CazArts Class Registration Form

CazArts Class Registration Form

This form collects information required and requested for registrants of CazArts classes. PLEASE NOTE: Answers to the optional questions will help us to serve you better, so answer all you can.
Date

MonthDayYear
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JUL - K Untiedt - Felting: Sloth
AUG - K Untiedt - Felting: Otter
**** TEENS WORKSHOPS STARTING AUG****
AUG - K Gabriel - Figure Drawing for Teens
AUG - K Gabriel - Landscape Painting for Teens
**** KIDS CLASSES/WORKSHOPS STARTING MAY-AUG ****
MAY - D Mihill - Cartooning Level 2
JUN - C Gruner - Explore and Create - Sensory Art - 01JUN session
JUN - C Gruner - Explore and Create - Sensory Art - 08JUN session
JUN - C Gruner - Explore and Create - Sensory Art - 22JUN session
JUN - C Gruner - Explore and Create - Sensory Art - 28JUN session
JUL - K Brown - Creatively Exploring Color
JUL - M Dougherty & M Carroll - Kids Musical Theater Program - morning session
JUL - M Dougherty & M Carroll - Kids Musical Theater Program - afternoon session
JUL - K Brown - Exploring Sculpture
JUL - K Brown - Exploring Fiber
AUG - J Goodfriend - Comics, Cartoons and Mini Zines
AUG - C Joyce - Cardboard Creation Week
**** FOR ALL AGES & FAMILIES IN JULY ****
JUL - J Talbot - Drum Circle in the Park (individuals) - ONE EVENING
JUL - J Talbot - Drum Circle in the Park (families) - ONE EVENING
AUG - C Gruner - Family Sculpture Class - 2-DAY WORKSHOP
**** KIDS CLASSES/WORKSHOPS STARTING SEP ****
SEP - C Gruner - Sculpture Explorer - 6-WEEK CLASS
SEP - J Goodfriend - Drawing Comics & Cartoons - 6-WEEK CLASS
SEP - C Gruner - Explore and Create - Sensory Art - 21SEP session - 1-DAY WORKSHOP
SEP - C Gruner - Family Sculpture Class - 2-DAY WORKSHOP
**** TEENS-ADULTS CLASSES/WORKSHOPS STARTING SEP ****
SEP - L Wellner - Introduction to Watercolors - 1-DAY WORKSHOP
SEP - J Pepper - Beginning Painting - 1-DAY WORKSHOP
SEP - J Pepper - Acrylic Painting - 6-WEEK CLASS
**** SPECIAL OPPORTUNITES ****
JAN - K Brown - Family-friendly Lantern-making - 2-DAY WORKSHOP - Individual - $35 ($25 + $10)
JAN - K Brown - Family-friendly Lantern-making - 2-DAY WORKSHOP - Family of 2 - $55 ($35 + $20)
JAN - K Brown - Family-friendly Lantern-making - 2-DAY WORKSHOP - Family of 3 - $75 ($45 + $30)
JAN - K Brown - Family-friendly Lantern-making - 2-DAY WORKSHOP - Family of 4 - $90 ($50 + $40)
JAN - K Brown - Family-friendly Lantern-making - 2-DAY WORKSHOP - Family of 5 - $100 ($50 + $50)
JAN - K Brown - Family-friendly Lantern-making - 2-DAY WORKSHOP - Family of 6 - $110 ($50 + $60)
**** ADULT CLASSES STARTING NOVEMBER ****
NOV - J Pepper - Acrylic Painting - 6-WEEK CLASS
NOV - J Pepper - Fiber Arts - 6-WEEK CLASS
NOV - L Yardley - Watercolor and Ink - 4-WEEK CLASS
**** ADULT WORKSHOPS STARTING NOV-DEC ****
NOV - L Wellner - Watercolor: Fall Colors - 1-DAY WORKSHOP
NOV - J Pepper - Beginning Drawing Beyond the Stick Figure - 1-DAY WORKSHOP
NOV - C Joyce - Visible Mending - 1-DAY WORKSHOP
NOV - K Untiedt - Felting a Whimsical Gift - 1-DAY WORKSHOP
DEC - K Untiedt - Felting Ornaments - 1-DAY WORKSHOP
**** PARENT CHILD WORKSHOP STARTING DECEMBER ****
NOV 9th session - C Gruner - Explore and Create - Sensory Art - KIDS 1-DAY WORKSHOP
NOV 16th session - C Gruner - Explore and Create - Sensory Art - KIDS 1-DAY WORKSHOP
DEC - K Brown - Ornaments for Holidays! - 1-DAY WORKSHOP
**** KIDS CLASSES & WORKSHOPS STARTING NOV & FEB ****
NOV - C Gruner - Sculpture Explorer - KIDS 4-WEEK CLASS
NOV - J Goodfriend - Cartooning - KIDS 6-WEEK CLASS
FEB - K Brown - Kids February Break Art - KIDS 1-WEEK CLASS

