Child's Name *

First Name

Last Name

Birthday *

MM

DD

YYYY

Are you new to our school/studio? *

Yes

No

Parent or Guardian Name *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

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

Yes

No

I understand events are single offerings and there are no refunds. *

You have the option to send an age appropriate person in your place. There are no refunds unless we can fill your spot.

I agree

I will pay the invoice sent to me for a one-time $75 workshop tuition fee, and understand that it must be paid within 3 days of invoice receipt to hold this class for my child. *

I agree