Class Details:

Options:

🔵 Tuesday (K-2 students - Visual Arts Explorers): Jan 9, Jan 16, Jan 23, Jan 30, Feb 6
🔴 Wednesday (3-5 grade students - Visual Arts Discoveries): Jan 10, Jan 17, Jan 24, Jan 31, Feb 7

⏳ Duration: 5 weeks from Jan 9 to Feb 7 📌

⏰ Time: 1 hour after school, 3:30 - 4:30 PM

💵 Fee: $40

🚌 Options: Pickup or after-school bus (available for 3-5 grade).

💰 Financial Assistance: Scholarships with up to 100% tuition reduction and Sliding Scale options are available. Fees can be adjusted to accommodate your financial situation.

Will your child be riding the activity bus or getting picked up after the GAK After-School Art class?*

Student Name*

First NameLast Name

Student's date of birth*

Date

Grade*

Parent Guardian name #1*

First NameLast Name

Parent Guardian #1 email*

example@example.com

Phone Number #1*

Please enter a valid phone number.

Parent Guardian #1*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Parent Guardian name #2

First NameLast Name

Parent Guardian #2 email

example@example.com

Phone Number #2

Please enter a valid phone number.

Emergency contact Name #1*

First NameLast Name

Emergency contact Phone Number #1*

Please enter a valid phone number.

Emergency contact Name #2

First NameLast Name

Emergency contact Phone Number #2

Please enter a valid phone number.

Emergency contact Name #3

First NameLast Name

Emergency contact Phone Number #3

Please enter a valid phone number.

People authorized to pick your child up?*

I give permission for my child to be photographed.*

YesNo

I give permission for my child to participate in field trips either walking or transported.*

YesNo

I give permission for my minor child to receive emergency medical attention.*

YesNo

I would like to apply for a tuition reduction.*

YesNo

💰 Financial Assistance Options
Please choose one of the following options for financial assistance:

Option 1: Scholarship
Discount: 50-100% tuition reduction
Requirements: Complete the Tuition Reduction Application.
Submit supporting documents, such as pay stubs, DSHS paperwork, and tax returns.

Option 2: Sliding Scale
Discount: 15-45% tuition reduction based on income
Requirements: Provide pay stubs or tax returns for income verification.

Income Brackets and Corresponding Discounts:
$0-19,999: 45% discount
$20,000-29,999: 35% discount
$30,000-39,999: 25% discount
$40,000-49,999: 15% discount

Tuition reduction selection*

Option 1: ScholarshipOption 2: Sliding Scale

Select your Bracket*

45% discount35% discount25% discount15% discount

Provide pay stubs or tax returns for income verification.

TOTAL*

USDDescription

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Thank you for selecting tuition reduction.

If you apply for Scholarship, please complete the form at this link:
https://form.jotform.com/223075991050050.

Once we've reviewed and approved your application, we'll send you a confirmation email and an invoice with the reduced price.

Please note that your registration will not be considered complete until we receive your final payment. We understand the financial pressure you may be facing, and we're here to support you in making this process as smooth and welcoming as possible. If you have any questions or concerns, please don't hesitate to reach out to us

Class price

Class Details:

Day selection

STUDENT INFORMATION

PARENT/GUARDIAN INFORMATION

EMERGENCY CONTACT

AUTHORIZATION

Tuition Reduction