Class Registration Form:
Young at Art WINTER 2020 SESSION
Student(s) Name(s):_____________________________________________________ Age(s):____
Cell Phone Parent 1: __________________________________________
Cell Phone Parent 2: __________________________________________
Optional Additional Contact Cell Phone (carpool, nanny etc.) :
Indicate Class Choice Below:
Young at Art I
Mondays, Jan.13-Mar.16, 4:15-5:30 pm ____ or Wednesdays, Jan.15-Mar.18, 4:15-5:30 pm ____ ($295)
Young at Art II / Middle School Open Studio
Mondays, Jan.13-Mar.16, 6-7:30 pm _____ or Wednesdays, Jan.15-Mar.18, 6-7:30 pm ____ ($325)
*There will be no classes March 9 or 11....I will be away for my birthday!
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.
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