JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Urban Youth Arts Class
For ages 13-18
April 4, 2024 to May 9, 2024
On Thursdays from 5 PM- 7PM
$20 per class
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Student's Full Name
*
Your answer
Age
*
Your answer
Grade (Example: 1st Grade, 8th grade..ect)
*
Your answer
Guardian/ Parent Full Name and Number
*
Your answer
Emergency Contact Full Name and number
*
Your answer
Session Date(s) Selected:
*
Class 1: April 4, 2023
Class 2: April 11, 2024
Class 3: April18, 2024
Class 4: April 25, 2024
Class 5: May 2, 2024
Class 6: May 9, 2024
ALL 6 CLASSES
Payment Options--- $20 per Class
Paypal:
https://www.precitaeyes.org/urban-youth-arts.html
Check made out to Precita Eyes Muralists
Cash
Fund Aid Request
Clear selection
Media Release for Facebook, Instagram, Website/ eblasts
Yes! I agree to allow photo images to be shared online on social platforms
Yes! I agree to join the eblast list (we don't send more than 2 a month!)
I would like to be added to the volunteer data base
Other:
Clear selection
Send me a copy of my responses.
Submit
Page 1 of 1
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This form was created inside of Precita Eyes Mural Arts Center.
Report Abuse
Forms