SEP - MB Fiorentino - Website Building - 4-WEEK CLASS
SEP - L Wellner - Focus on Color (Tuesdays session) - 6-WEEK CLASS
SEP - L Wellner - Focus on Color (Thursdays session) - 6-WEEK CLASS
SEP - K Gabriel - Teen Figure Drawing Portfolio - 4-WEEK CLASS
SEP - J Pepper - Mixed Media and Collage - 6-WEEK CLASS
SEP - C Gruner - Sculpture for Teens - 6-WEEK CLASS
**** KIDS CLASSES/WORKSHOPS STARTING OCT ****
OCT - C Joyce - Halloween Costume Building - Bring Your Own Box (BYOB) - 1-DAY WORKSHOP
OCT - C Gruner - Explore and Create - Sensory Art - 19OCT session - 1-DAY WORKSHOP
OCT - C Gruner - Explore and Create - Sensory Art - 26OCT session - 1-DAY WORKSHOP
OCT - C Gruner - Family Sculpture Class - 2-DAY WORKSHOP
**** TEENS-ADULTS WORKSHOP STARTING OCT ****
OCT - C Joyce - Halloween Hats and Headdresses - 1-DAY WORKSHOP
**** FOR ALL AGES & FAMILIES IN SEP ****
SEP - J Talbot - Drum Circle in the Park (individuals) - ONE EVENING
SEP - J Talbot - Drum Circle in the Park (families) - ONE EVENING
PLEASE double check that you are selecting the correct classes/workshops, paying special attention the starting month!
Class/Workshop Title (pick one or more; sorted first by ADULT/KIDS then by starting month):*

**** ALL AGES STARTING SEP-OCT ***SEP - N Berger - Line Dancing - ONE EVENINGOCT - N Berger - Line Dancing - OCT 7th session - ONE EVENINGOCT - N Berger - Line Dancing- OCT 14th session - ONE EVENING**** KIDS CLASSES/WORKSHOPS STARTING OCTOBER ****OCT - C Joyce - Halloween Costume Building - Bring Your Own Box (BYOB) - 1-DAY WORKSHOPOCT - C Gruner - Explore and Create - Sensory Art - 19OCT session - 1-DAY WORKSHOPOCT - C Gruner - Explore and Create - Sensory Art - 26OCT session - 1-DAY WORKSHOPOCT - C Gruner - Family Sculpture Class - 2-DAY WORKSHOP**** TEENS-ADULTS WORKSHOP STARTING OCTOBER ****OCT - C Joyce - Halloween Hats and Headdresses - 1-DAY WORKSHOP**** ADULT CLASSES STARTING NOVEMBER ****NOV - J Pepper - Acrylic Painting - 6-WEEK CLASSNOV - J Pepper - Fiber Arts - 6-WEEK CLASSNOV - L Yardley - Watercolor and Ink - 4-WEEK CLASS**** ADULT WORKSHOPS STARTING NOV-DEC ****NOV - L Wellner - Watercolor: Fall Colors - 1-DAY WORKSHOPNOV - J Pepper - Beginning Drawing Beyond the Stick Figure - 1-DAY WORKSHOPNOV - C Joyce - Visible Mending - 1-DAY WORKSHOPNOV - K Untiedt - Felting a Whimsical Gift - 1-DAY WORKSHOPDEC - K Untiedt - Felting Ornaments - 1-DAY WORKSHOP**** PARENT CHILD WORKSHOP STARTING DECEMBER ****NOV 9th session - C Gruner - Explore and Create - Sensory Art - KIDS 1-DAY WORKSHOPNOV 16th session - C Gruner - Explore and Create - Sensory Art - KIDS 1-DAY WORKSHOPDEC - K Brown - Ornaments for Holidays! - 2-DAY WORKSHOP**** KIDS CLASSES & WORKSHOPS STARTING NOV & FEB ****NOV - J Goodfriend - Cartooning - KIDS 6-WEEK CLASSFEB - K Brown - Kids February Break Art - KIDS 1-WEEK CLASS
Describe your photographic skill level and your camera model/type.*
Please provide the number of individuals in the family and the ages of the children.*
to be sure we have adequate seating and drums
I understand that the teen class participant must provide a signed permission form from his/her parent/guardian. A link to the required permission form can be found in the class description.*

