CSAD SUMMER Class Registration ONCE A WEEK

Summer 2026 Registration Form

June 1st - August 16th
Registration
Student Name

First NameLast Name
Age
"A" for Adults
Date of Birth

MonthDayYear
Name of School Attending
Elementary, Middle or High School
Parent's/Customer Name

PrefixFirst NameLast Name
Primary Contact Number

Area CodePhone Number
Secondary Contact Number

Area CodePhone Number
E-mail
Invoices and other school updates/notices are sent to email on file
Emergency Contact

First NameLast Name
Emergency Contact Number

Area CodePhone Number
Please list any allergies or medical conditions the school needs to be aware of
Art Summer School - Once A Week 2 Hours
Choose Start Date

MonthDayYear
2 digit month, 2 digit day, 4 digit year
How did you hear about The Artist Within School of Art?

Other
Additional Notes
Parent's Signature
Today's Date

My Products

Registration Fee $40.00

Required for First Time Students

Summer Supply Fee $30.00

Required For Each Semester

Class Monthly Tuition $160.00

Once A Week Class (4 x two hour Art Lessons)

Summer Semester$450.00

(June - August) Once a week classes Savings of $30

Enter coupon

Total $0.00

Credit Card

Should be Empty: