Join the Dr. Sue Art Club! Join the Dr. Sue Art Club! Thursdays, 4:00-5:15 pm Current Session Enrollment: January 12 – June 1 Sign up for both sessions and get a free week. 17 Classes – Total $480 Winter Session: Jan 12, 19, 26 Feb 2, 9, 16, 23, Mar 2, 9, 16 10 Classes – Total $300 Spring Session: Apr 20, 27 May 4, 11, 18, June 1 7 Classes – Total $210 (No class on the following dates… March 23, March 30, April 6, April 13 & May 25) All Supplies are included Winter / Spring Art Club 2023 Parent/Guardian InformationParent/Guardian Name* First Last Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Cell Phone*Email* Child InformationNumber of Children RegisteringOneTwoThreeFourThursdays, 4:00-5:15 pm January 12-June 1 Sign up for both sessions and get a free week. 17 Classes – Total $480 Winter Session: Jan 12, 19, 26 Feb 2, 9, 16, 23, Mar 2, 9, 16 - 10 Classes – Total $300 Spring Session: Apr 13, 20, 27 May 4, 11, 18 & June 1 - 7 Classes – Total $210 (No class on the following dates... March 23, March 30, April 6, April 13 & May 25)Child Name* First Last How many sessions?Winter - 10 ClassesSpring- 7 ClassesBothThursdays, 4:00-5:15 pm January 12-June 1 Sign up for both sessions and get a free week. 17 Classes – Total $480 Winter Session: Jan 12, 19, 26 Feb 2, 9, 16, 23, Mar 2, 9, 16 - 10 Classes – Total $300 Spring Session: Apr 13, 20, 27 May 4, 11, 18 & June 1 - 7 Classes – Total $210 (No class on the following dates... March 23, March 30, April 6, April 13 & May 25)Hebrew Name Date of Birth* MM slash DD slash YYYY Does your child have any allergies?*Child #2 InformationChild Name First Last How many sessions?Winter - 10 SessionSpring- 7 SessionBothThursdays, 4:00-5:15 pm January 12-June 1 Sign up for both sessions and get a free week. 17 Classes – Total $480 Winter Session: Jan 12, 19, 26 Feb 2, 9, 16, 23, Mar 2, 9, 16 - 10 Classes – Total $300 Spring Session: Apr 13, 20, 27 May 4, 11, 18 & June 1 - 7 Classes – Total $210 (No class on the following dates... March 23, March 30, April 6, April 13 & May 25)Hebrew Name Date of Birth MM slash DD slash YYYY Does your child have any allergies?Child #3 InformationChild Name First Last How many sessions?Winter - 10 ClassesSpring - 7 ClassesBothSign up for both sessions and get a free week. 17 Classes – Total $480 Winter Session: Jan 12, 19, 26 Feb 2, 9, 16, 23, Mar 2, 9, 16 10 Classes – Total $300 Spring Session: Apr 13, 20, 27 May 4, 11, 18 & June 1 7 Classes – Total $210 (No class on the following dates... March 23, March 30, April 6, April 13 & May 25)Hebrew Name Date of Birth MM slash DD slash YYYY Does your child have any allergies?Child #4 InformationChild Name First Last How many sessions?Winter - 10 SessionsSpring - 7 ClassesBothSign up for both sessions and get a free week. 17 Classes – Total $480 Winter Session: Jan 12, 19, 26 Feb 2, 9, 16, 23, Mar 2, 9, 16 10 Classes – Total $300 Spring Session: Apr 13, 20, 27 May 4, 11, 18 & June 1 7 Classes – Total $210 (No class on the following dates... March 23, March 30, April 6, April 13 & May 25) All supplies are included.Hebrew Name Date of Birth MM slash DD slash YYYY Does your child have any allergies?Section BreakCredit Card*Card Details Cardholder Name Total $0.00
