Bursary Application

Photography

We would like to photograph the program in action. These photographs will be used in the following manner:

• In the Art Centre newsletter At Agnes.
• As publicity photographs.
• For documentation of our programs, use in future funding applications and reports, and use in educational workshops.
• On our website and in social media.

The children will not be individually identified in reproductions for these purposes.

Statement of Release from Liability

I release Queen’s University from liability arising from injury, damages, or loss which may occur as a result of my child’s participation in the program, except those caused by neglect.

Permission to Allow Off-Site Activity

This program includes walks on campus and a short excursion for outdoor sketching, with adequate supervision.

Declaration
I declare that all information given above is true and complete in every respect; that I have answered all questions on this form, and that the bursary is essential to my child attending the art day camp.