Program Registration 2023-2024 Student Information First Name: * Last Name: * Preferred Name: Birthday: Program: * —Please choose an option—Drawing & PaintingCeramicsDrawing, Painting & Ceramics Address:* City: * Province: * Postal Code: * Allergies: * (Severity) Anything else we should be aware of?: * Parent/Guardian Information First Name: * Last Name: * Preferred Name: Relationship to student:* Primary Email (Studio Updates):* Alternative Email: Home Phone: Cellphone: * 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 2023-2024 Drawing & Painting Program and/or 2023-2024 Ceramics Program. I understand that my child’s classes cannot be canceled after November 30th, 2023. I confirm that I have read and accepted Evelia Espinosa's Art Studio terms and conditions