REGISTRATION FORM
Student name *
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Age: *
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Parent/ Guardian Name *
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Address
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Contact information *
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Email *
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Emergency contact- Name and number *
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Allergies or special concerns *
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Please read and sign
I hereby give permission for my child, under supervision, to take part in all art experiences and use
any tools and art mediums necessary unless otherwise stated. I relinquish blame for any soiled or
damaged clothing or belongings. Additionally, I give permission for my child to be treated by a local
doctor, or area hospital in the event of a medical emergency, illness or accident, if parent or guardian
cannot be reached.
Signiture *
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Date
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Questions? Please contact Najia at (206)434-5919 or najias.studio@gmail.com
Registration is complete once form has been filled and payment has been made. Payment can be made online details on the main page.
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