Application — Young Artist Exchange

Creative Experiences Enrolment Form

Enrolling as

StoryTeller

Musician

Surname

First Name

Gender

Male

Female

Date of birth (yy/mm/dd)

Name of parent/guardian

Contact No.

Email Address

Present Address

Any allergies or dietary restrictions?

Where did you hear about us?

I give Young Artist Exchange/Artists By Any Other Name Consent to use my child’s photo or video for their promotional purposes.

I agree

I hereby confirm that the documents I submitted are all true.

I agree

Parent's e-Signature (type your name)

Date

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