2023/2024 homeschool art program registration form Student's Name, Grade Level, & Birthdate * Parent/Guardian Name(s) * Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Phone (Best number to reach you.) * (###) ### #### Email * Would you like to join our eNews list? Yes No Allergies/Other Health Conditions * Alternate Emergency Contact/Relationship/Phone Number * List Others Who May Pick Up Your Child Do we have your permission to photograph your child? * Your permission allows the registered student to be photographed for publicity purposes, including but not limited to media coverage during his/her visit to HMA, and releases HMA from liability and demands for compensation, award or other considerations whatsoever arising from the enrolled appearing in such material. Yes No Payment Preferences Yes, please invoice me so that I can pay online. I would prefer to arrange to pay in a different way. Are you an HMA Member? * Yes No If not, would you like to join? Yes No Please specify the dates you wish to register for: * Morning classes are held from 10:30 AM - 11:45 AM and Afternoon classes are held from 1:00 PM - 2:30 PM. The AM and PM classes will focus on the same content. Each month will focus on a different art process/technique, utilizing the museum’s various exhibitions while teaching a broad-based knowledge of art fundamentals. September 14 | AM Class September 14 | PM Class October 12 | AM CLass October 12 | PM Class November 9 | AM Class November 9 | PM Class December 14 | AM Class December 14 | PM Class January 11 | AM Class January 11 | PM Class February 8 | AM Class February 8 | PM Class March 14 | AM Class March 14 | PM Class April 11 | AM Class April 11 | PM Class May 9 | AM Class May 9 | PM Class Thank you!
