Registration Form - GSA Informational Session
Join us for an Informational Session with a GSA representative to begin your application! This session is FREE and will be hosted at the Gateway Regional Arts Center on Thursday, November 30th, at 6 PM. 101 East Main St. Mount Sterling, KY 40353
Student Name
*
First Name
Middle Name
Last Name
Artform (Check all that apply)
*
Creative Writing
Dance
Design
Drama
Film + Photography
Instrumental Music
Musical Theatre
Visual Art
Vocal Music
Grade Level
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Student Email
*
example@example.com
Student Phone Number
*
Guardian Name
*
First Name
Last Name
Guardian Email
*
example@example.com
Guardian Phone Number
*
Additional Comments
Submit
Should be Empty: