PITTSBURGH-SOUTH SIDE ArtReach
Fall 2024 Registration Form
Student Name
*
First Name
Last Name
Grade Level
*
K5
1
2
3
4
5
6
7
8
9
10
11
12
Student ID
*
az123456
Academic Adviser
*
Email
*
Please use email most frequently used
Telephone Number (most used)
*
example: 123-234-3456
Telephone Number (secondary)
example: 123-234-3456
List All Adults (First & Last Name) That Have Permission To Pick Up The Student
*
Allergies:
leave blank if none
MONDAYS
*
9:00am to 10:15am (K-5th) Art You Can Feel
9:00am to 10:15am (K-5th) Ukulele
10:30am to 11:45am (K-5th) Creepy Art
10:30am to 11:45am (K-5th) Boomwhacker Band
12:30pm to 2:30pm (6th-12th) Creative Productions Series
Submit Form
Should be Empty: