Judy Highfill

Art Class REGISTRATION

Student's First & Last Name

Male or Female

Student's DOB

Grade

Student's Address/City/Zip

Mom/Guardian Name and Address/City/Zip

Mom/Guardian Phone during Class

Mom/Guardian Email

Dad/Guardian Name and Address/City/Zip

Dad/Guardian Phone during Class

Dad/Guardian Email

Other Person Authorized to Pick-Up & Emergency Contact + Phone

Allergies or Medical Situations?

Custody Situation?

Which class ae you enrolling?

Abstract & More / Ages 6-10 / June 6-17 - Summer Art / 9-11:30am M-F / $250

Abstract & More / Ages 8-12 / June 20- July 1 - Summer Art / 9-11:30 am M-F / $250

Beginning Drawing / Ages 10-14 / July 5-8 - Summer Art / 9am-1pm Tue-Fri / $150

Garden Art / Ages 6-10 / July 11-22 - Summer Art / 9-11:30am M-F / $250

Miniature Art / Ages 8-12 / July 25-29 - Summer Art / 9-11:30am M-F / $130

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Drawing Lessons- Private or Semi Private - Times TBD

Art Program (Aug-May): Drawing/Design Art/Painting/Mixed Media/ W or Th 4:15-5:30

Just Create Class (Aug-May) Ages 10-14 Tues 4:15pm-5:30pm

Just Create Class (Aug-May) Ages 7-11 Mon 4:15pm-5:30pm

I agree to the following terms and conditions

I have read, understand and accept the policies on the Spanky Doodle Web Site

I give permission for my child/children to participate in Judy Highfill's Art Program

I give permission to use my child's/children's photo in promotional material

In case of an accident, I grant permission for my child/children to receive medical treatment, if needed and authorize the attending medical personnel to administer any necessary medical attention.

I will be paying with

PayPal

Zelle

Venmo ( Please Add $2.50 service fee)

Check (must be depositied before classstart date)

Gift Certificate

Payment is to include class fee, yearly registration fee (+$2.50 if using Venmo)

After your Registration form is received, you will receive a confirmation email.

Class spot will be held once payment is received.

Message any additonal information that you would like me to be aware of

Authorized Signer Typed Name

Thanks for submitting!