Registration

Free Art Classes

Classes are open to children 5 and up, with no age limit for students with disabilities. Children under 7 should be accompanied by a helper. Adults are welcome to stay and participate.

Knowlton Presbyterian Church's free series of art classes for kids is scheduled for Mondays, March 4 to April 1 from 4-5:30 pm. We will hold our art show on April 8th, 7 pm.

Where: Knowlton Presbyterian Church (3 Knowlton Road, Columbia, New Jersey)
Dates: Mondays, March 4 – April 1
Time: 4:00 - 5:30 pm

Budding Artists Registration (Spring 2019)

Attendee(s) Information

Attendee 1

First Name

Last Name

Attendee 1 Birth Date

**No age limit for those with special needs.

YYYY

Attendee 1 Last Grade Completed

Attendee 1 Gender

Male

Female

Attendee 2

First Name

Last Name

Attendee 2 Last Grade Completed

Attendee 2 Birth Date

**No age limit for those with special needs.

YYYY

Attendee 2 Gender

Male

Female

Attendee 3

First Name

Last Name

Attendee 3 Birth Date

**No age limit for those with special needs.

YYYY

Attendee 3 Last Grade Completed

Attendee 3 Gender

Male

Female

Special medical needs or medication

Please list any special medical needs for any of your registered children or medication that must carry with them. Also list any food allergies your any of your registered children.

Contact Information

Parent or Guardian's Name

First Name

Last Name

Home Address

Phone Number (best number to contact you in case of emergencies)

(###)

###

####

Home phone (if different from above)

(###)

###

####

Email Address

Permissions

Photograph Permissions

I give permission for photographs of my child to appear in the slide show for this event and in future promotion of similar events.

Yes

List people who will be dropping off or picking up your child

Signature

If this form is filled out electronically, please type your name. Note that we will require a parent or guardian's signature the first morning of camp. By signing this document electronically you agree to give Knowlton Presbyterian Church the right to obtain medical treatment for your child in case of an emergency.