Pro-D Day
Student Art Camps
Next One is April 17, 2023

Student's First Name

Last Name

Parent Email

Parent Name

Phone

Does participant have any allergies, need of epipen/life-threatening health issues?

Pick-up Authorization-if different than Parent/Guardian

I understand that photographs may be taken which my include my child.

Yes, I give permission to use photos of my child on your website or social media.

No, please refrain from using photos of my child on your website or social media.

Thanks for registering!

Please arrive 10 minutes early.

Bring a paint-shirt, snack and juice or water.

Please pick up your child on time.

Tilted Brick Gallery Association