Enrollment — E.C. Anderson Studios

Parent Name

First Name

Last Name

Phone

(###)

###

####

Student Name

Student Age

Student School

Or homeschool!

Time Slot

Session A: 3:30-4:45pm Session B: 5-6:15pm

What is your availability?

Please check the boxes according to the days you are available for class. I will group classes based on age + scheduling preferences!

Monday

Tuesday

Wednesday

Thursday

Friday

Any allergies? Medical conditions I should know about?

Emergency Contact #1: Name

Emergency Contact #1: Relationship to Student

Emergency Contact #1: Phone number

(###)

###

####

Student Birthday

YYYY

Is there anyone specific you’d like your child enrolled with?

Siblings, friends, etc. Classes will be groups of 3-4.

Thank you for registering for Spring 2022 Art Lessons! Ms. Emily should reach out within 48 hours to confirm your registration, and note how you can pay tuition.