Registration Form

NOTE - Please complete for each child after you have booked, or if your details have changed.

This is required for safeguarding purposes.

Please enter your order number

Child's First Name *

Child's Surname *

Child's Age / Date of Birth *

Parent / Guardian's First Name (main contact) *

Parent / Guardian's Surname (main contact) *

Phone Number (main contact) *

Email Address (main contact) *

Parent / Guardian's First Name (additional contact)

Parent / Guardian's Surname (additional contact)

Phone Number (additional contact)

Does your child have any allergies or medical conditions we should be aware of? *

Are we allowed to photograph your child, and/or their artwork, for social media and website purposes? (Their names will not be used) *

Yes

Please confirm you are happy for us to email you news about Artistica and information about future classes. *

Yes

Please confirm you have read the following: - *

Terms and Condtions

How did you hear about us?

Date *

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