ArtReach Registration Form

GREENSBURG ArtReach

Spring 2025 Registration Form
Student Name*

First NameLast Name
Grade Level*
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
The Greensburg Regional Office has a school nurse on staff. Are there any health conditions we should be aware of while the student is attending ArtReach?
leave blank if none
MONDAYS*

9:00am to 10:15am (3rd-5th) Nature's Creations9:00am to 10:15am (K-2nd) Traveling Stories10:30am to 11:45am (K-2nd) Busy Hands10:30am to 11:45am (3rd-5th) Bring Characters to Life12:15pm to 1:45pm (6th-8th) Today's Art12:15pm to 1:45pm (9th-12th) Piano Time is Key2:00pm to 3:30pm (9th-12th) Artists' Open Studio2:00pm to 3:30pm (6th-8th) Musical Exploration
Should be Empty:

GREENSBURG ArtReach