Art Academy Registration Form
Spring 2026
Student Information
Name
First Name
Last Name
Birthday
-
Month
-
Day
Year
Date
Grade
T-shirt Size:
Youth Small
Adult Smaill
Youth Medium
Adult Medium
Youth Large
Adult Large
List Any Allergies and Dietary Restrictions
Medications & Frequency
Email
example@example.com
Phone Number
-
Area Code
Phone Number
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Parent / Guardian Information
(All correspondence and invoices will be sent to this person)
Name
First Name
Last Name
Email
example@example.com
Cell Phone
-
Area Code
Phone Number
Work Phone
-
Area Code
Phone Number
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Occupation
Relationship to student enrollee
Emergency Contact #1 and Authorized Pick Up Persons
Emergency Contact #2 and Authorized Pick Up Persons
Program Information
Program & Payment
Select Your Program Choice & Additional (Optional) Merchandise
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( X )
Middle Years Program
$200.00
$
200.00
November 1 - December 13 [ 9-11 a.m.] 5th - 8th Grades Art Exploration Drawing - Painting - Printmaking - Sculpture
High School Program
$220.00
$
220.00
November 1 - December 13 [12 - 3:30 p.m.] 9th - 12th Grades Portfolio Development
Canvas Portfolio
$35.00
$
35.00
Duke Studios Monogram Black Art Portfolio Case 24" X 36" with Shoulder Strap
Quantity
1
2
3
4
5
6
7
8
9
10
Monogram Canvas Tote Bag
$20.00
$
20.00
Lightweight 100% Cotton Tote Bag 16" H x 15" W
Quantity
1
2
3
4
5
6
7
8
9
10
Monogram Canvas Pencil Case
$8.00
$
8.00
Large Duke Studios Detroit Canvas Pouch with Colored Zipper
Quantity
1
2
3
4
5
6
7
8
9
10
Brand Long Logo Hoodie
$50.00
$
50.00
Gildan Midweight 50/50 Pullover Hoodie
Quantity
1
2
3
4
5
6
7
8
9
10
Color
White
Gray
Navy
Black
Brand Square Logo Hoodie
$50.00
$
50.00
Gildan Midweight 50/50 Pullover Hoodie
Quantity
1
2
3
4
5
6
7
8
9
10
Color
White
Navy
Gray
Black
Brand Trucker Snapback
$30.00
$
30.00
Five‑Panel Trucker Hat Embroidered
Quantity
1
2
3
4
5
6
7
8
9
10
Color
White
Navy
Black
Monogram Glass Water Bottle
$20.00
$
20.00
16 oz Bamboo Glass Water Bottle 9.75 x 9.5
Quantity
1
2
3
4
5
6
7
8
9
10
Brand Plastic Water Bottle
$12.00
$
12.00
Clear Plastic 10 oz 2x 7 inches
Quantity
1
2
3
4
5
6
7
8
9
10
Subtotal
$0.00
$
0.00
Tax
$0.00
$
0.00
Total
$0.00
$
0.00
Payment Methods
Credit Card
Apple Pay
After submitting the form, you will be redirected to Apple Pay to complete the payment.
Google Pay
After submitting the form, you will be redirected to Google Pay to complete the payment.
Terms & Conditions
Saturday Visual Art Class (Grades 5–12) 1. Enrollment & Eligibility Open to students in Grades 5 through 12. Registration must be completed online via the official website. Enrollment is confirmed only after payment is received. 2. Class Schedule & Attendance Classes are held every Saturday at 2405 W. McNichols Detroit MI, 48221. Students are expected to arrive on time and attend regularly. No refunds or make-up classes for missed sessions unless canceled by the instructor. 3. Materials & Supplies are provided. 4. Conduct & Safety Respectful behavior is expected from all participants. Disruptive behavior may result in dismissal from the program without refund. Safety protocols must be followed at all times. 5. Media Release By enrolling, parents/guardians grant permission for photographs or videos of students and their artwork to be used for promotional purposes unless otherwise stated in writing. 6. Cancellation & Refund Policy Full refunds available up to 7 days before the first class. No refunds after the program begins unless canceled by the organizer.
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