After School Arts Fall 2017 Registration

 

Child's Name *
Child's Name
Birthdate
Birthdate
Parent's Name
Parent's Name
Address
Address
Parent Cell Phone
Parent Cell Phone
Parent Home Phone
Parent Home Phone
Parent Work Phone
Parent Work Phone
Blocks *
Preregistration (one week in advance) is required prior to attending each two week session. Please do not register for all sessions if your child cannot regularly attend each week. Registration is ongoing as space allows. I am registering for the following blocks:
Transportation
The Hoyt does not provide transportation.
I give my permission for The Hoyt to use my child's picture on their organization's website, newsletter, press releases, social media pages and other marketing materials for children's programs at The Hoyt.
Please list any allergies your child has and their reaction.
Is there any additional information we should know about your child?
How did you hear about the After School Arts program?