Give me those details!Please fill out all of the below information for the student(s) that you have signed up for my classes! Child's Name * First Name Last Name Is there a sibling that will be attending same sessions as child listed above? Yes No Primary Contact's Name * First Name Last Name Primary Contact Relationship to Child Mother Father Grandparent Aunt/Uncle Other Primary Contact's Email * Primary Contact's Phone Number * (###) ### #### Secondary Contact's Name First Name Last Name Secondary Contact Relationship to Child Mother Father Grandparent Aunt/Uncle Other Secondary Contact's Phone Number (###) ### #### What sessions have you signed up this child for? June 9th - 13th Morning June 9th - 13th Afternoon June 16th - 20th Morning June 16th - 20th Afternoon June 23rd - 27th Morning June 23rd - 27th Afternooon July 7th - 11th Morning July 7th - 11th Afternoon July 14th - 18th Morning July 14th - 18th Afternoon July 21st - 25th Morning July 21st - 25th Afternoon Does your child have any allergies? I will provide one snack per daily class. * Will anyone other than the contacts previously listed (primary/secondary contacts) be allowed to pick up your child? Please include legal name, and phone number. I will ask to see identification if I do not recognize them. By typing "Yes" in the space below, I (primary contact) authorize for my child to be picked up by the person(s) listed above. Do you authorize your child to be photographed and thus, the photos be used for promotional and marketing content including but not limited to social media, print media etc.? * Yes No Other Thank you so much!Your submission has been recorded! :)If you have any questions, concerns, or comments, please email maddie@thewildcolorstudio.com.
