HiArt! Registration Form* Copy

Kiddo's Name:

Birthday (month/day/year):

Home phone:

Mother & father's cell phones:

Nanny, friend, granny, grandpa, sister or brother who might be picking up your child? Please provide their names and cell phone number:

Home address:

In the extremely unlikely event of an emergency, kindly provide us a back-up contact name and number or two:

Allergies, idiosyncracies or any other pertinent information that we should know:

Please choose what class/workshop you are registering your child into:

Wufoo