Student Enrollment Form - New Urban Arts

We are offering in-person programs once again for the 2022-23 School Year! Fill out the form below to get involved. For questions, email Studio Director Joselina Fay, joselina@newurbanarts.org.

If you are a Providence-area high school student, you are eligible to participate in New Urban Arts’ free after-school arts programs. Registration is open year-round. The questions on this form help us create safe space in a purposeful way. We collect this information so we can fully understand the diverse needs and backgrounds of our students. This form will not be shared with anyone outside of New Urban Arts. It is available only to NUA staff and mentors. The information on this student enrollment form is STRICTLY CONFIDENTIAL. If you don’t feel comfortable answering a question, please don’t answer it. You can also print out a student enrollment form and mail it back or drop it off: click here for the English version, and here for the Spanish version.

1About You

2Your School

3Your Parent/Guardian

4New Urban Arts

5Supplemental Demographic Info

6Agreement

Parent/Guardian Name*
Relationship*
Parent/Guardian Address

Street Address

Address Line 2

City

State / Province / Region

ZIP / Postal Code
Parent/Guardian Email Address*

Enter Email

Confirm Email

We will only follow up with your parent/guardian to get their permission for you to participate in our programs. If your parent/guardian does not have an email address, please put yours here.
Parent/Guardian - Preferred Language
Parent/Guardian - Other Language
Parent/Guardian - Primary Phone*
Is your parent/guardian's primary phone a mobile, home, or work phone?
Parent/Guardian - Secondary Phone
Is your parent/guardian's secondary phone a mobile, home, or work phone?
Second Parent/Guardian Name
Relationship (Second Parent/Guardian)
Second Parent/Guardian Address

Street Address

Address Line 2

City

State / Province / Region

ZIP / Postal Code
Second Parent/Guardian Email Address

Enter Email

Confirm Email
Second Parent/Guardian - Preferred Language
Second Parent/Guardian - Other Language
Second Parent/Guardian - Primary Phone
Is your second parent/guardian's primary phone a mobile, home, or work phone?
Second Parent/Guardian - Secondary Phone
Is your second parent/guardian's secondary phone a mobile, home, or work phone?