Child's Name* First Last School Child's Birthday Month Day Year GradePlease enter a number from 1 to 6.Parent Name* First Last Address* Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Email* Parent Cell Phone*Text me remindersYes! I would like to receive text reminders about this activity and information about other activities like it. I consent to receiving SMS messages from Arts & Education at the Hoyt. Standard Message and data rates apply. Parent Home PhoneParent Work PhoneBlocks*Preregistration is required prior to attending each one week session. Please do not register for all sessions if your child cannot regularly attend each week. I am registering for the following blocks. If sessions are full, add me to the waitlist. Select All January 9-11, 2024 January 16-18, 2024 January 23-25, 2024 January 30- February 1, 2024 February 6-8, 2024 February 13-15, 2024 February 20-22, 2024 February 27-29, 2024 March 5-7, 2024 March 12-14, 2024 March 19-21, 2024 Name of anyone besides the parent listed above be picking up your child? First Last TransportationThe Hoyt does not provide transportation. Walk Car Bicycle Photo Release*I herby grant Arts & Education at the Hoyt, its representatives and employees the right to photograph or video my child in connection with this program. I authorize Arts & Education at the Hoyt, its assigns and transferees to copyright, use and publication of the same in print and/or electronically for any lawful purpose, including publicity, illustration, advertising, and web content. I agree to the photo release policy. I do not agree to the photo release policy. AllergiesPlease list any allergies your child has and their reaction. Additional InformationIs there any additional information we should know about your child?How did you hear about the program? Social Media Mailing Past Participant Newspaper Email Friend CAPTCHA
