Class Registration Form - Fall/winter: Sep 7 - December 22
5% off when paid prior to June 20
При регистрации и оплате до 20 июня- скидка 5%
Please fill the registration form and we will send you an invoice.
Если ваш ребёнок уже был зарегистрирован у нас, заполните, пожалуйста, ТОЛЬКО ПОЛЯ, ПОМЕЧЕННЫЕ ЗВЁЗДОЧКАМИ.
Если Вы регистрируетесь первый раз, заполните, пожалуйста, ВСЕ поля.
Student Last Name
Your answer
Student First Name
Your answer
Parent Last Name
Your answer
Parent First Name
Your answer
email
Your answer
Street address
Your answer
City
Your answer
Zip
Your answer
Cell phone
Your answer
Home phone
Your answer
Other emergency contact
(name and phone#)
Your answer
Please mark the classes
Required
I give my permission to take pictures of my child's art and craft works and of my child, working in class. Orange Line can use these pictures in advertisement, booklets and expose them on its web site or in studio.
Required
How did you find out about Orange Line?
No refund for missed classes. Two make-up classes for missed classes per session.
Required
Current School and Grade (e.g. PS 200, 3rd Grade)
Your answer
Year of Birth
Your answer
Is your child currently attending Kangaroo Planet?
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