Child's Name: *

First Name

Last Name

Child's Birthdate:

MM

DD

YYYY

Child's Home Address: *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Yes, pictures are OK with me

Yes

No, pictures are not OK

No

SPRING SESSION 1

Tuesdays Grades K-2 / 4:30-6:00pm (March 3, 10, 17, 24, 31)

Wednesdays Grades 3-5 / 4:30-6:00pm (March 4, 11, 18, 25, April 1)

Thursdays Grades 6-8 / 3:00-5:00pm (March 5, 12, 19, 26, April 2)

SPRING SESSION 2

Tuesdays Grades K-2 / 4:30-6:00pm (April 14, 21, 28, May 5, May 12)

Wednesdays Grades 3-5 / 4:30-6:00pm (April 15, 22, 29, May 6, May 13)

Thursdays Grades 6-8 / 3:00-5:00pm (April 16, 23, 30, May 7, May 14)

DROP-IN CLASS

YES

Is Your Child Riding The Bus To After-School?

If yes, please send a note to their teacher and Michaele will send a form for you to fill out with Sunflower Art Studios.

YES

NO

Applying For Sliding Scale Scholarship?

Yes

No

Please contact me. I am interested in:

Sibling Discount

Sliding Scale Scholarship

Other