Digital Arts Academy Classes Summer 2022
Please note: Our classes are currently full and on a WAIT LIST. We are looking at opening up waitlist spots ASAP - and if you don't make it in this summer we will contact you about fall offerings!

This form will register your child for Classes at Palama Settlement! One form per child.

Our summer session runs from June 6th to July 29th.

A follow up email will be sent after this form is submitted! :)
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Email *
What class(es) would you like to sign up your child for?  (Ages 7 to 13) *
Required
What class(es) would you like to sign up your child for?  (Ages 10 to 15) *
Required
What class(es) would you like to sign up your child for? (High School Ages) *
Required
Participant Information
This section will ask you information about the child you're signing up!
Participant's First Name *
Participant's Last Name *
Participant's Age *
Participant's Gender *
Participant's Grade *
Participant's Birthday *
MM
/
DD
/
YYYY
Home Phone Number *
Address *
Zip Code *
School name *
Does the participant have any medical conditions that we should be aware of? (ie. Asthma, Diabetes, seizures, heart problems, food allergy, drug allergies etc) *
Required
If yes, please provide information, and list any medications being taken.
Physician Name *
Physician Phone Number *
Medical Insurance Carrier *
Policy/Membership Number *
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