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 5-8. This program runs Monday, Wednesday, and 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:

3-day weeks - $165 a month

Non-Member pricing:

3-day weeks - $186 a month

Multi-Student (max two students)

3-day weeks - $225 a month
Select After School Program Option that best applies to you.*

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!

Call us for discounted rates! Or to become a member!

My Products

3 Days a Week (Monthly Cost)$186.00

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

3 Days a Week (Monthly Cost)$225.00

Mutli-Student Registration - max two students

Enter coupon

Subtotal $0.00Tax $0.00Total $0.00

Credit Card

Should be Empty:

Contact Information

Standards and Code of Conduct

Payment, Pricing and Refund Policy

Credit Card