Children's Class Enrolment

HEPWORTH STUDIOS

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children's enrolment form

Enter your details in the form below then click on submit.
Please then visit the Kids Class Payment Page

PLease complete one form per child

* Indicates required field

First and last name of child you are enroling *

First

Last

Please complete one form per student enroling.

Child's Date of Birth *

Child's Current Age *

Parent Contact Name *

Parent Contact Email *

Parent phone number *

Second contact name *

Second contact number *

Please select the class or workshop you would like to enrol your child in. *

Christmas Mosaics Workshop 2: Ages 8-12 Christmas Mosaics Workshop 1: Ages 5-7 Christmas Mosaics Workshop 2: Ages 5-7 Term 1 Monday Mentoring Term 1 Thursday Mentoring Term 1 Kids Mosaics Ages 9-12

Do you give permission for your child to be in class photos? Images of the studio, class and or artworks may be used on the website, studio FB page, instagram or studio advertisements. *

Yes - artworks and class photos Yes - artwork only No

Would you like to receive information about future Hepworth Studios classes? *

Yes No

Is your child attending with a friend? *

Yes No Maybe

Friends name *

Does your child have any allergies or learning difficulties that are relevant to their participation in the class? *

Yes No

If yes please provide details and management strategies below or speak to us directly about your child's specific needs. *

Do you have any questions or is there anything else you would like us to know about your child? *

Will you be using a Creative Kids Voucher as part payment? *

No Yes - Please enter details below

Voucher Number *

When booking for multiple children's workshops with vouchers please complete a form for each student then email me directly to arrange more complex payments. caitlin@hepworthstudios.com

Submit

HEPWORTH STUDIOS at the Woodford Academy
90 - 92 Great Western Highway Woodford, 2778, NSW, Australia.
caitlin@hepworthstudios.com
0416 110 675

Note: Copying my photos, designs or written content is illegal.