ART "PODS" Registration Form:

               FALL 2020 

                            

Student(s) Name(s):_____________________________________________________ Age(s):____

 

Address:______________________________________________________________________

 

            ______________________________________________________________________

 

Cell Phone  Parent 1: __________________________________________  

 

Cell Phone  Parent 2: __________________________________________

 

Email:________________________________________________________________________

 

 

Optional Additional Contact Cell Phone (carpool, nanny etc.) : 

 

___________________________________________________________________________

 

Indicate ART POD* Choice Below: 

       *NOTE: An "Art Pod" is limited to 8 students to insure safe social distancing and new (hand-held) supplies

           will be provided and from then on "owned" by each young artist. Groups formed by parents encouragaged. 

            Mondays 4-5:15 pm       - FULL-  Beginning Sept.14, for 8 weeks   ($325)   

           

            Tuesdays 4-5:15 pm       - FULL -  Beginning Sept.15, for 8 weeks   ($325)

 

            Wednesdays 4-5:15 pm  -  FULL-  Beginning Sept.16, for 8 weeks   ($325)

       *CREATE YOUR OWN "POD" WITH 5-8 FRIENDS AND SELECT YOUR OWN TIME NOT LISTED ABOVE.. 

                                                       EMAIL NANCY TO ARRANGE.

             

 

     I/We the undersigned, parents of, ______________________, a minor, do hereby release and hold harmless Young at Art and Nancy and Mark Altemus (hereinafter “owner”) from any claims for  personal  injury or other damage arising from my/our child’s attendance and participation in the program located at 4112 Dresden Street, Kensington, MD 20895.                                                                                           

 

 

 

___ Please check here if you DO NOT GIVE PERMISSION for your child's photograph or art work to be on our website.

 

 

Parent Signature:____________________________________________________Date:___________

       

 

                                        Please print out form and mail with payment to: 

                                                       Nancy Myers Altemus, YOUNG at ART

                                                               or VENMO @Nancy-Altemus

                                              

                                            4112 Dresden Street, Kensington, MD 20895

 

 

 

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