ART "PODS" Registration Form:
Student(s) Name(s):_____________________________________________________ Age(s):____
Cell Phone Parent 1: __________________________________________
Cell Phone Parent 2: __________________________________________
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.
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