CHILD/YOUTH ART CLASSES

2019 CHILD and YOUTH SUMMER ART CLASSES

THE ARTGROUP STRATHROY-CARADOC www.theartgroupstrathroy.com

REGISTRATION FORM Child & Youth Summer Art Classes

Strathroy & Area Seniors’ Centre

137 Frank Street, Strathroy

MONDAY, JULY 8 to FRIDAY, JULY 12, 2019

JUNIORS age 7-11 years

10 am – 12.00 noon

SENIORS age 12 & over

1.00 pm– 3.00 p.m.

Child’s Name _________________________________________ Age at time of class _______________

Parent’s name _____________________________________ Home phone number _______________

Email address ________________________________________________________________________

Parent’s work/cell phone number to be used in case of emergency ______________________________

List names of all people authorized to pick up the child ________________________________________

_____________________________________________________________________________________

Does your child have any allergies or medication needs? ____________________________

Please list any medical or dietary conditions we should be aware of: ___________________

Please list any medications your child requires while at class: ___________________________

Because classes are offered free of charge and space is limited, we usually have a waiting list. If your child is unable to attend a registered class, please let us know.
Please arrive 10 minutes prior to start of class, so that we can start on time.
Please do not pick up your child early unless pre-arranged, as they may not have completed their project.
Children should wear old clothes as some activities can be messy.
Classes are free of charge to participants, but donations towards future children’s classes would be very much appreciated.

______________________________________ Date ______________________ 2019

Signature of parent/guardian

Registration does not begin until June 1.

Return form by mail to Linda Rupp, 29114 School Road, RR5 Strathroy, ON N7G 3H6

Or by e-mail adelaideglass@bell.net for more information.