New Student Registration

Fill out this form if you have already completed the interest form and have been contacted by Global Arts asking for you to register with the program.

Student Information

Student Name(Required)
Please choose the ethnicity that best describes the student(Required)

This information will ONLY be used for statistical purposes. It will NOT be used as a basis for admission or any other discriminatory manner.
Address
Example: Mom and Grandma
Does your child qualify for free and reduced lunch?(Required)

Parent/Guardian Information

Do you feel comfortable communicating in English?
Email Address
Email Address
Do you feel comfortable communicating in English?
What is your annual household income?(Required)
This question is optional and does NOT affect your child's enrollment in the program. This information helps us when we apply for grants so we can keep Global Arts free for our community.

People Authorized for Pick-Up

Please list who is authorized to pick-up your child. By law, we cannot release your child to someone who is not a parent or legal guardian unless you have given us prior written authorization to do so.
Name
Name

Emergency Contact and Medical Information

(cannot be parent or guardian)
(cannot be parent or guardian)

May your student be given the following if needed?

Aspirin or Tylenol(Required)
Benadryl(Required)
Examples: wheelchair access, help with understanding English during class, time to take medication.