Registration Form
Students Details:
Full Name
*
First Name
Last Name
Birthdate
-
Month
-
Day
Year
Date
Parents Name
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
E-mail
example@example.com
Select the classes
*
Please Select
Mondrian 5-8 yrs Curiosity & Creativity
Miro 9-11 yrs Observation & Foundation
Van Gogh 12-18 yrsFundamental & Foundation
Gond Tribal Art painting
Madhubani Art painting
Warli Art painting Workshop
Glass painting Workshop
Friends Paint Together Workshop
Referred by
Name of the referred person
Photo Consent:
I give permission to The Artistic Expressions to use photos taken of my child making art to be used in marketing The Artistic Expression's art programs.
Submit
Should be Empty: