After School Registration Form

Please submit completed registration form with a non-refundable registration fee of $35. If you choose to pay by check please make checks payable to Gabriel's Art Kids and mail to:

ASAP at GAK
2215 D Street
Bellingham, WA 98225

ASAP Registration Form

* Indicates required field

Students Name *

First

Last

Birthdate *

What School Year are your applying for? *

Please specify number of days child will attend *

Parent or Guardian *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

Email *

What school does your child attend *

Grade *

Will you be applying for tuition reduction? *

Yes No

Please note we do not accept DSHS. We have our own tuition reduction program families may apply for.

Emergency Contact Name *

First

Last

Emergency Contact Phone Number *

Referred by - Please name the person or the company that referred you to us *

I give permission for my child to be photographed *

Yes No

Allergies we should know about *

I give permission for my minor child to receive emergency medical treatment *

Yes No

Coupon Code *

Comment *

I agree to receiving marketing and promotional materials *

Submit

Please submit completed registration form with a non-refundable registration fee of $35 and class tuition. If you choose to pay by check please make checks payable to Gabriel's Art Kids and mail to:
2215 D St
Bellingham, WA 98225

After School Registration

ASAP Registration Form

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