AND LAST NAMECURRENT MOBILE PHONE

RELATIONSHIP TO STUDENT														FIRST AND LAST NAMECURRENT MOBILE PHONE

RELATIONSHIP TO STUDENTPAGE 2 o f 4

Youth Arts Scholarship Application Form
Fall | October–December 2024 | Application for students ages 3–15
HOUS EHOLD INFORMATION
How many people are in your household?
Are you eligible for public assistance?

YESNO

Please write a short statement below explaining how this scholarship would benefit your student.

How did you hear about our scholarship program?
SchoolHoMA website

Friends

Community CenterOtherPAGE 3 o f 4

Youth Arts Scholarship Application Form
Fall | October–December 2024 | Application for students ages 3–15
CLASS S ELECTION

Please look at the available classes for Fall 2024 below. In the boxes next to each class,mark which options are your top three choices. We will do our best to honor your preferences.
Class Choices
Mark 1, 2, & 3 Class Title

AgeGroupClass Dates

Saturdays 10am–12pm
Exploring Art

6–8

Oct 19–Dec 14 • 8 sessions (No class Nov 30)

9–12

Oct 19–Dec 14 • 8 sessions (No class Nov 30)

13–15

Oct 19–Dec 14 • 8 sessions (No class Nov 30)‘Ohana Parent and Child*

3–5

Oct 20–Nov 3 • 3 sessions‘Ohana Parent and Child*

3–5

Nov 10–24 • 3 sessions

My Family and Me

5–6

Dec 8 & 15 • 2 sessions

Ceramics

6–8

Oct 20–Dec 15 • 8 sessions (No class Dec 1)

Ceramics

9–12

Oct 20–Dec 15 • 8 sessions (No class Dec 1)

Metalwork and Jewelry

10–12

Oct 20–Dec 15 • 8 sessions (No class Dec 1)

Fiber Arts Exploration

6–8

Nov 17–Dec 15 • 4 sessions (No class Dec 1)

Fiber Arts Exploration

9–12

Oct 20–Nov 10 • 4 sessionsCeramics

13–15

Oct 20–Dec 15 • 8 sessions (No class Dec 1)

Metalwork and Jewelry

13–15

Oct 20–Dec 15 • 8 sessions (No class Dec 1)

Saturdays 1:30–3:30pm
Exploring Art
Saturdays 1:30–4:30pm
Drawing and Painting
Sundays 10am–11:30am

Sundays 10am–12pm

Sundays 1:30–3:30pm

Sundays 1:30–4:30pm*Student must be accompanied by an adult to enroll in this classPAGE 4 o f 4

Youth Arts Scholarship Application FormFall | October–December 2024 | Application for students ages 3–15
TERMS & CONDITIONS
Please read all terms and conditions carefully and agree by signing below. All terms must be accepted toapply for a scholarship and register for a class.
Scholarships are non-transferable; if you need to decline or cancel for any reason, please do so before
September 27, 2024, to be considered for the next scholarship cycle.
By participating in Honolulu Museum of Art’s’ classes and events, permission is given for free use of the student’s
likeness, name, voice, artwork and photo in any advertising or promotion of the Honolulu Museum of Art.

ASSUMPTION OF RIS K, AND INDEMNIT Y AGREEMENT
I, for myself, my heirs, personal representatives or assigns, do hereby release, waive, discharge, and covenant
not to sue the Honolulu Museum of Art, its officers, directors, employees, and agents from liability from any andall claims including the negligence of the Honolulu Museum of Art, its officers, directors, employees and agents,
resulting in personal injury, accidents or illnesses (including death), and property loss arising from, but notlimited to, participation in Honolulu Museum of Art classes (The Activity).  
Assumption of Risks: Participation in The Activity carries with it certain inherent risks that cannot be eliminatedregardless of the care taken to avoid injuries. The specific risks vary from one activity to another, but the risks
range can from 1) minor injuries such as scratches, bruises, and sprains 2) major injuries such as eye injury or
loss of sight, joint or back injuries, heart attacks, and concussions to 3) catastrophic injuries including paralysis
and death. I have read the previous paragraphs and I know, understand, and appreciate these and otherrisks that are inherent in The Activity. I hereby assert that my participation is voluntary and that I knowingly
assume all such risks.
Indemnification and Hold Harmless: I also agree to INDEMNIFY AND HOLD the Honolulu Museum of Art, itsofficers, directors, employees and agents, HARMLESS from any and all claims, actions, suits, procedures, costs,expenses, damages and liabilities, including attorney’s fees, brought as a result of my involvement in The Activity
and to reimburse them for any such expenses incurred.
Acknowledgment of Understanding: I have read this waiver of liability, assumption of risk, and indemnity
agreement, fully understand its terms, and understand that I am giving up substantial rights, including my rightto sue. I acknowledge that I am signing the agreement freely and voluntarily, and intend by my signature to be acomplete and unconditional release of all liability to the greatest extent allowed by law.														STUDENT FIRST AND LAST NAME PRINTED		DATE														PARENT / GUARDIAN FIRST AND LAST NAME		PARENT / GUARDIAN SIGNATURE