Class Registration Form

Art Classes: NO CLASS March 16-20

Registration & Payment Form
Child's Name *

First Name Last Name
Child's Date of Birth *

Month Day Year
Date
Please select which class you would like to attend - class prices are shown below in the payment section of this form.

Tuesday - Homeschool Clay & Ceramics, ages 6-12 / 1:30-3:00pm - $20 Tuesday - Drawing & Painting, ages 5-10 / 4:30-6:00pm - $15 Wednesday - Little Makers, ages 2-4 / 10:30-11:30am - $10 Wednesday - Homeschool Mixed Media, ages 6-12 / 1:30-3:00pm - $15 Wednesday - Mixed Media, ages 5-10 / 4:00-5:30pm - $15 Wednesday - Block Printing, ages 10-15 / 5:30-7:00pm - $20 Thursday - My First Art Class, ages 2-4 / 10:30-11:30am - $10 Thursday - Homeschool Drawing & Painting, ages 10-15 / 1:30-3:00pm - $15 Thursday - Sculpture, ages 5-10 / 4:30-6:00pm - $15 Thursday - Clay & Ceramics, ages 6-12 / 5:00-6:30 - $20
Please include any and all names & phone numbers of those authorized to pick up your child from Artworks.

*Matching photo ID may be requested at the front desk*
Parent/Guardian 1 *

First Name Last Name
Parent/Guardian 2

First Name Last Name
Parent/Guardian 3

First Name Last Name
Emergency Contact *

Area Code Phone Number
Emergency Contact

Area Code Phone Number
Emergency Contact

Area Code Phone Number
Email *
Newsletter

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Please let us know if your child has any food/medicine allergies. If there is anything else you would like us to know about your child or your camp registration, please also include it here. Please include payment information if necessary (see below).
Payment Form

*Should you wish to make a payment at a later date, DO NOT select a QUANTITY of classes. You may still submit your registration without payment, as long as no quantities are selected. Payment is required to secure your spot in class; please indicated in the above notes portion when you will be making your class payment.

Choose the number of classes you would like to purchase - class vouchers will be provided on your first day of attendance. We can't wait to see you in the studio!

Little Makers / My First Art Class $ 10.00

Quantity

Mixed Media / Drawing & Painting / Sculpture $ 15.00

Quantity

Block Printing / Ceramics $ 20.00

Quantity

Block Printing & Ceramics Materials Fee $ 50.00

Quantity

Total $ 0.00

Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year
Billing Address
Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Should be Empty:

Art Classes: NO CLASS March 16-20

Payment Form