Enrollment Interest Form- 1 STUDENT Student Name * First Name Last Name Student Birth Date * MM DD YYYY Gender Identity Female Male Self-identify as as she/her Self-identify as he/him Self-Identify as they/them School ArtWorks Classes Please specify AS MANY days and times you might be interested in for your student. Our three adult student classes are listed below after these selections. Monday 3:30 p.m. (ages 5-11) Monday 4:45 p.m. Monday 6:30 p.m. Tuesday 3:30 p.m. (ages 5-11) Tuesday 4:45 p.m. Tuesday 6:30 p.m. Wednesday 3:30 p.m. (ages 5-11) Wednesday 4:45 p.m. Wednesday 6:30 p.m. Thursday 3:30 p.m. (ages 5-11) Thursday 4:45 p.m. Thursday 6:30 p.m. Friday 3:00 p.m. Friday 3:30 p.m. (ages 5-11) Friday 4:45 p.m. Friday 6:30 p.m. Saturday 9:00 a.m. Saturday 10:30 a.m. Saturday 11:00 a.m. (ages 5-11) Saturday 1:00 p.m. Saturday 2:30 p.m. Saturday 3:00 p.m. (ages 5-11) Saturday 4:15 p.m. (ages 5-11) Adult Class Days and Times Please specify any days and times you might be interested in. Monday 1 p.m. Tuesday 1 p.m. Wednesday 7 p.m. Contact Information * Please enter the following information about the parent, guardian or adult student. First Name Last Name Address Email * Best Daytime Phone * (###) ### #### Is there any information about your student that you feel we should be aware of to best serve them? Do you have any questions for us? Thank you for submitting a waitlist form to ArtWorks! We will reach out to you directly within two weeks to confirm receipt and answer any questions.