Child Youth Class Spring Registration Form

2022 Spring Child/Youth Registration Form

Thank you for registering for an Aurora Cultural Centre program. Your registration is almost complete! Please complete the form below for each registrant.

Name of Registrant:*
First Last
Child/Youth Class or Workshop Name:*
Please select all classes or workshops you have purchased on behalf of the registrant. Please refer to your email confirmation for registration details.
- [AFTER SCHOOL] You Can Uke It! | Ages 8+ | April 20 - June 8
- A Journey Through Art & Time | Ages 4-6 | April 23 - June 18
- Around the World with Art | Ages 7-10 | April 23 - June 18
- Famous Artists & Their Styles | Ages 11-15 | April 23 - June 18
- PA Day Program | Ages 4-12 | June 2 | 9:00 am - 4:00 pm
Order ID #:*
This can be found in the top right hand corner of your receipt or in the body of your confirmation email. Example: Order ID # PR123456.
Date of Birth:*
MM slash DD slash YYYY
Age:*
Gender:
- Male
- Female
- Not Listed
Please Specify:
Does the registrant have any special needs or medical information?*
- Yes
- No
Please indicate any special needs or medical information.*
Please indicate any special needs or medical information. This information is kept strictly confidential and used only to ensure the best possible experience.
Is an Epi Pen required?*
If an Epi Pen is required, please ensure that it accompanies the child at each class.
- Yes
- No
Name of Emergency Contact:*
First Last
Primary Contact Number:*
Contact E-mail:*
Relationship to Registrant:*
Name of Secondary Emergency Contact (Optional):
First Last
Contact Number of Secondary Contact (Optional):
Relationship to Registrant:
Do You Need to Submit an Additional Registration Form?

If you purchased a class or workshop registration for more than one (1) individual and are required to submit an additional Registration Form, please select "yes" and choose the corresponding Registration Form type (Adult 16+ or Child/Youth). Once selected, an additional form will populate. If you do not need to submit an additional form, simply select "no" and submit your existing form.
Would you like to submit an additional registration form?*
- Yes
- No
What age group?
- Adult 16+ Registration Form
- Child/Youth Registration Form
Name of Registrant:*
First Last
Child/Youth Class or Workshop Name:*
Please select all classes or workshops you have purchased on behalf of the registrant. Please refer to your email confirmation for registration details.
- [AFTER SCHOOL] You Can Uke It | Ages 8+ | April 20 - June 8 | 4:30 pm - 5:45 pm
- A Journey Through Art & Time | Ages 4-6 | April 23 - June 18 | 9:00 am - 11:00 am
- Around the World with Art | Ages 7-10 | April 23 - June 18 | 11:30 am - 1:30 pm
- Famous Artists & Their Styles | Ages 11-15 | April 23 - June 18 | 2:00 pm - 4:00 pm
- PA Day Program | Ages 4-12 | June 2 | 9:00 am - 4:00 pm
Order ID #:*
This can be found in the top right hand corner of your receipt or in the body of your confirmation email. Example: Order ID # PR123456.
Date of Birth:*
MM slash DD slash YYYY
Age:*
Gender:
- Male
- Female
- Not Listed
Please Specify:
Does the registrant have any special needs or medical information?*
- Yes
- No
Please indicate any special needs or medical information.*
Please indicate any special needs or medical information. This information is kept strictly confidential and used only to ensure the best possible experience.
Is an Epi Pen required?*
If an Epi Pen is required, please ensure that it accompanies the child at each class.
- Yes
- No
Name of Emergency Contact:*
First Last
Primary Contact Number:*
Contact E-mail:*
Relationship to Registrant:*
Name of Secondary Emergency Contact (Optional):
First Last
Phone Number of Secondary Contact (Optional):
Relationship to Registrant:
Name of Registrant:*
First Last
Class or Workshop Name:*
Please select all classes or workshops you have purchased. Please refer to your email confirmation for registration details.
- VIRTUAL - FREE! Watercolour Workshop (Beginner) | March 30 | 6:00 - 7:30pm
- VIRTUAL - FREE! Watercolour Workshop (Beginner) | March 31 | 6:00 - 7:30pm
- VIRTUAL - Signs of Spring: Watercolours Short Course | April 14 - 28 | 1:00 - 4:00pm
- Start Painting Now with Acrylics | April 19 - June 7 | 1:00 - 3:30pm
- Expand Your Horizons in Acrylics Level 2 | April 19 - June 7 | 6:30 - 9:00pm
- Ukulele for Beginners | April 20 - June 8 | 6:30 - 7:45pm
- Beginning Guitar | April 20 - June 8 | 8:15 - 9:30pm
- Exploring Watercolours (Intermediate/Advanced) | April 20 - June 8 | 1:00 - 3:30pm
- Watercolours: Basic & Beyond | April 21 - June 9 | 6:30 - 9:00pm
- Wood Carving | April 25 - June 20 | 6:30 - 8:30pm
- Card Making | April 24 | 10:00 - 1:00pm
- Springtime Paint-Along | May 5 | 7:00 - 9:00pm
- The Process of Printmaking | May 1 & May 8 | 10:00 - 3:00pm
- Florals Up Close - Watercolours | May 12 - 26 | 1:00 - 4:00pm
- Introduction to Mixed Media | May 14 | 10:00 - 1:00pm
- Make Your Own Stained Glass Suncatcher | May 15 | 10:00 - 4:00pm
- Crepe Paper Flowers | May 29 | 10:00 - 1:00pm
- Punch Needle Rug Hooking for Beginners | June 5 | 10:00 - 4:00pm
- Chip Carving 101 | June 12 | 10:00 - 4:00pm
- The Magic of Pastels | June 19 | 10:00 - 1:00pm
- Oil Painting in Still Life | June 25 | 10:00 - 4:00pm
Order ID #:*
This can be found in the top right hand corner of your receipt or in the body of your confirmation email. Example: Order ID # PR123456.
Gender:
- Male
- Female
- Not Listed
Please Specify:
Primary Number:*
Secondary Number:
Contact E-mail:*
Name of Emergency Contact:*
First Last
Emergency Contact Phone Number:*
Relationship to Registrant:*
Do you have any special needs or medical information?*
This information is kept strictly confidential
- Yes
- No
Please indicate any special needs or medical information.*

2022 Spring Child/Youth Registration Form

Do You Need to Submit an Additional Registration Form?