Fall 2021 After-School Classes Registration
Thank you for your interest in joining us for after-school classes for the Fall 2021 semester!

This semester, we are offering a mix of in-person and virtual classes to accommodate all students and insure that everyone has the opportunity to safely participate in classes depending on their level of comfort. For virtual classes, pick-up dates will be arranged for free art supplies at THEARC.

Registration is on a first-come, first-serve basis and spaces are limited. Note that we give priority to Ward 7 and 8 residents. Please read thoroughly, review, and complete this application to the best of your knowledge. Classes have different age limits, so we ask that you please sign up for age appropriate classes. Lessons are sequential, and we simply ask for your commitment to attend each class and be on time.

Please submit a separate registration form for each student for each class.

We follow The George Washington University and DCPS Holiday schedule. To see our calendar, click here: https://tinyurl.com/artreachclassschedule

Questions? Contact: artreach@gwu.edu

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Email *
IMPORTANT Information on COVID-19 Safety
We are offering a mix of in-person and virtual classes this semester to accommodate all students. Please take a moment to review our COVID-19 Safety Procedures and Protocols (https://tinyurl.com/artreachCOVIDprocedures)

On the second page of this form, you will be required to sign an agreement that you will abide by our procedures and protocols.
Class Descriptions
Class Selection (Please select one.) *
Student's First Name *
Student's Last Name *
Date of Birth *
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Grade Level *
Gender *
Home Address (Street, City & State) *
Zipcode *
Ward *
School Name *
Does your student participate in art classes during the school day? *
Has your student participated in the ArtReach program before? *
Number of ArtReach semesters previously attended *
Where did you hear about the ArtReach program? *
Required
Guardian's First and Last Name *
Guardian's Relationship to the Student *
Guardian's Phone Number *
Email Address *
Photographic/Digital Image Release - I grant ArtReach the right to photograph, video tape, and interview my child and his/her artwork and to digitally reproduce through digital images, audio, and video recordings. The photographs and digital reproductions may be used at ArtReach's discretion for promotional and educational purposes. (Name and Date) *
Attendance Policy: We are fortunate to have the opportunity to provide this class free of cost.  We only ask for your commitment to attend each class and be fully present.  We understand that life events can be unpredictable.  We ask that you notify us at your earliest convenience if there are any changes to your attendance.  Students who have two or more unexcused absences will be kindly asked to consider joining at another time.  In the event of an absence, please notify ArtReach via email (artreach@gwu.edu) or phone (202-819-5490).  Signing below indicates that you understand the attendance policy (First and Last Name, Date). *
Medical Authorization and Release - In the event that my child requires medical attention while participating in ArtReach at THEARC, I hereby authorize and consent to emergency medical treatment. The program administrator or his or her designee has my permission, in an emergency, has my authorization to take the child to the emergency room of the nearest hospital, and the hospital and its medical staff have my authorization to provide treatment which a physician deems necessary for the wellbeing of the child. I hereby authorize and consent to non-­‐emergency minor first aid for my child while enrolled as a participant in ArtReach at THEARC, as deemed necessary by the program administrator and/or ArtReach staff. I acknowledge, however, ArtReach Staff cannot administer over-­‐the-­‐counter or prescription medication to students on a non-­‐emergency basis. I hereby authorize any health plan-­‐participating or non-­‐participating physician, hospital, or other health care provider to give emergency medical care and treatment to my child at no cost to ArtReach at THEARC. I understand that ArtReach at THEARC assume no liability for any medical, hospital, other health care provider and/or related expenses incurred by the child while he or she is participating in ArtReach. I hereby release, discharge and agree to hold harmless ArtReach at THEARC, and their Trustees, agents, employees, representatives and volunteers from any and all liability arising out of or in connection my child’s medical or health care needs. (Name and date)
We will send you enrollment confirmation via email (please allow up to one week). In the meantime, let us know if you have any questions:
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