Kidz U Fall 2018 Registration

 
 

Parent's Name (required)

Parent's Email (required)

Phone Number (required)

Child 1 Name (required)

Child 1 Age (required)

Child 1 Grade - Session 1 2018 (required)

Course Selection
 Montage Art (Grades K-2) T-Shirt Art (Grades 3-5) Paper-mache Creations (Grades 3-5)

Allergies (if any)

Child 2 Name

Child 2 Age

Child 2 Grade - Session 4 2018

Course Selection
 Montage Art (Grades K-2) T-Shirt Art (Grades 3-5) Paper-mache Creations (Grades 3-5)

Allergies (if any)

Child 3 Name

Child 3 Age

Child 3 Grade - Session 4 2018

Course Selection
 Montage Art (Grades K-2) T-Shirt Art (Grades 3-5) Paper-mache Creations (Grades 3-5)

Allergies (if any)

Emergency Contact (required)

Relationship to Child (required)

Phone Number (required)

Any additional information you would like to provide