Urban Art Gallery Community Arts Classes

Welcome to UAG Community Arts Classes!

Thank you for your interest in the Urban Art Gallery Community Arts Program!
Before You Register
Please complete this registration form for the class(es) you are interested in.
Some classes have limited enrollment and may fill quickly.
If a class is marked "Waiting List," we encourage you to add your name. As openings become available, the class facilitator or instructor will contact you using the information you provide.

Submitting this form does not guarantee enrollment in a class that has reached capacity. You will receive confirmation once your registration has been reviewed.
Thank you for choosing Urban Art Gallery. We look forward to welcoming you and your family into our creative community, where art leads...life follows. We can't wait to see you in class! 🎨✨
Date

MonthDayYear
Date
Enrollment Status
Workshop / Program Choice
Parent or Guardian Information
Parent or Guardian Full Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email Address
example@example.com
Preferred Contact Method
Student Information
Student Full Name

First NameLast Name
Age
Date of Birth

MonthDayYear
Date
Grade
School Name
Home ZIP Code
Program History and Interest
Has the student participated in any Urban Art Gallery programs before?
Why does the youth want to join this workshop?
What does the parent or guardian hope the child gains from this program?
Emergency Contact
Emergency Contact Name

First NameMiddle NameLast Name
Emergency Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Relationship to Student
Support and Safety
Allergies or medical needs
Learning, emotional, or behavioral support needs
Anything else the teacher should know
Pickup Authorization and Media Consent
Will you pick up your child?
Does the child walk or catch the bus?
Primary Pickup Person Full Name

First NameLast Name
Authorized Pickup Names
Authorized Pickup Phone Numbers
Permission to Use Photos and Videos: Do you allow Urban ART Gallery to photograph or record your child during classes and use those photos or videos for promotional materials (website, social media, printed flyers, and program newsletters)? No names will be used without separate permission. You can change your preference any time by contacting us.
Should be Empty:

Welcome to UAG Community Arts Classes!

Parent or Guardian Information

Student Information

Program History and Interest

Emergency Contact

Support and Safety

Pickup Authorization and Media Consent