Kids Create Club Registration Form

Kids Create Club Registration Form

For students in 3rd-6th Grade
Details

Dates - 2nd and 4th Thursday each month. First meet up is Thursday, Feb. 12th!

Time - 3:30 PM - 5:00 PM

Cost - Free

Location - Pine Center for the Arts

For Grades 3rd-6th

Kids can create art projects with available supplies provided by Pine Center for the Arts or they can bring a project from home. Snacks and refreshments provided.

Class facilitated by Jennifer Peters
Parent/Guardian Information

For minors (below 18 years of age)
Parent/Guardian Contact Information
Parent/Guardian Name

First NameLast Name
Phone Number
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Relationship
Please list the number of student(s) that will be attending for each date. Note: If you are unsure whether the student will be attending at a later date, you can always fill this form out again to reserve that spot. Please email facilitator Jennifer Peters if you have any questions at outtoseacreations@gmail.com
Other
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Student Registration
Please list any dietary restrictions below:
Parent/guardian Signature

Clear
Date Signed

MonthDayYear
Date
The relevant links will be provided in the autoresponder email after you successfully registered.

If you have any questions, please email Jennifer Peters using the details below:

outtoseacreations@gmail.com

This activity is made possible through a Greater Pine Area Endowment fund awarded to Pine Center for the Arts. This activity is also made possible by the voters of Minnesota through an operating grant from the East Central Regional Arts Council, thanks to legislative appropriations from the Arts & Cultural Heritage Fund. #ecrac #artslegacy
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Kids Create Club Registration Form

Parent/Guardian Information

Parent/Guardian Contact Information

Other