Student Name *
Student Name
Gender *
Parent Name(If Minor) *
Parent Name(If Minor)
Phone 1 *
Phone 1
Phone 2
Phone 2
Address *
Address
Emergency Contact *
Emergency Contact
Emer. Contact Phone 1 *
Emer. Contact Phone 1
Emer. Contact Phone 2
Emer. Contact Phone 2
I agree to Terms & Conditions Below *

TERMS & CONDITIONS

* ONE HALF OF TUITION IS DUE AT TIME OF REGISTRATION. THE REMAINDER IS DUE BY THE THE START OF THE FIRST CLASS. THERE WILL BE A $5.00 FINE FOR EACH WEEK OF DELAY.

* IF A CLASS IS CANCELED IT WILL BE MADE UP THE WEEK FOLLOWING THE LAST SCHEDULED CLASS.
                                
* THERE WILL BE NO REFUNDS FOR MISSED CLASSES.                       

* CHECKS PAYABLE TO ARTISTRE OF FLORIDA LLC. ALL MAJOR CREDIT CARDS ACCEPTED.         

PARENT'S AUTHORIZATION                                    
                                        
I, UNDERSIGNED PARENT/GUARDIAN OF ABOVE REGISTERED STUDENT GIVE PERMISSION FOR SAID MINOR TO PARTICIPATE IN ARTISTRE ART SCHOOL. I UNDERSTAND THAT BY SIGNING THIS AUTHORIZATION, I WILL NOT HOLD ARTISTRE LIABLE FOR ANY INJURIES INCURRED WHILE PARTICIPATING IN PROGRAM ACTIVITIES IN WHICH I HAVE ENROLLED SAID MINOR, I UNDERSTAND THAT ARTISTRE IS NOT RESPONSIBLE FOR PAYMENTS INCURRED DUE TO MEDICAL CARE FOR SAID INJURIES.