Studio Artemis

Sculpture - Ceramics - Pottery Wheels - Tuition - Art Therapy
Sculpture - Ceramics - Pottery Wheels - Tuition - Art Therapy
Enrolment Form
Studio Artemis
Enrolment Form Child 2021
Class……………………………………… Day 1/Time…………………
Class……………………………………… Day 2/Time……………………
Child Name……………………………................................................
Child Name……………………………................................................
Parent Name…………………................................................ (if under 18)
Age………….. School Attended ..............................................(if under 18)
Address………………………………………………………………………
…………………………………………………………….Postcode………
Tel: Home…………………Mobile……………………Work………….......
Email………………………………………………………………………….
Emergency Contact
Name…………………………….................................
Emergency
Tel……………….........................................................................
Asthma/Allergies to Nuts Dogs or Other: (circle)
...........................................................................................................................
Epi Pen required yes / no
Disabilities
....................................................................................................
How did you hear about us?
........................................................................
I wish to pay by: Cash Credit Card Visa MasterCard
Amount: $..................... Paid in Full by Cash Direct Deposit Credit Card Gift Voucher
Card Number .... …. …. …./…. …. …. …./…. …. …. …./…. …. …. ….
Expiry Date …. …./…. …. Cardholders Name………………………….
Cardholders Signature………………………...................Date………….
Office Use Only:
Receipt Number…………………………….
Date…………………………….
- Home
- About Us
- Contact Us
- Images
- Pottery Classes Term 1 2021
- Pottery Classes Term 2 2021
- Pottery Wheel Intensive Day
- Booking Procedure
- Venco Direct Drive Recall
- Adult Enrolment Form
- Child Enrolment Form
- Studio Director
- Shimpo Wheels
- Venco New Pottery Wheel
- Pottery Wheel Rental
- Products for Sale
- Sculpture Gallery
- Artemis Facilitators
- Corporate Team Building
- Children's Parties
- Art Therapy
- Artist in Residence
- Studio Whippets
- Media
- Videos of Interest
- Recall Venco 3 & 5
- Term & Conditions
- Testimonials
- Home
- About Us
- Contact Us
- Images
- Pottery Classes Term 1 2021
- Pottery Classes Term 2 2021
- Pottery Wheel Intensive Day
- Booking Procedure
- Venco Direct Drive Recall
- Adult Enrolment Form
- Child Enrolment Form
- Studio Director
- Shimpo Wheels
- Venco New Pottery Wheel
- Pottery Wheel Rental
- Products for Sale
- Sculpture Gallery
- Artemis Facilitators
- Corporate Team Building
- Children's Parties
- Art Therapy
- Artist in Residence
- Studio Whippets
- Media
- Videos of Interest
- Recall Venco 3 & 5
- Term & Conditions
- Testimonials