Children's Weekly Class Enrolment

HEPWORTH STUDIOS

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children's weekly class enrolment form

Use this form to enrol for a weekly class.
Enter your details in the form below then click on submit.

PLease complete one form per child

* Indicates required field

First and last name of child you are enroling *

First

Last

Please complete one form per student enroling.

Childs Date of Birth *

Child's Current Age *

Parent Contact Name *

Parent Contact Email *

Parent phone number *

Second contact name *

Second contact number *

Please select the class you would like to express interest or enrol your child in. *

Kids Mosaic Class - Mondays

Do you give permission for your child to be in class photos? Images of the studio, class and or artworks may be used on the website, studio FB page, instagram or studio advertisements. *

Yes - artworks and class photos Yes - artwork only no face No - no images at all

Would you like to receive information about future Hughes Studio classes? *

Yes No

Is your child attending with a friend? *

Yes No Maybe

Friends name *

Does your child have any allergies or learning difficulties that are relevant to their participation in the class? *

Yes No

If yes please provide details and management strategies below or speak to us directly about your child's specific needs. *

Do you have any questions or is there anything else you would like us to know about your child? *

Will you be using a Creative Kids Voucher as part payment? *

Yes Yes - will provide later via email No

Exact Name and initials on Voucher *

First

Last

[object Object]

Voucher Number *

Submit

HEPWORTH STUDIOS at the Woodford Academy
90 - 92 Great Western Highway Woodford, 2778, NSW, Australia.
caitlin@hughesstudio.com.au
0416 110 675