Kimberly Hardin Art Studio

“A creative space for kids since 1998”

Now located at Rio Del Mar Beach

113 Venetian

Aptos, California 95003

kimberly@khaf.org

831 435-8557 or 831 662-9224

Schedule of Classes Starting

August 10^th – June15^th 2012

Please return this portion with your payment.

If student is enrolling for the new school year the month of August is ½ tuition plus supply fee.

If you are enrolling for a specific summer camp or workshop return this form with payment.

Please fill out the form, then copy and past into either Email or Fax at the bottom of the page, or you

can simply fill out the form and print to use standard mail!

Registration Form

Student Name Age

Parent Name Main Phone Number

Home Address City Zip

Alternate Contact Phone

Emergency Contact Phone

Email

Can we send invoices by Email Yes No (Email Invoicing Preferred)

Student is Returning New

Date you wish to start

List any Food Allergies

Regular Ongoing Monthly Classes	Tuesday Class 3:30 PM (6 - 8 Years)
Tuesday Class 5:30 - 7:00 PM Teen	Wednesday Class 1:30 - 3:00 (Pre-K - 7 Years)
Wednesday Class 3:30 - 5:00 (7 - 12 Years)	Wednesday Class 5:30 - 7:00 PM Teen
Wednesday Adult Class 7:30 - 9:30	Thursday Class 3:00 - 4:30 (7 - 10 Years)
Thursday Class 5:00 - 7:00 Advanced Teen	Friday Class 2:30 - 4:00 (Pre-K - 7 Years)
Currently No Classes On Mondays	Super Heroes (every other Friday)

I_____________________________________give my permission for my child to accompany

studio staff to Rio Del Mar Beach for drawing/painting expeditions.

(If under 9 yrs. An assistant will accompany)

You can copy and paste this form into an email to Email Registration Or Print and mail, or click

below and type in the pertinent information (you can copy and paste into the fax as well)