2nd Saturday Art Labs

2nd Saturday Art Labs

Brownwood Art Center 325.671.2916

215 Fisk Avenue

Brownwood, Texas 76801 www.brownwoodart.org
Date*

MonthDayYear
Date
Student's Name*

First NameLast Name
Will the student be a monor (under 18) when attending the class?*

YesNo
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Home Phone*
Cell Phone*
Email*
example@example.com
- Please Note
  
  Each Student must complete a registration form and be accompanied by Adult /18+
  Registration forms can be made in Person at the Brownwood Art Center 215 Fisk Ave.
  
  Please have the Child wear Play clothes and bring something to drink or eat if needed. Art Center will supply water for them.
- Grade*
- Age*
- BoyGirl
- Emergency Contact*
  
  First NameLast Name
- Contact Phone Number*
- Emergency Contact Relationship to Child*
  
  ParentGuardianSibling (must be 18 or older)
- Allergies / Special Concerns
Should be Empty: