Program Registration 2022-2023 Student Information First Name: * Last Name: * Preferred Name: Program: * —Please choose an option—Drawing & PaintingCeramicsDrawing, Painting & Ceramics 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