2020 Winter/Spring Semester Give and Receive Promotion
Your student's registration will be confirmed via email after receipt of registration and payment.
Student's Name *
Your answer
Student's Date of Birth *
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/
DD
/
YYYY
Student's Age *
Your answer
Student's Gender *
Class *
Parent or Guardian *
Your answer
Phone Number *
Your answer
2nd Parent or Guardian
Your answer
2nd Phone Number
Your answer
Mailing Address with Zip Code *
Your answer
Contact Email Address *
Your answer
Are there any concerns that the student has that the instructor should know about, i.e. food allergies, learning differences? *
If the answer to the preceding question was yes, please explain below.
Your answer
Are you available to chaperon a lesson? If so please indicate your preferred date.
dates are listed by weekend, you would be asked to chaperon your student's lesson
By clicking below, I agree that neither Social Arts Atlanta, LLC or Zak Holdings, LLC nor any of its employees, independent contractors, directors and/or officers will be held liable for any injury which may occur to my child while attending programming. I hereby release Social Arts Atlanta, LLC or Zak Holdings and their respective employees, independent contractors, directors and/or officers from any and all legal or financial claims. I give permission for Social Arts Atlanta, LLC to use images of my child taken while participating in programming for public relations. *
Parent or Guardian *
Your answer
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