Art classes / Registration Form / Fall session 2021
Fall session 2021 /44 Gaukel str.,  Kitchener  
Art Instructor Yulia Balobanova
Sign in to Google to save your progress. Learn more
Email *
Student Name (First and Last) *
Date of Birth *
MM
/
DD
/
YYYY
Art classes /  Fall session 2021 *
Required
Phone number *
Emergency contact and phone number *
Payment. 1 class=2 hours =$45  including all supplies. Payment via email transfer yulia.balobanova@gmail.com. *
What is your  goal for art classes?
Do you give a permission to publish your photos on my website or/and social media? *
Missing classes: If you miss a class because of covid-19 symptoms or if lockdown happens, your payment will transfer to the next month/next session. Other cases: payments are not refundable. *
Required
Covid-19 restrictions: 44 Gaukel’s front doors remain locked to the public at all times. Art instructor Yulia Balobanova will meet all students at the entrance and come in to the art room together. Don't be late please and come 5 minutes earlier! *
Required
Everyone in the building must wear a face-covering in common spaces including hallways and bathrooms. In the art room there is 2 m distance between desks, students may have a break from masks during the class. If students can not keep 2 m distance they must wear masks. Cleaning and disinfecting protocols will be in place for all spaces on the building. *
Required
Requirement from the City of Kitchener: You  must complete the COVID-19 screening posted outside the front entrance of 44 Gaukel each time when you enter the building.  Or use the link: https://survey123.arcgis.com/share/3a213ef45734448d9bfc181a030989dd
If you or somebody in your family has covid-19 symptoms, please stay at home and give a notice to the instructor. *
Required
If you are going to miss a class, please give a notice to the instructor at least 30 min before a class. *
Required
Parent signature (type your last name) *
Address - 44 Gaukel street, Kitchener.  Entrance to the parking lot from Joseph street only. Joseph street is one way now. So you should drive along the red arrow, see the map below. The parking lot is free after 5 pm and on Sundays. Then you walk along Gaukel street (it's closed for traffic)  to the main entrance ( the second porch from the parking lot).
Captionless Image
Thank you ! Invoices will be emailed. Feel free to contact Art Instructor Yulia Balobanova via email yulia.balobanova@gmail.com, FB messenger or phone 226-821-08-27.  Payments are accepted via email transfer yulia.balobanova@gmail.com.  
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms