AFTER SCHOOL ART LESSON REGISTRATION

Please fill in all fields below. If you do not receive an confirmation of your registration within 24 hours, please email Cara at caralightman@gmail.com

Student Name

First Name

Last Name

Grade Level

Parent/Guardian Name

First Name

Last Name

Parent/Guardian Phone Number

(###)

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Parent/Guardian Email

Emergency Contact Name

First Name

Last Name

Emergency Contact Phone Number

(###)

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Days of Participation

Arrival to Art Lessons

Please include any special notes, medical concerns, allergies or details I should know to ensure a safe and positive experience for your child:

PRIVATE LESSON REGISTRATION

Student Name

First Name

Last Name

Age Level

What day and time are you hoping to book a private lesson?

Parent/Guardian Name (if applicable)

First Name

Last Name

Parent/Guardian Phone Number

(###)

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Student or Parent/Guardian Email

Emergency Contact Name

First Name

Last Name

Emergency Contact Phone Number

(###)

###

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Please include any special notes, medical concerns, allergies or details I should know to ensure a safe and positive experience for you or your child: