All skill levels are welcomed

LET’S HAVE AN ART EXPERIENCE TOGETHER

• Explore the exciting creative process with an experienced instructor who can help you discover and develop your unique artistic voice

• Experience innovative demonstrations, inspiring lessons, beneficial encouragement, and weekly practice which will advance your artistic skills and creative abilities

• Be introduced to many new painting techniques and get hands-on creating time where you will be able to begin and complete artwork to display, gift, and enjoy Weekly art lessons from an award-winning career artist whose work is represented by galleries throughout the US and internationally, many corporations, and in nationally ranked art festivals

• Individualized ART MENTORSHIP is also available to advanced students wishing to learn more about pursing their own art career and developing a full body of work to display in galleries, group exhibitions, art festivals, and more… together with a well-respected artist students can come away with real world insights and solutions to assist in their own artistic endeavors

Wednesdays: 5-7pm

Saturdays: 11am-1pm

Enrollment Form

Please Select One *

New Student

Returning Student

Student's Name *

Birthdate *

School *

Grade *

Parent's Name *

Address *

Address

Address

Address

City

City

State/Province Alabama Alaska Arkansas Arizona California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

State/Province

Zip/Postal

Zip/Postal

Home Phone

Cell Phone *

Work Phone

Email Address *

Please choose the appropriate program: * - Painting Advanced Painting (Saturday) Drawing (Wednesday) Drawing (Saturday) Adult Painting Piano Guitar Violin Voice Drum Ukulele

Preferred lesson day (1st Choice): * Monday Tuesday Wednesday Thursday Friday Saturday Sunday

Preferred lesson time (1st Choice): *

121234567891011 : 0030 AMPM

Preferred lesson day (2nd Choice): Monday Tuesday Wednesday Thursday Friday Saturday Sunday

Preferred lesson time (2nd Choice):

121234567891011 : 0030 AMPM

PREFERRED TUITION BILLING TERMS: *

Billed Every 4 Weeks

Billed Every 8 Weeks

Billed By Semester

Do you have siblings that need to be scheduled together?

Yes

No

Would you like to receive statements via email? *

Yes

No

Referred by:

Notes:

Tuition *

Payment is due on or before the first day of class. I understand that a $15 fee will be added to past due accounts.

Photo Consent *

Yes, I agree to allow Zhen Music and Arts Institute to use images and likenesses of my child in the promotional materials, website, and social media of the school.

No, I do not agree to allow Zhen Music and Arts Institute to use images and likenesses of my child in the promotional materials, website, and social media of the school.

Release *

I hereby release Zhen Music and Arts Institute Instructors from any and all liability and responsibility in connection with such activities and hereby release all parties from liability by reason of any accident or of injury suffered by said child while engaged in such activities.

Parent's Signature *

Date *

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