Teen Student Details

Thank you so much for signing up for this terms course! I’m so excited to get to work with the students from my studio.

Please take a moment to fill out the below details before our first class to ensure everything runs smoothly ☺️

If you have any questions please don’t hesitate to email me at amb.art@outlook.com

Parent/Caregiver Name

First Name

Last Name

Primary Email for Parent/Caregiver

Student Name

First Name

Last Name

Student's Age

Preferred Pronouns

Emergency Phone Contact

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Does the student have any allergies and/or medical conditions to be aware of in the course environment?