Arts In Mission Registration

Child's Name

Parents' Name

Street Address

Siblings Name

Child's Date of Birth

Phone Number

Grade in September 2024

City, State, Zip Code

Date of Birth

Grade in September 2024

Siblings Name

Date of Birth

Grade in September 2024

Arts in Mission is a classroom learning environment. Is there any information that you would like to provide us that would assist us in helping your child learn?

Please list any musical experience your child has here (school choir, instrumental lessions, etc.):

Parental permission for pictures on the St. John's website:

YES - I give permission for my child(ren)'s picture(s) to appear on the St. John's website as they participate in the Arts in Mission program.

NO - Please do not inclue my child(ren)'s picture(s) on the website.

Parental permission for an individual other than myself to pick up my child(ren):

YES - I hereby give permission for the following individual(s) to pick up my child(ren) after the Arts in Mission program:

Your Signature

Thanks for submitting!