NOYES
I am registering (select one)*

only an individual adultonly an individual, unaccompanied minor child 8 or oldera family of 2-6
list the names for all participating family members and ages for any minor children.*
Use one adult representative as "participant" name below
Name:*

First name of class participantLast Name
Is the participant a minor?*

NOYES
Age:*
age of participant
Name of grown-up who will accompany the child:*
Participant grade level (2025-2026):*
Participant birthday:*
T-shirt size (select one):*

ADULT size smallYOUTH size mediumADULT size mediumYOUTH size largeADULT size large
T-shirt size (select one):*

YOUTH size smallYOUTH size mediumYOUTH size large
Name of Parent/Guardian:*
Pick up arrangements - student will:*

be picked up by parent/guardian stated abovewalk homeOther
Contact Phone Number: *
cell or landline
Emergency Contact Phone Number: *
cell or landline
Contact Email Address: *
We will send additional class details, payment and other notifications to this address. If you do not have an email address, please provide your address below and type "no email" above.
Participant's email address (if different from above:
Helpful, but optional
Participant's phone number:
Helpful, but optional, cell or landline
Address:

Street Address

CityState

Zip Code
LIKENESS AGREEMENT – By selecting “YES”, I allow CazArts to use my likeness from photos and videos taken in the above-noted class, on promotional materials in connection with CazArts.*

YESNO
I give permission to share my email and phone number with the instructor for the purposes of communication about this/these class(es).*

YESNO
PLEASE NOTE: Social distancing and wearing masks isan appreciated choice.
Vaccinated for COVID19*

YESNO
Date of last COVID19 vaccination?

MonthDayYear
Date
Special requirements, message to CazArts or OTHER:

125 words maximum0/125
How did you hear about CazArts classes? Check all that apply.*

WebsitePosterFacebookEmailNewsletterSocial mediaInstagramAdvertisementNextdoorNewspaperFriend or familyTeacherOther
SCHOLARSHIPS AVAILABLE for kids and some adults with a financial need. CazArts can cover some of the class fees thanks to a generous donor. If you would like to access this assistance, select "YES" below. When you submit this form, you will be redirected to the Scholarship form to complete. If funds are still available, you will be notified by CazArts. NOTE: Limited to one class/workshop per family per session.
I am an adult 65 and older residing in Madison County and am requesting help to cover my class fees.*

NOYES
I am an adult on disability residing in Madison County and am requesting help to cover my class fees.*

NOYES
I am registering a minor child and request help to cover class fees.*

NOYES
Would you like to become a CazArts member?
If you are planning to register multiple participants, please complete and submit a registration form to register each participant. You will be able to pay for multiple registered participants and/or classes all at once.
NOTE: Please be sure to check your SPAM folder periodically for important communications from the class instructor or Liz Lurie, the program coordinator.
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