Preschool Primary Week 2019

Follow Your Art Community Studios Registration

Preschool Primary Week
Ages 3-5
June 18-20, 2019
Tuesday-Thursday
9-10:30 am

FULL

Tuesday - Yellow Wednesday - Red Thursday - Blue

Caregiver Name*

First NameLast Name

E-mail*

Cell Phone*

Area CodePhone Number

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Emergency Contact*

Emergency Phone

Area CodePhone Number

Session*

Preschool Primary Week

Number of Children Registering*

All children must be in the same family. Children in a different family, ie cousins or nanny shares should use a new form.

Child 1 *

First NameLast Name

Age*

WAIT LIST- Preschool Primary Week Child 1

Tuesday-Thursday, June 18-20

SubTotal Child1

Child 2

First NameLast Name

Age

WAITLIST - Preschool Primary Week, Child 2

Tuesday-Thursday, June 18-20

SubTotal Child2

Child 3

First NameLast Name

Age

WAIT LIST - Preschool Primary Week, Child 3

Tuesday-Thursday, June 18-20

SubTotal Child3

Membership Discount Code

Total

Is there any special information about that we should know about the registrant(s)?

Can registrant(s) be photographed?*

YesNo

Can registrant(s) artwork be photographed and/or displayed?*

YesNo

Payment is due prior to the start of the session and is non-refundable unless the session is canceled. Preschool Primary week needs at least 3 artists to run. Parents are not obligated to stay for sessions, provided they are able to be reached via cell phone in case of emergency and return 5 minutes before session end time. Please send your child with a small nut free snack and a water bottle. Please note that the studio can be a messy place, so dress accordingly! Smocks or old shirts are strongly encouraged.

I agree to the above waiver.

Preschool Primary Week Payment

USDDescription

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Version 1.0 8/05/17 JDB

Waiver