sunflower art studios

Parent/Guardian Name:

First Name

Last Name

Parent/Guardian Phone:

(###)

###

####

Child's Name: *

First Name

Last Name

Preference of Art (check all that apply):

Paint

Draw

Sculpt

Dance

Music

Sketch

Performance

Type of Kit:

$75 - Medium box for up to 2 kids

$100 - Large box for up to 3 kids

$150 - Super size box up to 5 kids

Is This A Shared Kit?

Yes

No

How Would You Like To Pay?

Please indicate how you will be paying from the payment options listed below.

Credit Card (Fill out info below)

Venmo (Send payments to @stonewaveyogavideofund2020)

Check (Mail checks to: Sunflower Art Studios, 2694 US-44 Gardiner, NY 12525)