‘Art for YOUth‘ Registration Form, Allan S. Martin Sr. PS, room 109, Tuesdays, 2.30-4.00 P.M.

Dates of classes in this session: May 7, may 14, May 21, May 28, June 4.
Tuition: $120 for 5-week program (HST included).
We are unable to refund, credit or reschedule classes missed during the session.

For all inquiries please contact us at 416.319.6103 (Instructor‘s direct no. 416.568.1304)


Registrant‘s First Name:
Registrant‘s Last Name:
Registrant‘s age:
Male/Female/Oth: M    F    Oth   
Parent‘s/guardian‘s name:
Daytime and evening phone numbers:
Other emergency contacts:
Address:
E-mail (for tax receipts and organizational purposes):
Would you like to receive occasional update email about our programs? Yes    No   
May we use photos of your son/daughter in class on our promotional materials? Yes    No   
My son/daughter will be: picked up    go home by him/her-self    other
Additional ‘pick up‘ or ‘other‘ details or persons:
Please list your son‘s/daughter‘s allergies or health issues our staff should be aware of:
Notes:
Program Disclaimer
I have read and agree with the Program Disclaimer: Yes    No   
Your First Name:
Your Last Name:
 July 23, 2019       
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