Visual Art Lessons Payor Name* First Last Student Name* First Last Student Age* Email* Phone*Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Choose your lessonChoose your lessonIndividual Art LessonsGroup Art ClassClasses Starting September 12th -December 16th (13 Weeks)What areas of art is your student interested in learning?* Is your student wanting to submit a portfolio to get into an art school? If so, when is the approximate deadline?* What is your student’s goal for this session of classes?* For private classes please submit the day and time that works best for you. The instructor will reach out with their open availability.* Group Art Class (13 Weeks)Choose your levelLevel II 3:30-5:00 High School LevelLevel I 5:00-6:30 Middle School LevelTuesday Nights. Price includes supplies. Submit example of art work #1*Max. file size: 512 MB.Submit example of art work #2*Max. file size: 512 MB.Submit example of art work #3*Max. file size: 512 MB.Choose your lesson duration30 minutes45 minutes60 minutesPrice includes suppliesFor private lessons please submit the day and time that works best for your student. The instructor will reach out to you with open availability.* Payment information* I agree IMPORTANT: Payments only accepted by PayPal account. You will be automatically redirected to PayPal. Cash and checks not accepted. Total $0.00 PhoneThis field is for validation purposes and should be left unchanged.