REGISTER FOR A CLASS

Student's First & Last name

Student's Birthdate 01/05/2011

Parent(s) or Guardian First & Last name or NA for Adult Students

Street Address

City

State

Postal / Zip code

Phone During Class

Other Persons & Phone #s - who are authorized to pickup your child, or as an Emergency contact if parent not available .................................................................... Please include any other important information that you want me to know about your child

When clicking Register Now, You are agreeing to the following:
• I have read, understand and accept the
policies listed on Judy Highfill Studio website.
• I give permission for my child (ten) to participate in Judy Highfill's Art Program.
• In case of an accident, I grant permission for my child(ten) to receive medical treatment, if needed, and authorize the attending medical personnel to administer any necessary medical attention.
• I give permission to Judy to use my child's artwork in exhibitions and online or printed promotional material, printed or online. I understand that my child's name will not be included.
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After your registration form is received, you will receive an email or text confirmation with payment instructions.

Registration is complete once payment is received.

IF YOU ARE HAVING TROUBLE WITH THIS FORM CLICK HERE TO CONTACT ME

Thanks for registering!