Creative Kids Art & Design Fall 2016 Open Studio Registration Form

Please fill out the following information to register your child for October art.

Student Name: Age: Grade:

Date of Birth: Parent Name: Tel:

Address: Email:

I would like to sign up for the following Fall Open Studio classes at $15. each (or $25./two registrants):

Oct. 6: 3:15-4:45
Oct. 20: 3:15-4:45

I will submit payment for $ . (Sorry, no refunds. Please write checks to: Kay Bishop)

I give permission to use my child's photo or artwork for promotion. Please select:

Yes No

Questions/Comments:

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