Part I - Registration Form

Student Name (First & Last) *

Grade *

School Name *

Parent / Guardian Name *

Parent / Guardian Email Address *

Parent / Guardian Telephone Number *

Parent / Guardian Name (optional)

Parent / Guardian Email Address (optional)

Parent / Guardian Telephone Number (optional)

Student Photo Consent *

Yes

(I hereby grant Artists for Kids and the North Vancouver School District the permission to use, or reproduce, any pictures/film of the student named above, or any in which they may appear, in whole or in part, taken during the class indicated above for the purpose of publishing, advertising, art, trade or any other lawful purpose.)

Student Art Consent *

Yes

(I hereby grant Artists for Kids and the North Vancouver School District the permission to use, or reproduce, any art created by the student named above for publishing, advertising, art, trade or any other lawful purpose.)

Does the student have any medical conditions that we should be aware of (allergies, asthma, etc.) *

Please email afkinfo@sd44.ca if you would like to provide us with more information.

Does the student have any learning conditions that we should be aware of? *

Please contact us after registration if your child requires additional support in school, such as EA support.

Alternate Emergency Contact Name *

Alternate Emergency Contact Telephone *

Alternate pick-up person name & telephone

If applicable

Part I - Registration Form​​​​

Part I - Registration Form