GRADUATED
ART: Art Explosion!
Foster the artist inside as you make new friends and
enjoy a variety of creative experiences—from clay to mosaics; from beadwork to painting and from collages to photography.
· Adults, 18 years and up
· Summer session: Monday, September 28-Monday, November 30, 2009 from 6:30-7:30pm
· Cost: $75.00
· Location: VSA arts (300 Ottawa NW, Suite 0200; Grand Rapids, 49503)
Register by completing the form below and returning it with payment to VSA: 300 Ottawa NW Ste 0200; Grand Rapids, MI 49503 or by fax: 616-885-5867. Please call (616-885-5866) or email (vsaprogram@iserv.net) Katie Timmermans with any questions or concerns.
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REGISTRATION FORM
Participant’s Name ____________________________________________________ Age_____________
Parent/Guardian’s Name _____________________________________________________
Address ________________________________________ City _______________________Zip ___________________
Phone __________________________ E-mail ____________________________________________________
Disability (please check those that apply):
___ LD
___ EI
___ Multi
Alergies?_____________________
___ Autism
___ Wheelchair
___ Blind/VI
___ Developmental Disability
___ Deaf/HI
___ Other _______________
VSA encourages participants to bring an assistant if necessary for meaningful participation in class. There is no cost for assistants. Name of Assistant: __________________________________________________
Please check here if payment is enclosed _____. Full payment of $75.00 must be received before the first class on Monday, September 28. Make checks payable to VSA arts. Send registration form and payment to:
VSA arts of Grand Rapids, MI
300 Ottawa Ave. Suite 0200
Grand Rapids, MI 49503
Special Thanks to our Community Partners:
Alticor One by One
Campaign for Children. Arts Council of Greater Grand Rapids. Mary Free Bed Fund.