Child 1 *

First Name

Last Name

Session Date *

MM

DD

YYYY

Child 2

First Name

Last Name

Child 3

First Name

Last Name

Parent or Guardian *

First Name

Last Name

Contact Phone

Please enter in US format (eg 000 000 0000)

(###)

###

####

Release agreement for artists: *

Photos: I authorise my child's arts / crafts to be displayed in the gallery, and either they or myself may be photographed for promotion purposes. (if you object, please let your instructor know prior to commencement)