Registration not complete until deposit received and class availability confirmed by First Marks.

Child's Name: Age:
School: Grade:
Address:  
City: Zip:
List Any Special Needs:  
Mom's Name: Phone:
Dad's Name: Phone:
Email:   Cell:
Emergency Contact & Phone:
Session Day & Time:
How did you hear about us?
Other:
  

 
Parent's Signature_______________________________________________
By signing, the parent assumes the responsibility for all balance due and releases Mary Beth Swicord from liability in the event of personal injury or damages to personal property as a result of participating in this art class.

Please send a printed registration form and your check, payable to First Marks Studio, to: 1398 Concord Point Lane, Reston, VA 20194.

 

 

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For more info, please email info@firstmarks.com or call 703-471-7785.

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