2017 Fall Programming Registration Form

STUDENT CONTACT INFORMATION
Thank you for completing these important details. You will find class information in the next step. 
Under the age of 18? *
Are you a member of Aiken Center for the Arts? *
Which class offerings would you like to view?
(select all that apply) *

ADDITIONAL INFORMATION
Do we have your permission to photograph you/your child for our partner and promotional use? *
In the event of an emergency, do we have your permission to authorize transport to the hospital? *
Would you like to list an emergency contact in the event of an emergency?
(NOTE: For students under the age of 18, we will contact the parent FIRST, then the emeregency contact if unsuccessful) *

EMERGENCY CONTACT INFORMATION