Name *

First Name

Last Name

Phone *

(###)

###

####

Name of Child *

Enter NA if not applicable

First Name

Last Name

What classes are you interested in? *

Kid's Studio Art Class

Teen Studio Art Class

Adult Studio Art Class

Start Date *

MM

DD

YYYY

Photo Consent *

Post on Facebook/Website with student

Yes

No

*

Mention Student's Name Along with Photos

Yes

No

*

Use Photos to promote classes

Yes

No

*

Posting photos of student's work only

Yes

No