Class Enrollment 2024-25

Class Enrollment 2024-25

The South Brooklyn Art Camp
Parent/Guardian Name*

First NameLast Name
Parent/Guardian Email Address*
example@example.com
Parent/Guardian Phone Number
Please enter a valid phone number.
Parent/Guardian Address

Street Address

Apartment

CityState

Zip Code
Select a Program (Class calendar dates can be chosen on next page)*

After School Program: Mon-Fri 2:30 PM - 6:00 PMArt Class: Mon-Fri 4:00 PM - 5:30 PM
Child Information

Please enroll ONE CHILD at a time
Child*

First NameLast Name
Age*
Grade*
Does your child have any allergies, chronic illness, or medical condition?*

YesNo
Please describe.*
Is your child prescribed with an inhaler or an EPI pen?*

YesNo
Please explain any instructions or type N/A.*

Please select the days that your child will be attending.

Our classes and off days follow the DOE school calendar
SEPTEMBER 2024
OCTOBER 2024
NOVEMBER 2024 (DOE holidays are Camp Days if >5 students enroll)
DECEMBER 2024
JANUARY 2025
FEBRUARY 2025
MARCH 2025
APRIL 2025
MAY 2025
JUNE 2025

Payment

Your monthly spots will be held only if monthly payment is made. You are requested to kindly pay by the 1st of the respective month. We accept payments via ZELLE to 718-408-0234, VENMO to @Rupsha-Iqbal, or CASH.
Absence Policy

If your child is sick and has not gone to their elementary school that day, or has been pulled out due to illness, your payment for the afterschool program will be put towards another day of the following month.
Should be Empty:

Child Information