Registration Form Summer 2016
• To enroll, please submit one registration form per student.
• Student accounts with an outstanding balance must be paid in full before registration can be processed.
Young Artist Information
First Name of Young Artist
Last Name of Young Artist
Is your young artist a returning student or new student at SOE?
If new, how did you hear about us?
Friend/Word of Mouth
Space One Eleven's Website
Student Date of Birth
SOE gathers this information for the purpose of reporting to funding agencies.
White, Not Hispanic
American Indian/Alaskan Native
Name of School
Grade Entering Fall of 2016
First Name of Parent/Guardian
Last Name of Parent/Guardian
Relationship to Student
Street Address or P.O. Box
Primary Phone Number
2016 Summer Art Camp Sessions
Select the camps for which you are registering your young artist by checking the box(es) below. Please submit one registration form per student.
Grades 2 - 5
I'M AN ALABAMA ARTIST!
June 06-10 and June 13-17, two weeks, 8:30 am - noon, $300
June 27-July 01, one week, 8:30 am - noon, $150
Grades 6 - 8
Fired Up! Clay Workshop, June 20-24, 9 am - 3 pm, $215
Modern Masters: Drawing and Painting, June 20-24, 9 am - 3 pm, $215
Here's Looking at You! Hand Coloring for Black and White Photography, June 20-24, 9 am - 3 pm, $215
Grades 6 - 12
Clay Sculpture Workshop, July 11 - 15, 9 am - 3 pm, $215
Screens, Stencils, and Squeegees! Screen Printing 101, July 11 – 15, 9 am – 3 pm, $215
Fabric and Fiber Fun! Textile Art, July 18 – 22, 9 am – 3 pm, $215
Portfolio Development, July 18 – 22, 9 am – 4 pm, $285
Payment is due two weeks prior to the first day of camp. SOE accepts checks and cash. Make checks payable to Space One Eleven and include the name of your young artist in the memo line. Mail or bring payment to Space One Eleven.
You can make a difference:
I would like to make a monthly $5 tax-deductible contribution toward the scholarship program.
I would like to contribute a one-time tax deductible donation to the City Center Art scholarship program.
I would like to be contacted about volunteer opportunities at Space One Eleven.
Page 1 of 2
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service