ANNOUNCING

YOUTH OPEN

STUDIO NIGHTS
WHAT
Open Studios provide 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 crafts for those who prefer a
bit more guidance. Come and enjoy a night of art and creativity at ACT!

WHERE
WHERE The ACT Offices: 1140 Monroe NW, Suite 4101; GR, 49503
WHO
Anyone between ages 5-15 who is interested in creating art! Students may
come one their own (there will be volunteer & staff supervision), with
friends or family, or with an aid (aids, 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.

COST

ACTS 2015
SPRING/SUMMER
YOUTH OPEN

STUDIO NIGHTS!
FREE!
Thursday, April 16
(Special Drumming Open
Studio!)
6:00-8:00 pm
$10.00
Thursday, June 18
6:00-8:00 pm

SEND REGISTRATION
& PAYMENT TO:
Artists Creating Together
1140 Monroe NW,
Suite 4101
Grand Rapids, MI 49503
Phone: 616-885-5866
Email: program@
artistscreatingtogether.org

Free for Drumming Open Studio, $10.00 June 18 Open Studio

REGISTRATION
Participants Name: ______________________________ Age: ______ Disabilit(ies)___________________________
*Parent/Guardian Name: ______________________________________ Primary Phone #: _____________________
Email: ____________________________ Address: _________________________ C/Z: ______________________
*Please indicate if you would like someone other than the Parent/Guardian to be the Emergency contact during Open Studio time

Signing up for: April 16 (FREE!! Special Drumming Open Studio) June 18 ($10.00)
Payment Owed: ____________
Method of Payment: ___ Check (Please make checks out to ACT) ___ Cash
Payment enclosed? ___ Y ___N

_____ Mastercard ____ VISA

_____ Discover
_____ American Express
________________________________________ _______________________________________________
Name as it appears on card

Card Number

__________________

____________

___________

Billing Zip Code

Exp. Date

CVV Code

Photo/Video Release Artists Creating Together (ACT) has my permission to publish my likeness and/or my artwork in any of
their own print, video, internet publication or social media application. It may also be used in media from a partner or community
collaborator that promotes the work of ACT, with ACT permission. I understand that I may or may not be identified specifically by
name. This authorization will remain in my file and will serve as ongoing authorization for the agency to obtain photos/videos at
any time during my affiliation with ACT.

Signature: __________________________________________________________________________