After School Art Class Registration
payment options will be sent with confirmation
Parent/ Guardian
First Name
Last Name
E-mail
Contact Number
-
Area Code
Phone Number
Emergency Contact Name
First Name
Last Name
Emergency Contact number
-
Area Code
Phone Number
Child's name
First Name
Last Name
Child's Name & Age
First Name
Last Name
Age
Child's name
First Name
Last Name
Age
Child's name
First Name
Last Name
Age
How did you hear about the workshop?
Web Site
Friend/Colleague
Online Search
Which School Does you child attend?
Number
Age
If your child is coming directly from school please advise us of the time their school finishes.
Please list anyone likely to collect your child from class.?
If you live close by, does your child have permission to make their own way home?
Yes
No
Does your child have any allergies? Please tell us if they have any contact allergies as well as food allergies. (The Addison Road Centre has a variety of beautiful gardens we like to explore)
In the event your child has forgotten, lost, already eaten their afternoon snacks, Do you give permission for us to provide a piece of fruit or snack if available?
Yes
No
Is there anything else you would like us to know?
Submit
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