Student Enrollment Form - New Urban Arts

Fill out the form below to get involved for the 2023-24 school year. For questions, email Studio Director Jeannie Castillo-Lapierre, jeannie@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. f 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?