ArtReach Registration Form

ALLENTOWN 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
MONDAYS*

9:00am to 10:15am (K-5th) Make Anew9:00am to 10:15am (K-5th) Storytelling with Puppets10:30am to 11:45am (K-5th) Art Safari10:30am to 11:45am (K-5th) Stage Direction12:15pm to 1:45pm (6th-12th) Character Creations12:15pm to 1:45pm (6th-12th) Musical Theatre Today2:00pm to 3:30pm (6th-12th) Artists' Open Studio2:00pm to 3:30pm (6th-12th) Creating Magic
Should be Empty:

ALLENTOWN ArtReach