E​nrollment FORM
(Cut, paste, print​
​send with deposit to hold your spot):-)
Winter - Spring 2019
​SUMMER  2019
​Artist Name:_________________
2ND Artist Name:_________________
​Birthdate:____________________
​Current age:__________________

Phone: ______________________
Cell #:_______________________
Email: _______________________________
​**********************************************
Address:_____________________
​City:____________​ zip:_________

Day and time of CLASS:
​_____________/_______________________
day                                         time
OR 
SUMMER CAMP DATE/NAME:
____________________________________________________
​
​************************************************************************

Allergies? ________________________

Any information I should know about this artist?
(kept confident)_________________                                                                                                                  
***********************************************               
I understand that my deposit holds
my child’s spot. If there is a conflict,                                         
my deposit can be used for another time.
                                     
________________________________
 PARENT'S NAME        Please PRINT                                         
 ________________________________                            
PARENT'S SIGNATURE

TO SECURE YOUR SPOT, PLEASE                             
DROP OFF OR MAIL TO:
  
JAN'S ART ACADEMY
3 Homewood Drive
Asheville, N.C. 28803
​
828-301-6116
Thank you !
ms. jan