Decatur Montessori

Art Enrichment Classes - Registration & Payment

Registration: Student Information

* Indicates required field

Student Name *

First

Last

Student Age *

Email *

Parent Name *

First

Last

Best Phone Number *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Allergies (If "Yes" describe) *

Yes No

Allergies *

Additional Student

Name *

First

Last

Age *

Email *

Decatur Montessori Ceramics *

8 Thursday Sessions (fall 2019) from 3:10-4:00, $202.00 (includes 3% for ordering online)

Allergies (If "Yes" describe) *

Yes No

Allergies *

Emergency Contact and Phone *

First

Last

Phone Number *

Art at Home Photo Release Form

I grant to Art at Home, its representatives and employees the right to take photographs of my child and my property in connection with the Decatur Montessori Art Classes at 1429 Church Street, Atlanta, GA 30030.

I authorize Art at Home, its assigns and transferees to copyright, use and publish the same in print and/or electronically.

I agree that Art at Home may use such photographs of my child with or without my name and for any lawful purpose, including for
example such purposes as publicity, illustration, advertising, and Web content.

I Agree *

Yes No

Submit

Secure Payment

Ceramics: Decatur Montessori