Enrollment Information
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Send registration with full payment to 9102 Locarno Dr., Dallas, TX  75243

Classes will be filled "first come first serve" -  No refunds for cancellations

Student Name
Age
Birthdate
Session Date                                     Morning     Afternoon  
          
Parent/guardian name
Address
City/Zip
Phone (home)
Phone (work)
Phone (cell)

E-mail (print clearly)

 

*please include email...all future class information will be sent by email

School friends also attending this class

Doctor                                                               Phone
Allergies
Emergency Contact                                             Phone


I hereby release Artzy Smartzy and its instructors and employees from any and all liability by reason of any accident or of any injury suffered by said child while engaged in activities.


Parent's Signature/Date

ArtzySmartzy < Art to Make you Smart!
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