Participant Information

Child's First Name *

Child's Last Name *

Gender

Teacher Name *

Grade *

Who – Instructor Porschia - My Art Shed 858.216.0247/ kids@myartshed.com

When- Monday – Grades K - 5^th from 3:20pm- 4:30pm

9 classes April 2nd, April 9th, April 16th, April 23rd, April 30th, May 7th, May 14th,

May 21st, June 4th

Where: RM # 353 Parent Room

How Much- 9 Classes $220 per session(includes material and project)

Class Choice *

For the sibling discount, children must be enrolled in the same enrichment class.

1st child pay's full price and each additional child is 1/2 off.

Scholarships available upon request.

Please contact EBSenrichments@gmail.com

Parents/Guardians who are late in picking up their students (beyond 15 minutes) are

liable to be charged up to $10 for every 15 minutes after the enrichment ends.

Household / Adult Primary Contact

After Enrichment Pick up: *

Return/Send child to SAY

Parent/Guardian will Pick-Up

First Name *

Last Name *

Email Address *

Parent/Guardian Cell Phone # *

Parent/Guardian 2nd Cell Phone # *

Current Total:

$0.00

Transaction Fee *

Transaction Fee 3%

Transaction Fee 0% (pay by check or cash)

Save your progress and complete this form later. (optional)