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Traveling ART Class Registration
Student Information
Select Class
*
C.A.T Class Fall Session I, Sep. 9-30 from 10-11AM
PreK Class Fall Session I, Sep. 12- Oct 3 from 9:30-10:30AM
After School ART Fall Session I, Sep. 11- Oct. 2 from 4:30-5:30
Teen Painting&Drawing Fall Session I, Sep 9- 30 from 5-7PM
Adult Painting Class Fall Session I, Sep. 8-Sep. 29 from 5-7PM
Private Art Lessons
Session II
*
C.A.T. Class Fall Session II, Oct 28- Nov. 18 from 10-11AM
PreK Class Fall Session II, Oct. 31-Nov. 21 from 9:30-10:30AM
After School ART Fall Session II, Oct. 30-Nov. 20 from 4:30-5:30
Teen Painting&Drawing Fall Session II, Oct 28- Nov. 18 from 5-7
Adult Painting Class Fall Session II, Oct. 27- Nov. 17 from 5-7PM
Student Name
*
First
Last
Gender
*
Male
Female
Birthday
*
Grade
*
None
Kinder
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Does student have any allergies?
*
If Yes, please list allergies and pertinent medications
Do you have additional children in the class?
*
list additional students in the class
Parent/Guardian Information
Name
*
First
Last
Phone Number
*
Email
*
Would you like to join our monthly E-Newsletter?
*
Yes
No
Emergency Contact
Name
*
First
Last
Phone Number
*
Relationship
*
Mother
Father
Grandparent
Aunt
Uncle
Sibling
Babysitter/Nanny
Other
By clicking submit I hereby give my approval for my child’s participation in any and all activities prepared by Traveling ART during the selected camp/class.
I understand we are creating and using paint, therefore there is potential to get messy, but we will have a blast making art!
I give Traveling ART permission to photograph my student and their work to utilize in promotional materials and social media.
Sample Student Work for Private Lessons
*
Max file size: 20MB
Submit
