Art-Tism Empowerment Foundation Cardio Drumming Class Registration Form

Art-Tism Empowerment Inc Adaptive Cardio Drumming & Art Exploration Class Registration Form
Class 1 Schedule
Date - 10/11/2025
Time - 10:00 AM - 10:45 AM
Topic - Adaptive Child Cardio Drumming (ages 8-17)

Class 2 Schedule
Date - 10/11/2025
Time - 11:00 AM - 11:45 AM
Topic - Adaptive Adult Cardio Drumming (ages 18-81)

Class 3 Schedule

Date - 10/11/2025

Class 3 Schedule
Date - 10/11/2025
Time - 12:00 PM - 1 PM
Topic - Adaptive Art Exploration (ages 18-81)

Time - 1:15 PM - 2:15 PM
Topic - Adaptive Art Exploration (ages 8-17)
Participant Information
Name

First NameLast Name
Age
Gender

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Phone Number
Email
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Address

Street Address

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School Name
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Parent/Guardian Information

For minors (below 18 years of age) or adults with guardian
Parent/Guardian Name

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Phone Number
Email
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Relationship To Participant
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Do you want to enroll more participants?

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Additional participant(s)
Payment & Confirmation
Registration Fee
prevnext( X )
Adaptive Adult Cardio Drumming Class ages 18-81
$30.00 Quantity



Adaptive Child Cardio Drumming Art Class ages 8-17
$30.00 Quantity



Adaptive Adult Art Exploration Classages 18-81
$20.00 Quantity



Adaptive Child Art Exploration Classages 8-17
$20.00 Quantity



Total

$0.00
Payment Method

CashZelle
Please only sign if you're 18 years old and above otherwise, leave it blank and have your parent/guardian signed the next signature field.
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The relevant links will be provided in the autoresponder email after you successfully registered.

If you have any questions, please email or call us using the details below:

Art-Tism Empowerment Inc

Website: www.arttism.net

Email: Info@arttism.net
Instagram: @Arttismempowerment
Phone: (216) 236-3616
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Art-Tism Empowerment Inc Adaptive Cardio Drumming & Art Exploration Class Registration Form

Participant Information

Parent/Guardian Information

Other

Payment & Confirmation