Arts Education registration form

If you call in your payment, registration will take place via phone. Please make payment via Pay Pal.

Student Name *
Student Name
Student attending class
Parent/Guardian Name
Parent/Guardian Name
Must list parent if student is under 18
Phone *
Phone
Best # to reach you in case of emergency
What is the title of the class you are registering?
Start date? We must know this as some workshops and classes run multiple times.
Are there any allergies or medical conditions the instructors and coordinator should know about? *
check yes or no. List any information we need to be aware of in the "Message" box.
List medical conditions and severe allergies here. We serve snacks for certain programs, please inform us of food allergies. Any questions or other info goes here as well. Thanks