ArtReach & THEARC Farm: Farmtastic!
Youth 8-14
Tuesdays & Thursday, May 2019, 5-7 pm

We're helping beautify THEARC Farm!

Explore all the flowers, fruit, herbs, greens, and vegetables that grow in the farm. Learn about their healthy benefits. Each workshop will explore a different aspect of the farm.

Put your painting skills to use to create signage for all the plants.

Classes will meet in the ArtReach Studio and take occasional visits to the farm.

No prior art experience is necessary.
Registration is first come, first-served.

Please submit a separate registration form for each participant.

Workshops are free.

Email address *
Workshop Selection (Check each day you're able to attend. Each workshop will focus on a different area in the Farm) *
Required
Student's First Name *
Your answer
Student's Last Name
Your answer
Date of Birth *
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DD
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Age *
Your answer
Grade Level *
Your answer
Gender *
Home Address (Street, City & State) *
Your answer
Zipcode *
Your answer
Ward *
School (Name and City) *
Your answer
Has your student participated in the ArtReach program before? *
Number of ArtReach semesters previously attended *
Has your student been to THEARC Farm before?
Where did you hear about the ArtReach program? *
Your answer
What prompted you to sign up? *
Your answer
Guardian's Name *
Your answer
Relationship to the student *
Your answer
Guardian's Phone Number *
Your answer
Email Address *
Your answer
Authorization of Pick Up *
I grant ArtReach permission to release my child into custody of the following people in addition to either of the guardians listed above and the emergency contacts (list authorized people and relationship to the student)
Your answer
Photographic/Digital Image Release - I grant ArtReach and THEARC Farm the right to photograph, video tape, and interview my child and his/her artwork and to digitally reproduce through digital images, audio, and video recordings. The photographs and digital reproductions may be used at ArtReach's discretion for promotional and educational purposes. (Name and Date) *
Your answer
Attendance Policy. It is important that every student takes full advantage of studio time and instruction. Students who have two or more unexcused absences will be asked not to continue in the class. If students cannot commit to attending all sessions, we kindly ask that you consider joining another time. In the event of an absence, please notify ArtReach via email (artreach@gwu.edu) or phone (202-819-5490). Signing below indicates that you understand the attendance policy. *
Your answer
Food Allergies *
List Allergies
Your answer
Medical Authorization and Release - In the event that my child requires medical attention while participating in ArtReach at THEARC, I hereby authorize and consent to emergency medical treatment. The program administrator or his or her designee has my permission, in an emergency, has my authorization to take the child to the emergency room of the nearest hospital, and the hospital and its medical staff have my authorization to provide treatment which a physician deems necessary for the wellbeing of the child. I hereby authorize and consent to non-­‐emergency minor first aid for my child while enrolled as a participant in ArtReach at THEARC, as deemed necessary by the program administrator and/or ArtReach staff. I acknowledge, however, ArtReach Staff cannot administer over-­‐the-­‐counter or prescription medication to students on a non-­‐emergency basis. I hereby authorize any health plan-­‐participating or non-­‐participating physician, hospital, or other health care provider to give emergency medical care and treatment to my child at no cost to ArtReach at THEARC. I understand that ArtReach at THEARC assume no liability for any medical, hospital, other health care provider and/or related expenses incurred by the child while he or she is participating in ArtReach. I hereby release, discharge and agree to hold harmless ArtReach at THEARC, and their Trustees, agents, employees, representatives and volunteers from any and all liability arising out of or in connection my child’s medical or health care needs. (Name and date) *
Your answer
We will send you a confirmation email within a week upon receipt. You will be notified of enrollment within three business days. Please let us know if you have any questions:
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