Young artist I registration Form

Name of Child

First NameLast Name

age*

gender

Student Allergies or Medical Conditions*

Name of Parent/Guardian*

First NameLast Name

Contact Number*

Please enter a valid phone number.

Email*

example@example.com

Please state your concerns, special needs and allergies of your child

Payment Information：
New students are required to pay a one-time registration fee of $25.
Our studio accepts Venmo, Zelle, check, or cash for all payments.

If you would like to use a different payment method, please contact us in advance at info.zacartlab@gmail.com.
Please complete payment before the first class; we cannot hold a spot without payment.

We also accept credit card payments for your convenience.
Please note that credit card transactions include a $5 Processing Fee.

My Products

January 4 sessions

$140.00 Quantity

February4 sessions

$140.00 Quantity

March 5 sessions

$175.00 Quantity

April 4 sessions

$140.00 Quantity

May5 sessions

$175.00 Quantity

June5 sessions

$140.00 Quantity

registration Fee

$25.00

Processing Fee

$5.00 Quantity

Total

$0.00

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration