Child's Name:
Male Female  Age:
SESSION:

Group:  Day:  Time:

Start Date:  Number of Weeks:

Name of Parent/Guardian:
Permanent Address:
City:
 Zip:
Phone:
Cellular Telephone:
Fax:
Email:

FEES:

Total Due: (10% Discount for Siblings)

***On-going registration at a pro-rated tuition available.
A $25.00 annual fee will be applied to registrations.

MC/V/AX:  Exp


WINTER 2005:
January 3rd - March 25th (12 weeks)

The Goldfish class (Art/Baking) $396.00
Mommy/Me class (Music/Art)

$360.00
Animal Care class $360.00

FALL 2004:
September 13th - December 17th (14 weeks)

The Goldfish class $462.00
Mommy/Me class

$420.00
The Animal Care class $378.00

(An annual registration fee of $25.00 will be applied)

For your information:

  • We will gladly confirm your space upon receipt of this registration form and payment in full.
  • Refunds available at a pro-rated rate if you are not satisfied after your second class. We will not refund for missed classes.
  • There is a $30 fee for all returned checks.
  • We are happy to offer 1 makeup class per session.
  • Class schedule subject to change due to insufficient enrollment.
  • Please keep your little ones home if they appear to be getting sick.

I wish to enroll my child in the above session(s) with the understanding that I or my caregiver are responsible for my child's behavior in class and during animal time to maintain a fun, safe environment for both the children and the animals.

Parent's Signature:

If sending a check, make payable to:

The Art Farm In The City
PO Box 274
Bridgehampton, NY 11932
Phone 212-410-3117 • Fax 212-410-3525