Course Registration Form

Student Registration Form

Thank you for your interest in Art @ Home Classes! You will receive an invoice within one business day of submitting your registration form
Student Name*

First NameLast Name
Guardian Name (If student is a child)

First NameLast Name
Student Birth Date

MonthDayYear
Student Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Guardian E-mail (or student if adult)*
example@example.com
Phone Number*
Format: (000) 000-0000.
Program*
Please submit a new form for each program
Do you wish to purchase an Art Kit with your registration?*

Yes, PreSchool Sibling Kit for $5 (1 kit comes with registration) Preschool Class ONLYYes, $30 Class Kit for 6 session classesNo
Choose Art Kit delivery option*

Free pick-upUSPSI will not be receiving an Art Kit (6 session class only, all PreSchool class registrations come with 1 Kit)
Additional Comments
Should be Empty:

Student Registration Form