SUMMER STUDIO - REGISTRATION
Fill out this form if you are interested participating in Summer Studio! Registering means you may drop in, work on art projects on your own or with friends - but we ask that everyone RSVP before coming (online or by phone)!
Participant Name *
Your answer
Summer Studio Dates of Interest
Participant Date of Birth *
MM
/
DD
/
YYYY
Home Address *
Your answer
Participant Gender
Your answer
D.C. School, Grade *
Your answer
Participant identifies as: *
Required
If Asian/Pacific Islander, please specify (Vietnamese, Chinese, Filipino, Native Hawaiian/other Pacific Islander, etc):
Your answer
(Optional) Why does the participant want to join summer studio? Is there anything specific they wish to work on, or learn?
Your answer
PARENT/GUARDIAN AND HOUSEHOLD INFO
Parent/Guardian Name: *
Your answer
Relationship to Participant: *
Your answer
Phone Number: *
Your answer
E-mail address *
Your answer
Home Address: *
Your answer
EMERGENCY CONTACT INFORMATION
Emergency Contact: *
Your answer
Emergency Contact Phone Number(s): *
Your answer
Emergency Contact Address: *
Your answer
PICK-UP CONTACT
Name of person(s) who may pick up the participant: *
Your answer
Relationship to participant: *
Your answer
Pick-up Contact Phone Number(s): *
Your answer
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