Child's Name* First Last 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* 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. Child's Birthday Month Day Year Will a parent be staying for class?Parents are welcome to stay, but not required. Yes No How did you hear about our program? Facebook Email Newspaper Friend Mailing Other 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 the Creative Play 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 webcontent. I agree to the photo release policy.CAPTCHA
