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After School Arts: Fall Session

Name: After School Arts: Fall Session
Start: 2022-01-13T16:00:00-05:00
End: 2022-01-13T17:30:00-05:00
Location: Glen Arbor Arts Center

Dates and times: November 18, December 2, 16 and January 6, 13; 4-5:30 pm
Registration deadline: November 15

Through thoughtful instruction and engaging, process-oriented projects, the GAAC hopes to inspire and support all children in building their own creative confidence.

Our five-week sessions offer students an engaging visual arts experience that focuses on technique, exposure to different media and most importantly FUN!

Offered to students in Grades K-4.
Snack and all art supplies are included.
Multi-Child Discount: $10 (will be calculated in cart when registering on website).
Scholarships are available. Please call the GAAC office for more information: 231-334-6112.
A health form is required per child. Click or tap the health form tab below.
A bus form is required if child will be riding the bus from Glen Lake Elementary.

Instructor
Health Form
Bus Form
Covid

Autumn Kirby loves working with students of all ages and abilities. She graduated from Minneapolis College of Art and Design in 2003 with a Master of Fine Arts with an emphasis in Multimedia Painting. She also received her Bachelor of Fine Art with a painting emphasis from Western Michigan University in 1999. She is presently enjoying acrylic painting, charcoal drawing, and playing violin. Autumn lives in Interlochen with her husband, four boys, and two mastiffs.

Child Health Form

GAAC requires one completed health form per child that attends any GAAC class.

Will you need to complete a health form?
- no
- yes
Please fill out this form as completely as possible. If you need to complete a health form for more than one child, you will need to exit this page and come back after submitting to refresh the form. All required fields are marked with *.

This form will be kept confidential and on file for use by our staff or emergency medical personnel. Thank you!
Section 1 - Basic Child Information
Child Name*
(Required)
First Last
Birthday*
(Required)
Emergency Phone*
(Required)
Home Address
Street Address City State ZIP Code
Section 2 - Parent/Guardian Contact Information
Parent/Guardian #1 Name*
(Required)
First Last
Parent/Guardian #1 Relationship to Child
Parent/Guardian #1 Phone
Parent/Guardian #2 Name
First Last
Parent/Guardian #2 Relationship to Child
Parent/Guardian #2 Phone
Section 3 - Insurance
Is the child covered by family medical/hospital insurance?*
(Required)
- Yes
- No
Insurance Carrier Name
Policy Number
Group Number
Policy Holder’s Name
Relationship of Policy Holder to Child
Section 4 - Allergies
Does the child have any allergies?*
(Required)
- Yes
- No
Please note: a limited amount of medication for life threatening conditions should be carried by your child (i.e. bee sting kits, inhalers).
Allergies
List all allergies. Describe reaction and treatment.
Section 5 - Other
Child Health
List any special health conditions, prescription or over-the-counter medications, and physical activities to be limited or restricted.
Child Pick-Up
List all additional adults who are able to pick-up your child from art class.
Additional Information
Is there any additional information you would like to share about your child to ensure a wonderful class experience?
Section 6 - Authorization
Photo Consent
I, parent/guradian #1 (as indicated in this form), give the Glen Arbor Arts Center permission to use my child’s photograph publicly to promote its programming. This includes printed publications, online publications, presentations, websites and social media. I also understand that no royalty, fee or other compensation shall become payable by reason of use.
General Consent*
I, parent/guradian #1 (as indicated in this form), give permission for my child to engage in all prescribed class activities except as noted. The information provided on this form is accurate to the best of my knowledge. I have indicated any special health conditions, including required medication and activity limitations which should be known to the GAAC staff and medical personnel. I am aware of and accept the risk inherent in the program activity. I give consent in advance for medical treatment at an appropriate medical facility and authorize the transfer of my child to any medical facility that is reasonably accessible in case of illness or injury. I hereby agree and promise that I will not hold the Glen Arbor Arts Center, its staff, or volunteers responsible for any loss, damages, or personal injuries that may occure as a result of participation.
Comments
This field is for validation purposes and should be left unchanged.

Please submitt a bus form if child is riding the bus from Glen Lake Elementary.

Download Bus Form

COVID-RELATED UPDATES TO 2021 PROGRAMS AS OF August 25, 2021
To ensure the safety of our students and staff, we have implemented new procedures for our 2021 programs, to mitigate the spread of COVID and still allow participants to have a wonderful time creating art.

Class sizes will be limited to 12 persons or less for outdoor programs and 8 or less for indoor programs.
All students must wear face coverings inside the center when social distancing isn’t possible.
Students and staff will wash and sanitize hands frequently throughout the day.
Common areas and touched surfaces will be sanitized regularly.

To keep pace with the evolving conditions related to the pandemic, any new policies or procedures for classes will be communicated before the start of the class.

Details

Date: starts November 18 @ 4:00 pm
Event Categories:: Classes, Youth Classes

Venue

: Glen Arbor Arts Center
: 6031 S Lake St
Glen Arbor, MI 49636 United States + Google Map

Other

Instructor: Autumn Kirby
Grade Level: K-4
Format: In Person

After School Arts: Fall Session

Child Health Form

Section 1 - Basic Child Information

Section 2 - Parent/Guardian Contact Information

Section 3 - Insurance

Section 4 - Allergies

Section 5 - Other

Section 6 - Authorization

Details

Venue

Other

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