Children’s Class Registration Form

Children's Class and Camp Registration

"*" indicates required fields

Covid Policy

I would like to register my child for the following:*

Total Price Including $2 for PayPal/ credit card processing*

Name of Child*

Name

Child's Age*

Parent/Guardian Name*

Name

Relationship to child*

Parent/Guardian Cell Phone*

Is this the best phone number to reach you while class/camp is in session?*

Yes

Email*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Any Allergies and or Medical Conditions*

Emergency Contact - Name, phone number and relationship to child*

Lunch and Snack Policy

Please bring a snack, lunch, and a full water bottle every day.  Please note that we do not have on-site refrigeration for participants’ food and that Portsmouth Arts Guild has a carry-in carry-out policy for all snack and lunch trash.  

Please also note that this is a NUT FREE program.  Also, due to the current pandemic, we will not be allowed to share any food during programming.

Lunch Policy

Consent

I will allow PAG to photograph my child to use in social media (Facebook, Instagram, website)

Parent/Guardian Signature*

Typing your name signifies your electronic signature.

Total

Name

This field is for validation purposes and should be left unchanged.

Children’s Class Registration Form

Children's Class and Camp Registration

Address

P.O. Box 463
Portsmouth, RI, 02871

(401) 215-0122

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