Kids Space Art Club

Registration Form

 

Kid's Space Art Club

Registration form

School Name_______________________________________________

Child's Name______________________________________________

Grade__________________________________________________________

Parent's Name___________________________________________________

Address_________________________________________________________

________________________________________________________________

Phone Number___________________________________________________

Emergency Phone Number_____________________________________________

E-Mail___________________________________________________________

Session Start Date___________________________________________________

Day Attending: (please circle) M T W T F

Session dates will be posted on line or available at your school.

 

We are setting up the session dates right now, if your school is not available yet, please check back

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