AUDUBON PARK SCHOOL CLASS REGISTRATION FORM 2026-27

PARTICIPANT INFORMATION
Participant Name

First NameLast Name
Birthdate

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Does your child have any allergies, chronic illness or medical conditions? Please indicate YES or NO. If YES, please describe:
Is your child a:
Who has permission to pick up your child?

HOUSEHOLD/ADULT PRIMARY CONTACT
Parent/Guardian Name

First NameLast Name
Relationship to Participant
Parent/Guardian Phone Number
Please enter a valid phone number.Format: (000) 000-0000.

EMERGENCY CONTACT
Emergency Contact - Name/Relationship
Emergency Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.

DETAILS
Occasionally we take photographs of participants for advertisement purposes. Please check the box with your preference.
REFUND POLICY
There are no refunds or credits offered after registration has been paid. In case of school closure, a makeup day will be designated.

REGISTRATION AND ATTENDANCE
Your child’s spot is held once tuition is paid IN FULL.
Please email Heidi Lifrage at petitepalette1@gmail.com at the latest one hour before class starts to let her be aware if your child will be absent on a given day.
Please check the box below to confirm you have read the above information.
Audubon Park School Class Sessions

CLICK THE BUTTON WITH THE PRICE TO SELECT YOUR SESSION. A GREEN CHECKMARK WILL APPEAR CONFIRMING YOUR SELECTION.
SELECT YOUR ART SESSION(S)
Art Session 1
Art Session 2
Art Session 3
Art Session 4
SELECT YOUR COOKING SESSION(S)
Cooking Session 1
Cooking Session 2
Cooking Session 3
Cooking Session 4
SELECT YOUR MINI MAHJONG SESSION(S)
Mini Mahjong Session 1
Mini Mahjong Session 2
Mini Mahjong Session 3
Mini Mahjong Session 4
Calculation
Total for selected sessions:

prevnext( X )
USDDescription
PayPal or Venmo Email
example@example.com
Leave Heidi a message:
Payment Methods

Choose from one of the PayPal options to make your payment.
Should be Empty:

PARTICIPANT INFORMATION