PARSONS-BRUCE ART ASSOCIATION

 

Home

In the News

Call for Artists

Kids Kollege

Scholarship

Links

Board of Directors

Newsletter

Membership

Contact Us

 

Kids Kollege Information

2017 Kids Kollege will be held July 10 - 14 and July 17 - 21

2017 Parsons-Bruce Art Association Kids Kollege Brochure
**PLEASE NOTE:  The Extreme Challenge Class (July 10 -14) and The Magical World of Theater (July 17-21) are now full.**

2017 Kids Kollege Online Registration Form

Date:       Student's Name:       *Age:       Last Grade Completed: 
*Must Be 5 by July 1st

Parent / Guardian Name: 

Home Address: 

Home Phone:      Cell Phone:       Email Address: 

Emergency Contact Name:       Emergency Phone: 

Who will be picking up your child: 

List any allergies your child has: 

Session 1 (July 10 - 14)
First Choice:       Second Choice: 

Session 2 (July 17 - 21)
First Choice:       Second Choice: 

If the first class you choose does not have at least 8 students or has reached the maximum enrollment, you will be given your second choice.  If you have no second choice for the session, leave the second choice space blank.  We will contact you if a change needs to be made.

Newspaper / Internet Release Form

   I GIVE permission for photographs of my child to be placed in local newspapers and/or on the PBAA website.  The child's name will NOT be listed.

   I DO NOT GIVE permission for photographs of my child to be placed in local newspapers and/or on the PBAA website.

Disclaimer

There is a nonrefundable $60 charge per class.  Combination classes for ages 5-6 or 5-7 are assessed as one class.

By submitting this form, you agree to the rules and regulations of Kids Kollege and give permission for the child to attend the summer Kids Kollege program.  In case of emergency, I give my permission for him/her to receive any necessary emergency medical care from Sentara Halifax Regional Hospital in South Boston, Virginia, the Halifax County Rescue Squad, or the nearest services available.



Please click Submit only once and you will be redirected upon successful submission of the form.

 

Website Hosted by GCR Online