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Registration Form

Please fill out the following information

Student Information:

Parent/Guardian Information:

Emergency Contact:

Student Interests and Background:

Does your child have any learning requirements or special needs that we should be aware of?
What is your child's level of interest in art?

Schedule Preference:

Yellow Group (Ages 7-10):
Green Group (Ages 10-13):
Purple Group (Ages 13-16):

Additional Information:

Does your child have any allergies or medical conditions we should be aware of?

Where did you hear about us?

Como nos conheceu?

Consent and Agreement:

I hereby give my consent for my child to participate in the Start with Art Club. I understand that the club sessions will include various art activities and will be held in a safe and supervised environment.

I understand that photos and videos may be taken during sessions for promotional purposes.

Thanks for submitting!

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