Art Studio for Kids Registration Form Student’s name: Age: Parent/Guardian’s name: Address: Daytime telephone: Evening telephone: Cell Phone: E-mail address: The following individuals have my unrestricted permission to pick up the above child from Art Studio for Kids without any further confirmation from me. Name: Phone: Relationship: Name: Phone: Relationship: Emergency Contacts (local alternates to whom student may be released if parent/guardian cannot be reached): Name: Phone: Relationship: Does your child have any allergies we should know about? Class Choice (Include at least two choices in case your first choice is filled or cancelled.) * First Choice: Day Time Date to start * Second Choice: Day Time Date to start How did you hear about us? Registration Instruction Please complete the form and mail to Art Studio for Kids along with first tuition and one-time registration fee ($25.00 - Art Classes only). * Please make check payable to Art Studio for Kids and mail to 1832 Fremont Ave., South Pasadena, CA 91030 Parent/Guardian’s Signature: Date: |
| Art Classes for Children and Adults |