Arts Club Registration

Legacy Arts Membership Application

To apply for membership please complete all questions.
What Program Are You Applying For?
Parent Name

First NameLast Name
Student Name

First NameLast Name
Student Grade
Student School
Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E-mail
Phone Number

Area CodePhone Number
In this next section, please tell us about your child. Your answers will not effect our selection process, we simply need to know where your child is so we can track growth.

Student Behavior

	1	2	3	4	5

1 is Worst, 5 is Best

Student Academics

	1	2	3	4	5

1 is Worst, 5 is Best

Student Art Skill

	1	2	3	4	5

1 is Worst, 5 is Best

Why Do You Want Your Child To Join The Legacy Arts Chester?
Opt In To Receive Text Notifications Regarding Legacy Programming and Updates
By opting in you agree to receive texts and notifications regarding Legacy programming, schedule changes, updates and information. You are able to opt out at any time by replying STOP to the text message from Simply Texting
Signature
Were you recommended to Legacy by a current member? If so, who?
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Legacy Arts Membership Application