‘Art for Kids‘ Registration Form, Kenollie PS, room #4, Thursdays, 3.30-5.00 P.M.

Class dates in this session: Nov. 22, Nov. 29, Dec. 6, Dec. 13, Dec. 20*, Jan. 10.
Tuition: $144 for 6-week program (HST included).

* Dec. 20 class is optional. Please indicate if your child will not be attending
this class in the ‘Notes’ section of the on-line registration.
The session fee excluding Dec. 20 class will be prorated to $120.

Please note - we are unable to credit, refund or reschedule classes missed in 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: M    F   
Parent‘s/guardian‘s name:
Daytime and evening phone numbers:
Other emergency contacts:
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 child in class on our promotional materials? Yes    No   
My child will be: picked up    go to YMCA after class    other
Additional ‘pick up‘ or ‘other‘ details or persons:
Please list your child‘s allergies or health issues our staff should be aware of:
Program Disclaimer
I have read and agree with the Program Disclaimer: Yes    No   
Your First Name:
Your Last Name:
 December 19, 2018       
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