Registration Form- SPRING 2026
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:
Classes will not be held the weeks of March 30 and April 6 in observance of spring break for all local school systems.
MONDAYS, 4:15-5:30 PM (3/16-5/18) ____________ $325
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TUESDAYS, 4:15-5:30 PM (1/6-3/3) ____________ $325
WEDNESDAYS, 4:15-5:30 PM (1/7-3/4) __________ $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