Student Name *

First Name

Last Name

Birthday *

MM

DD

YYYY

Is your child a returning student? *

Yes

No

I will pay the invoice sent to me (for tuition and a one-time $25 registration fee per family), and understand that it must be paid within 3 days of invoice receipt to hold this class for my child. *

All levels - 1.5 hour class Session 1 (8 weeks) $272 Session 2, 3 & 4 (9 weeks) $306 each session The invoice will be sent to you via email After submitting this form an invoice will be send from PayPal. It can be paid with any major credit card.

I agree

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 have read and understand the make-up policy for missed classes as listed below and posted on www.CT-ArtSchool.com * *

Level 1, Level 2 and Level 3 classes will be made up with project videos or printed materials. Level 4 students please contact your teacher directly for more information,

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

I understand that once my child is registered for a class their spot in class is reserved for the year. If for any reason they choose not to continue or if they need to switch to a different class let us know 2 weeks before the end of a session. *

I understand