Student One Full name: (required)
Date of birth (required)
Health conditions or allergies:
Student Two (if applicable) Full name:
Date of birth
Student Three (if applicable) Full name:
Parent / Caregiver Full name: (required)
Phone: (required)
Email: (required)
Emergency Contact Full name: (required)
I give permission for my child’s picture to be used in any advertising material for LITTLE ART LAB. (optional)
I give permission for my child’s artwork to be used in any advertising material for LITTLE ART LAB. (optional)
I have read and agreed with the terms and conditions.