Art Exploration: Unit 1 (Ages 9-12)

Mixed media exploring through 3 art mediums, including: painting, color pencil and pastel, over the course of 12 weeks.

Jan 24 - Apr 18, 2025

Fridays, 4-6pm

(No class March 28)

Instructor: Alicia Dianne

1052 Allen Ave

Pasadena, CA 91104

First name*

Last name*

Email*

Phone*

Relationship to Student

Mother

Father

Grandparent

Step Parent

Legal Guardian

Student First Name*

Student Last Name*

Student D.O.B.*

Month

Day

Year

Emergency Contact Name*

Emergency Contact Phone*

Allergies*

Tree Nuts

Dairy

None

Other

Persons Authorized to Pick Up Student*

Photo Release*

Allow student to participate in promotional class photos

Do not allow student to participate in promotional class photos

Art Exploration: Unit 1 (Ages 9-12)*

12 Classes$120

Fridays, 4-6pm

January 24 - April 18, 2025

(No class March 28)

"Now glory be to God, by his mighty power at work within us is able to do far more

than we would ever dare ask or even dream of - infinitely beyond our highest prayers,

desires, thoughts or hopes." Ephesians 3:20

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