YOUTH OPEN STUDIO

WHAT Open Studio provides an inclusive opportunity for kids &

young adults ages 5-15 to explore their own creativity in an open,
supportive environment. For 2 hours, participants will have access to
ACTs art supplies and will have the opportunity create their own
masterpieces! Along with this, there will also be planned activities for
those who prefer a bit more guidance. Come and enjoy a night of art
and creativity at ACT!

WHERE ACT Studio: 1140 Monroe NW, Suite 4101; GR, 49503
WHEN

Thursday, February 11, 2016 from 6:00-8:00 pm

SEND REGISTRATION
& PAYMENT TO:

WHO Anyone between ages 5-15 who is interested in creating art!

Artists Creating Together

1140 Monroe NW,
Suite 4101
Grand Rapids, MI 49503

Students may come one their own (there will be volunteer & staff
supervision), with friends or family, or with an aide (aides, whether a family
member or staff person are free). Students who require bathroom
assistance must be accompanied by an adult. Limit to first 20 people
registered.

Phone: 616-885-5866
Email: coordinator@
artistscreatingtogether.org

COST
$10.00 per person

REGISTRATION
________________________________________________________________________________________
Participants Name

Current Contact Information:

________________________________________________________________________________________________
Address

_______________________________________________

______________

______________________________

City

State

Zip

________________________________________________

______________________________________________

E-mail

Phone

Emergency Contact during Open Studio:

__________________________________

_________________

________________________

Name

Phone

Relationship

Participants must complete a Student Enrollment Form prior to the class. Have you completed a Student Enrollment Form?
_____Yes _____ No
Payment Information:
Method of Payment

__________________________

_______________________

_____________

__________

________

Name as it appears on card

Card Number

Billing Zip Code

Exp. Date

CVV Code

_____ Check (Please make checks payable to ACT)

_____ Cash
Payment enclosed? _____ Yes _____ No