Program Registration 2022-2023

    Student Information

    First Name: *

    Last Name: *

    Preferred Name:

    Program: *

    Address:*

    City: *

    Province: *

    Postal Code: *

    Allergies: * (Please mention severity)

    Anything else we should be aware of?: *

    Parent/Guardian Information

    First Name: *

    Last Name: *

    Preferred Name:

    Relationship to student:*

    Home Phone:

    Cellphone: *

    Email:*

    Emergency Contact

    Full Name:*

    Contact Phone: *

    Relationship to student:*

    By submitting this registration form, I agree to enroll my child at Evelia Espinosa’s Art Studio by Artem Studios LTD for the 2022-2023 Drawing & Painting Program and/or 2022-2023 Ceramics Program. I understand that my child’s classes cannot be canceled after November 30th, 2022.

    I confirm that I have read and accepted Evelia Espinosa's Art Studio terms and conditions