Kiddie Art Class Registration Form

Kiddie Art Class Registration Form

* Sip & Paint Style Saturday Art Class for Primary School Aged Kids
Student Information
Student Name*

First NameLast Name
Age*
Grade level (school/homeschool)*
e.g. Grade 2
Mother’s Name*

First NameLast Name
Phone Number*

Area CodePhone Number
Email*
Mothers email@example.com
Father’s Name

First NameLast Name
Phone Number

Area CodePhone Number
Email
Fathersemail@example.com
Yes, they take Art at their school/homeschoolNo, they have never taken a formal art classSome, they do not take formal art classes but they do art at home.
Hearing aidEye GlassesWheelchair UserNone of theseOther
Nut AllergyDiabetesPhysical impairmentNone of theseOther
ADD/ADHDAutismDown SyndromeSpeech ImpedimentsNone of theseOther
Terms & Conditions

Parents/ Guardians are only permitted to sign this form.

Completing this form does not automatically mean enrollment. Enrollment is official once all payments have been made in advance.

This also serves as a photo release of images including artwork for display on website as promotional material. Students are responsible for their own health insurance and releases any libilities due to injury or illness at all.

Classes must be paid in full before class is scheduled to begin.
Snacks are to be provided by the parent.

Art supplies included.

Parents will be added to what's app group for class updates and important information.
Parent/Guardian Signature *
Date Signed*

MonthDayYear
Date
Parent/Guardian Name*

First NameLast Name
Other
FacebookTwitterInstagramYouTubeSearch EngineOnline AdsReferralOther
Refer-a-Friend
Payment & Confirmation
If you have any questions, please email or call using the details below: ccampbellart 9@gmail.com

Phone 819-7913
Should be Empty:

Kiddie Art Class Registration Form

Student Information

Other

Payment & Confirmation