Keith Garubba Art

Full Name

Preferred Pronoun

Topics of Interest

Marbling

Printmaking

Digital Art and Design

Cartooning and Sequential Art

Mixed Topics and Media

Painting and Drawing

Class Model

Email Address

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Physical Residence Address

Phone Number

Emergency Contact (Name, Relationship, Phone, Email)

Requested Time Slot (Requests Cannot be Guaranteed, but will be Discussed at Time of Signup))

Monday Afternoons

Mondays Evenings

Tuesday Afternoons

Wednesday Afternoons

Thursday Afternoons

Thursday Evenings

Friday Afternoons

Other (list in notes)

Additional Notes: This is anything that you'd like me to know. Feel free to elaborate on your availability, ask questions about my structure, or give me more of your background.

Agreement

I have read and agree to the Keith Garubba Art Private Art Instruction Policies and Agreement document provided above application.

APPLICATION FORM

Private Class Registration

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