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 email@example.com for more information.
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