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chinati
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Spring Break Art Classes
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spacer 2012 SPRING BREAK ART CLASS REGISTRATION

Please check one class section your child will attend.


Grades 5 - 8 Monday, Wednesday and Friday (March 12, 14 and 16) 3 - 5:00 PM
Grades 2 - 4 Monday, Wednesday and Friday (March 12, 14 and 16) 10 - 12:00 PM
Kindergarten and Grade 1 Tuesday and Thursday (March 13 and 15) 1 - 2:00 PM
Pre-School (3 & 4 yrs) with adult companion
Tuesday and Thursday (March 13 and 15) 10 - 11:00 AM


Student Name: Age: Grade in Fall:
Parent Name:
* Pre-School only: Please list the name of the student's adult companion for the class (if different from above):



Mailing Address:
Home Address:
Home Phone: Work/Cell Phone:
Email Address:
Emergency Contact: Emergency Phone:
Relationship:


Please list any food allergies or other medical issues that Chinati instructors should be aware of:


I take full responsibility for providing safe transportation to and from the Chinati Foundation and for ensuring that my child is dropped off and picked up punctually. The Chinati Foundation will not be held liable for any injuries, sickness, allergic reactions, or theft of personal properties incurred by students during the Spring Break Art Classes.
Chinati staff will take photos during the art classes for possible inclusion in our annual Newsletter, and for educational purposes. I permit photographs of my child to be take for these purposes.
Security Code: