6-Week Children’s Art ClassEnrollment Form

6-Week Children’s Art ClassEnrollment Form

Fill out the form carefully for registration
Student Name

First NameLast Name
Birth Date

MonthDayYear
Gender
Parent Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parents E-mail
example@example.com
Mobile Number
Courses
Has your child taken any art classes before? If yes, feel free to share what kind.
I understand that each weekly class is 1 hour long, except for the final week. The final session will be 2 hours: one hour of class time and one hour for a showcase in the church’s common area, where children can display their artwork and celebrate their growth over the six-week program.

I Agree
Authorized Pick-Up Individuals:Please list all adults who are permitted to pick up your child. Only the individuals listed below will be allowed to do so.
I understand that my child is allowed to take their artwork home each week; however, if they choose to bring their projects home, please return them on the final day so all pieces can be included in the end-of-program showcase. Artwork may also be safely stored at the church throughout the six weeks if preferred. All pieces will go home with the children after the final session.

My child may take artwork home.Leave artwork at the facility.
Emergency Contact (Required): Name, Phone Number & Relationship to Child
Is there anything else we should know about your child that would help us support them during the program? Please share any additional information you feel is important.
We’d love to know—how did you hear about our program?
Should be Empty: