Guardian's Name

First Name

Last Name

Primary Phone Number *

(###)

###

####

Child's Name *

First Name

Last Name

Area of Interest

Please let us know which area (s) your child is interested in being a part of. Along with the lessons:

Dance

Drama

Lessons only

Child's Name

First Name

Last Name

Area of Interest

Please let us know which area (s) your child is interested in being a part of. Along with the lessons:

Dance

Drama

Lessons only

Child's Name

First Name

Last Name

Area of Interest

Please let us know which area (s) your child is interested in being a part of. Along with the lessons:

Dance

Drama

Lessons only

Consent *

Consent is given for my child to participate in Creative Arts Program.

Consent is given to take pictures and videos of my child(ren) in accordance with the privacy policy.