Enrollment Interest Form- 3 STUDENTS STUDENT 1 INFO 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 STUDENT 2 INFO 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 STUDENT 3 INFO 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 AVAILABILITY & CONTACT INFO ArtWorks Classes * Please specify AS MANY days and times you might be interested in for your student. Our three adult student classes are noted below (Monday, Tuesday and Wednesday) 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. (ages 12 and up) 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.
