Online Art Class Registration Form

Homeschool Art Club
Student Information
Student 1

First NameLast Name
Age
Gender
Spring Semester Art Club Dates -
What type of art would your kiddo(s) like to learn?
Parent/Guardian Information

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

First NameLast Name
Phone Number
Format: (000) 000-0000.
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Relationship
Other
How do you learn about this art club?

Other
Do you want to add more students?
Additional students
Payment & Confirmation
Use coupon code MULTI for 10% off when signing up more than one student or when signing up for multiple classes

If using Venmo or cash please message AmberDawn at 318-834-0853

January 16

$15.00 Quantity

January 30

$15.00 Quantity

February 13

$15.00 Quantity

February 27

$15.00 Quantity

March 13

$15.00 Quantity

March 27

$15.00 Quantity

April 10

$15.00 Quantity

April 24

$15.00 Quantity

Enter coupon

Total

Credit Card

Apple Pay

Google Pay

Parent/guardian Signature
Date Signed

MonthDayYear
Date
We are so excited to have you and your artists in our studio this semester!

If you have any questions, please email Ms AmberDawn at pyopcamps@gmail.com or message the number above
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Homeschool Art Club