Kids Art Discovery Class Registration

Kids Classes Registration

Student Information
NOTE:
You will need to sign the paper permission form before your child can start attending classes. If renewing, you only need to fill out required fields: student name and permissions. If new registration, please fill out everything that applies.
New or renewal?*
- New
- Renewal
Student*
First Last
Age*
Please enter a number from 5 to 17.
Student Address*
Street Address Address Line 2 City State ZIP Code
Phone*
Father's Name
First Last
Father's Email
Father's Phone
Mother's Name
First Last
Mother's Email
Mother's Phone
Medical and Emergency Information
Learning Problems
Allergies
Other adults who may pick up your child (ID will be required)
Name
First Last
Phone
Name
First Last
Phone
Emergency Contacts
Name of friend(s) or relative(s) in the area who may be notified if unable to locate parent(s). If a child becomes sick while at the center, the child MUST be picked up and taken home, if not picked up by you then by someone else. No exceptions.
Name
First Last
Phone
Name
First Last
Phone
Permissions*
I will notify the center if there is a change in the above arrangements. In case of an emergency, I understand the center will try to contact the parent. In the event that the parent cannot be reached, permission is given for the Art Center to take my child to an emergency hospital by ambulance if necessary.
- Yes
- No
Permission to Photograph*
I grant permission to the Art Center to take photographs of my child for the sole purposes of advertising, scrapbooking, and/or inclusion in local newspaper articles.
- Yes
- No
Additional Information
Include details about class requirements, preferred scheduling options, and any questions you may have.
CAPTCHA
Base Price
Total
$0.00

Kids Art Discovery Class Supply Kit
$70.00 Add to cart

Kids Classes Registration

Student Information

Medical and Emergency Information

Emergency Contacts

Kids Art Discovery Class Supply Kit