Copyright (C) Art Studio for Kids. All Rights Reserved.
A R T  S T U D I O
F     O     R         K     I     D     S
A r t
T u t o r i n g
Boutique

                             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:
To reserve a space:  Class registration is on a first come, first served basis on      
                                   receipt of payment. Please make check payable to
                                   Art Studio for Kids and mail to
                                  1832 Fremont Ave., South Pasadena, CA 91030.