Registration Form

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Registration Form

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* Indicates required question

Parent's Info

First Name *

Your answer

Last Name *

Your answer

Address

Your answer

Email *

Your answer

Phone number *

Your answer

Child's Info

First Name *

Your answer

Last Name *

Your answer

Age *

Your answer

Education Level *

Your answer

Choose program *

Choose

Art Start: 4-6 yrs

Art Exploration: 7-12 yrs

Art Teens: 13-17 yrs

Choose attendance interest *

Choose

Full Program - $150

Selected classes (3 minimum)

Emergency Contact

First Name *

Your answer

Last Name *

Your answer

Relationship to minor *

Choose

Mother

Father

Uncle

Aunt

Sibling

Baby Sitter/Nanny

Other

Allergies/Add'l info about your child, please explain

Your answer

Next

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