Join the Waitlist

*There are currently no spots available in our music classes, but you can join our waitlist by filling out this form. If we have a class available for your student’s grade, we will contact you.

Before you begin, please make sure to have emergency contact information and your student’s medical information ready. If you have any questions, please email info@globalartsco.org.

Student Name *

Primer Nombre

Apellido

Gender or Pronouns

Birthdate *

Student's Preferred Language *

Please choose the ethnicity that best describes the student (this information will ONLY be used for statistical purposes. It will NOT be used as a basis for admission or any other discriminatory manner) *

If you indicated "other" please specify below

Address *

Address Line 1

Address Line 2

City

State

Zip Code

School *

Student Grade *

Student's Living Arrangement *

Living with Parent(s)
Living with other family members
Foster care/parent(s)
Other

Does the student qualify for free or reduced lunch? *

Parent/Guardian #1

Name *

Primer Nombre

Apellido

Cell Phone Number *

Work Phone- if applicable

Email *

Parent 1 Preferred Language *

Do you feel comfortable communicating in English? *

Address- leave blank if same as student address

Address Line 1

Address Line 2

City

State

Zip Code

Parent/Guardian #2

Name

Primer Nombre

Apellido

Cell Phone

Parent/Guardian 2 Language Preference

Do you feel comfortable communicating in English?

Address- leave blank if same as student address

Address Line 1

Address Line 2

City

State

Zip Code

What is your annual household income?

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

Primer Nombre

Apellido

Phone

Name

Primer Nombre

Apellido

Phone

Emergency Information

Emergency Contact #1 (other than parent or guardian) *

Primer Nombre

Apellido

Cell Phone Number *

Emergency Contact #2 (other than parent or guardian)

Primer Nombre

Apellido

Cell Phone Number

Please list any allergies or medical conditions your child has.

May your student be given the following if needed?

Aspirin or Tylenol *

Benadryl *

Medical Authorization

Should it be necessary for the student, parent(s), and/or guardian listed above to receive medical care while participating with Global Arts and/or any activities with which it is affiliated, I/we hereby give Global Arts personnel permission to use their judgement in obtaining that care. I/We also give permission to the physician selected by Global Arts personnel to render medical care that s/he deems necessary and appropriate. I/We understand that Global Arts has no insurance covering medical or hospital costs incurred by any participant and, therefore, any cost incurred for such treatment will be entirely my/our responsibility.

This year, our goal is to provide our incredible young musicians with the opportunity to be a part of their very first ensemble. But we can only achieve this goal through the kindness and generosity of people like you!

Join the Waitlist

*There are currently no spots available in our music classes, but you can join our waitlist by filling out this form. If we have a class available for your student’s grade, we will contact you.

Before you begin, please make sure to have emergency contact information and your student’s medical information ready. If you have any questions, please email info@globalartsco.org.

Parent/Guardian #1

Parent/Guardian #2

People Authorized for Pick-Up

Emergency Information

Medical Authorization

This year, our goal is to provide our incredible young musicians with the opportunity to be a part of their very first ensemble. But we can only achieve this goal through the kindness and generosity of people like you!

Click here to support our young musicians!

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