Pulse & Purpose: Creative Wellness through Music, Media and Movement

Powered by the Virginia Commission for the Arts

Saturdays • 10 a.m. – 12 p.m. • Iron Village Preparatory Academy (409 East Laburnum Ave. Richmond, Va 23236)

Dates: February 7, 2026 • March 7, 2026 • April 4, 2026 • May 2, 2026

Student Information

First Name

Last Name

Student Grade Level

Is your student currently enrolled at Iron Village Prep (Yes/No)

Parent/Guardian Information

First Name

Last Name

Email Address

Phone

(123) 456-7890

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Sliding Scale Tuition Selection

Payment Method

Emergency Contact Name

First Name

Last Name

Phone

(###)

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Does your student have any allergies or medical needs we should be aware of?

Media & Participation Release

Permission to photograph/record student projects for school communications and showcases (Yes/No)