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REGISTRATION FORM - SPRING 2025

STUDENT NAME(s):____________________________________________  AGE(s)__________

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ADDRESS:__________________________________________________________

 

             __________________________________________________________

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CELL PHONE PARENT 1: __________________________________

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CELL PHONE PARENT 2:__________________________________

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Other CELL CONTACT:  __________________________________

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EMAIL:_____________________________________________________________

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ART CLASS CHOICE:

SPRING CLASSES WE BE HELD FROM MARCH 17-MAY 21.  CLASSES WILL NOT BE HELD THE WEEKS OF APRIL 14 AND APRIL 20 DUE TO PUBLIC AND PRIVATE SCHOOL SPRING BREAKS. 

 

 

  MONDAYS, 4:15-5:30 PM (3/17-5/19) _____________   $325  

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  TUESDAYS, 4:15-5:30 PM (3/18-5/20) _____________   $325                                                     

  WEDNESDAYS, 4:15-5:30 PM (3/19-5/21) __________    $325

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 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

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PARENT SIGNATURE:______________________________________________________

 

 

                                                         SEND PAYMENT TO:

                                                 NANCY ALTEMUS/YOUNG AT ART

                                          4112 DRESDEN STREET, KENSINGTON, MD 20895

                                                            301-801-4438

                                                  CHECK OR VENMO @NANCY-ALTEMUS

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