Student Name *

First Name

Last Name

Birthday *

MM

DD

YYYY

Is your child a returning student? *

Yes

No

Parent(s)/Guardian(s) *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Emergency Contact *

First Name

Last Name

I hereby give Connecticut Art School staff permission to see that my minor child receives medical treatment in the case of an emergency *

I agree

I hereby give Connecticut Art School permission to use photos of my child (identified only by first name and age) in promotional materials including printed pieces and social media *

Yes

No

I understand camp size is limited and there are no refunds. *

There are no refunds unless we can fill your spot. If we can fill the spot we will refund tuition, minus the processing fee.

I agree

I have read and understand the disruptive behavior policy as listed below and posted on www.CT-ArtSchool.com *

We reserve the right to refuse or terminate enrollment as necessary. Disruptive or unsafe behavior will not be tolerated and students who do not comply will not be allowed to continue. Parents will be contacted and if the behavior repeats the student will not be allowed to remain in class. It is our top priority that the school and studio are safe places for all students. Tuition is non-refundable.

I agree