Paint Like the Masters Registration Form
Paint Like the Masters introduces children to the art of the Masters! This year our focus is Frida Kahlo and Diego Rivera! The cost is $600 for the week. Children use tempera paints, canvas boards and easels and a variety of other mixed media. All materials are included in this price.
Child's Information
Child's Name {binding ItemNumber}
Name
{binding displayValue}
Address
{binding displayValue}
Child's Age
{binding displayValue}
Enter Your Coupon Code (case sensitive)
{binding displayValue}
Please list all known allergies (including food and medications):
Comments or Questions
{ binding firstError.message }
Parent / Guardian Information
Parent/Guardian Name
{binding displayValue}
Relationship to Child
{binding displayValue}
Contact's Phone
{binding displayValue}
Email
{binding displayValue}
Alternate number
{binding displayValue}
{ binding firstError.message }
Date
{binding displayValue}
Down Payment Information
A down payment of half the total cost must be made for your registration to be complete.
Bank Information for Direct Deposit
Account Name: Natalia Jones
Bank: Republic Bank Ltd.
Branch: High Street San Fernando
Account Number: 940 000 003 301
Description: Art Camp
{{ Cognito.resources["powered-by-cognito"] }}