Keith Garubba Art

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Private Class Registration

APPLICATION FORM

Fill out the form below to request a timeslot for private art sessions with Keith Garubba.

You will be contacted soon after to discuss your options and make plans to begin!

Please note: By filling out the application form below, student hereby agrees to the Private Art Lesson Agreement and Policies, attached below as a PDF.

Download Private Art Lesson Agreement and Policies

Private Class Registration

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

Opt-In

Please add me to the Keith Garubba Art Newsletter for occasional news and updates.

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.

Thank you for signing up to take Private Classes! I will get back to you as soon as possible

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Keith Garubba Art

Workshops and Fine Artworks in Paper and Glass

Located in the Lehigh Valley of Pennsylvania

Allentown | Bethlehem | Easton

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