Summer Art Class Registration Form

Summer Art Class Registration Form

This registration form is for enrollment in our weekly, 30 minute art enrichment class designed for children ages 3 and up. Our 10 week summer session runs from June 1st through August 7th and is $120 for the entire season.
Child's Full Name

First NameLast Name
Child's Date of Birth

MonthDayYear
Date
My child is three years old or older
Child’s School
Parent/Guardian Full Name

First NameLast Name
Parent/Guardian Email Address
example@example.com
Parent/Guardian Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Emergency Contact Name

First NameLast Name
Emergency Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Please list any allergies or special needs
Photo & Media Permission
Parent Agreement

I understand that participation in Mad Fun Studio activities involves the use of art and sensory materials. I acknowledge that I have disclosed all relevant medical or behavioral information about my child. I understand that every effort will be made to provide a safe and enjoyable environment. I agree to follow all enrollment, payment, and pickup policies established by Mad Fun Studio.
Parent/Guardian Signature
Date

Summer Art Class with Ms. Mady

$120.00 Quantity