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

Dates of 4 classes in this session: May 15, May 22 (optional)*, May 29, June 5.
Tuition: $96 for 4-week program (HST included).

* Due for school's field trip registration for May 22 is optional. If you would like to register for 3 classes (without May 22) please indicate this in the ‘Notes’ section of your registration and we will prorate the fee to $72.

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:
 September 18, 2018       
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