Registration for art classes - Winter 2018
Email address *
Student's Name *
Your answer
Age, if Minor
Your answer
Parent's Name if minor
Your answer
Phone Number / Parent's phone number *
Your answer
Address *
Your answer
Medical information / Special notes
Your answer
Emergency contact (other than parent) *
Your answer
Please select the class (if you are not sure about the class or cannot find it in the list, please indicate as "Other") *
Required
Permission for taking photographs (of myself, my art and/or my child/their artwork). I understand that these photos may be used for instructor’s portfolio/website/other promotional purposes. *
I'd like to start the lessons (please select the date)
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/
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/
YYYY
I agree to the tuition and classes policies, including make-ups and cancellations, written here http://artsemash.com/tuition-and-policies/ (please print your full name) *
Your answer
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