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