Sign-Up Confirmation – The Art Room Creative Space

Your child has been successfully registered!

We need two more things from you!

First, please download the waiver agreement, and have your child bring your signed copy to class. Your child will not be able to begin class without it.
Second, please fill out all necessary emergency contact info for your child in the contact form. Please contact the Art Room directly for any questions or concerns.

DOWNLOAD WAIVER

We can’t wait to see you!

Emergency Student Contact Info

Please fill out all necessary fields in case of emergency

Student's Name *

First

Last

Student's Birthdate

Age

Parent's Name #1 *

First

Last

Parent's Name #2 *

First

Last

Home Address

Address Line 1

Address Line 2

City

State

Zip Code

Home Phone

Email *

Parent #1 Cell

Emergency Contact (other than parent) *

First

Last

Emergency Contact Phone

Child's Primary Physician

Primary Physician Phone

Child's School

School Grade Level

Allergies or Food Resctrictions

Tell Us A LIttle About Yourself

How Did You Hear About The Art Room Scranton?

Links & Resources for Parents:

The Art Room Policies

COVID-19 Guidelines

FAQ's

Your child has been successfully registered!

First, please download the waiver agreement, and have your child bring your signed copy to class. Your child will not be able to begin class without it.

Second, please fill out all necessary emergency contact info for your child in the contact form. Please contact the Art Room directly for any questions or concerns.

We can’t wait to see you!

Emergency Student Contact Info

Links & Resources for Parents:

HOME

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POLICY

FAQs