Registration Form: Part 2

Payment Information**
You may sign-up for individual classes or can buy them in packages for extra savings.

DESCRIPTION
Sign up for two classes in one term. Sign up for one class per term for the whole year. Sign up for all classes throughout the year.

COST
Sess. 1: $70 Sess. 2-3: $135 Sess. 4: $110

SAVINGS

Adult Art Programs: 2012-2013

ACT offers a number of opportunities just for adults! Graduated Art classes are classes for people age 16 and up. These programs offer opportunities for building a community, meeting new friends, and building self confidence, all while learning and enjoying art.

10% 15% 20%

MY BILL

$215 $400

**Scholarships are available on an as-needed basis. Please contact Katie at program@artistscreatingtogether.org or #885-5866 with questions.

Basic Class Information

Classes meet at ACT (1140 Monroe NW, GR) unless otherwise noted Class size is generally 10-15 students Classes are taught by professional teaching artists Need-based scholarships are available (see registration form for more information) Visual Art Classes meet on Mondays; non-visual art classes meet on Tuesdays and Choir on Thursdays

DESCRIPTION
Sign up for two classes in one term.

CLASS COST

Sess. 1: $70 Session ________________________ Sess. 2-3: $135 Sess. 4: $110 $________ Ex. Session Fall 2012 (Printing & Glee)
Sign up for one class per term for the whole year. Mini Fall 2012 ___________________ Fall 2012 _______________________ Winter 2013 ____________________ Spring 2013 ____________________ Sign up for all classes throughout the year.

Sign-up Today!

$215 $400

$ ________ $ ________

2012-2013 Class Schedule

CLASS
Fall/Spring 2012-2013
Movie Night

(continued on pg 2)

DAY
Friday, Sept. 14

TIME
6:30 9:00 pm

COST
$5

Sign up for individual classes (See schedule (including Choir & Movie Night) for price listing 1. ______________________________ of individual 2. ______________________________ classes) 3. ______________________________ Ex. Spring 2013 Mixed Media class

Movie Night: Enjoy a movie night with your friends at ACT. Included in the price is a bag popcorn and cup of pop.

$________

CLASS
ACT Choir

DAY
Thursdays: 9/20-5/16

TIME
12:30-1:30pm

COST
$75/semester or $125/year

MY TOTAL COST

$________

ACT Choir: A community choir focusing on fun, friendship, and music technique. No experience necessary. Location: Kuyper College

Schedule 2012-2013 cont.

Go Green. Make Art !

Registration Form: Part 1

TIME
6:30-7:30pm 5:00-6:00pm

CLASS
Recycled Art The Art of Gardening

DAY
Mondays: 9/10-10/1 Tuesdays: 9/1110/2

COST
$40.00 $40.00

Most classes are capped at 15 participants, so sign up today to ensure your spot!
Registration

MINI-FALL 2012

Recycled Art: Reduce, Reuse, Recycle! In this class, students will learn to create beautiful art projects from things we usually throw away. Art of Gardening: Explore a garden through harvesting vegetables, beautifying the garden, & more! Location: Creston Community Garden

FALL 2012

CLASS
Printmaking Glee Show Choir

DAY
Mondays: 10/812/10 Tuesdays: 10/9-12/11

TIME
6:30-7:30pm 5:00-6:00pm

COST
$75.00 $75.00

Participants Name__________________________________________ Date of Birth_______________ Age ______ Guardian's Name___________________________________________ Address ___________________________________________________ City___________________________________ Zip ________________ Phone ___________ Email___________________________________ Emergency Contact Person ___________________________________ Emergency Contact Phone_____________________ Disability (please check all that apply) ____ LD ____ ASD* ____ CI ____ EI ____ TBI ____ CP ____DS ____ BLIND/VI ____ DEAF/HI ____ WHEELCHAIR ____ MULTI ____ SLI _____OHI ____ OTHER (Please List) __________________ ____ Allergies (Please List) ___________________________________ *Ask about full scholarships available for individuals with ASD
Assistant ACT encourages participants to bring an assistant if necessary for meaningful participation in class. There is no cost for assistants. Please note that we will not provide art supplies for assistants as the purpose of the assistant is to help the participant, not to work on his or her own art project. Name of Assistant __________________________________________ Photo Release: 2012-2013

Intro to Printmaking: Learn the basic techniques of printmaking, experiment with a variety of forms of printing, and create your own stamps! Glee! Show Choir: Based on the popular hit TV show, Glee!, students will have fun singing, dancing, and drumming together.

WINTER 2013

CLASS
Pottery Music and Drumming

DAY
Mondays: 1/143/18 Tuesdays: 1/153/19

TIME
6:30-7:30pm 5:00-6:00pm

COST
$75.00 $75.00

Pottery: Students will learn to sculpt, mold, and manipulate clay to create beautiful pieces they will take home with them. Music/Drumming: Students will enjoy playing new instruments, hearing new music, and will end by creating a song of their own.

SPRING 2013

CLASS
Mixed Media Art Creative Movement & Dance

DAY
Mondays: 4/85/13 Tuesday: 4/95/14

TIME
6:30-7:30pm 5:00-6:00pm

COST
$60.00 $60.00

I grant Artists Creating Together permission to photograph me/ (if you are your own guardian) my student and the right to use, publish, reproduce and disseminate any photograph of me/my child or their artwork obtained in connection with the classes taken at ACT without payment compensation to me/my child. Signature _________________________________________________
Payment Information: See back for payment information. Make checks payable to ACT. Send form and check to ACT: 1140 Monroe NW, Suite 4101; Grand Rapids, MI 49503 Questions? Call or email Katie: #885-5866, program@artistscreatingtogether.org

Mixed Media Art: Students will explore different types of art mediums and use them to create their own mixed-media masterpieces! CM & Dance: Dance and CM will take place in a fun, community environment with students learning new moves and creating new dances.