After School Art Program

After School Art Program

Pre-Registration
After School Arts Program!

Umpqua Valley Arts now provides an after-school arts program and classes for youth ages 5-7. This program runs Monday through Friday from 3:30 pm to 5:30 pm and Wednesdays from 2:30 pm to 5:30 pm. This program is for arts education.

This Program Renews Monthly! Stay up to date with our website!

Feel free to call UVA at (541) 672-2532 or email info@uvarts.com for registration updates!
Contact Information
Student Name*

First NameLast Name
Secondary Student Name

First NameLast Name
Student Age*
Secondary Student Age
Guardian Name*

First NameLast Name
Secondary Guardian Name*

First NameLast Name
Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Primary Phone Number*

Area CodePhone Number
Secondary Phone Number*

Area CodePhone Number
E-mail*

Confirmation Email
Are you an UVA Member? (Current members receive a discount.)*

YesNo
Are you registering more than one child? (Multiple student registration receives a discount.)*

YesNo
UVA Photo Release:
Please indicate below...*

I give permission for pictures taken of my child and/or my child's artwork to be used for publicity purposes.I do not give permission.
Allergies and Accommodations:
Please list any Allergies or Accommodation below.*
Example: Asthma, and Peanut allergy
Standards and Code of Conduct

All Parents/Guardians will be asked to sign the following document in person. Please review below:
Payment, Pricing and Refund Policy
Pricing and Fees for this Program are as follows:

UVA Family Membership Holders:

5-day weeks - $250 a month

Non-Member pricing:

5-day weeks - $310 a month

Multiple Student Registration: Registration for two students living in the same household with a UVA Family membership.

5-day weeks - $595 a month

Late Pick-up Fees: Late fees increase by double every 5+ minutes. Fees to be added to the bill.

10+ minutes - $2.00 | 15+ minutes - $4.00

20+ minutes - $8.00 | 25+ minutes - $16.00

Late Payment Fees:

Family Membership Holders - $12.50 each day of no payment.

Non-membership Holders - $15.50 each day of no payment.
Select After School Program Option that best applies to you.*

5 days a week (Mon-Fri)4 days a week (Mon - Thurs)3 days a week (Mon, Wed, Fri)
Please check that you have read the following:*

Full payment at time of registration is required. Payments will be due monthly for this program. Late payments will result in a late penalty fee each day prior to payment.Up until two weeks prior to the start of the event, you will receive a full refund (minus a service charge fee) should you need to cancel your registration. Cancellations made after this two-week time frame are nonrefundable. Should UVA cancel the event, all participants will receive a full refund or credit towards future UVA programs/classes.Late Pick-up will result in a late pick-up fee that will be added to each monthly bill.I understand that Umpqua Valley Arts is NOT a Licensed DayCare/Care center, and that this programs focus is for Arts Education/Arts Programing, not child care/daycare.
Please contact us for your Membership Discount Code!

My Products

3 Days a Week $186.00

Non-Member 3 Days a Week (Monday, Wednesday, Friday)

5 Days a Week $310.00

Non-Member 5 Days a Week (Monday - Friday)

4 Days a Week$248.00

Non-Member 4 Days a Week (Tuesday-Friday)

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Contact Information

Standards and Code of Conduct

Payment, Pricing and Refund Policy

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