Register for Art Sessions – DPS Art Studio

Artist Information Section

Artist's Name

First

Last

Art Student's Address

Address Line 1

Address Line 2

City

State

Zip Code

Parent Contact Information

Parent Contact Name

First

Last

Parent Contact Phone

Parent Contact Email

Address

Address Line 1

Address Line 2

City

State

Zip Code

Alternate Emergency Contact

First Alternate / Contact Name

First

Last

Contact Phone

Contact Email

First Alternate Emergency Contact Address

Address Line 1

Address Line 2

City

State

Zip Code

Second Alternate / Contact Name

First

Last

Contact Phone

Contact Email

Second Alternate Emergency Contact Address

Address Line 1

Address Line 2

City

State

Zip Code

Registration & Payment

Thank you!

I will contact you to help you to set up a visit, select your scheduled session dates, and complete registration and payment. I am looking forward to meeting you!