Arts & Education at the Hoyt

Child's Name *

First Name

Last Name

Birthdate

MM

DD

YYYY

Parent's Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Parent Cell Phone

(###)

###

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Parent Home Phone

(###)

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Parent Work Phone

(###)

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Blocks *

Preregistration is required prior to attending each two week session. Please do not register for all sessions if your child cannot regularly attend each week. Registration is ongoing as space allows. I am registering for the following blocks:

Block VI: Holiday Traditions (December 3 - 12)

Block I: New & Renewed (January 7-16)

Block II: All About Paper (January 21-30)

Block III: For the Love of Art (February 4-13)

Block IV: Let's Party (February 18-27)

Block V: Daylight Savings Time (March 3-12)

Block VI: Community Arts (March 17-26)

Transportation

The Hoyt does not provide transportation.

Walk

Car

Bicycle

How did you hear about the program?

Facebook

Mailing

Past Participant

Newspaper

Email

Friend