Campus Registration Form

The Art Box Academy®

Jr. Artists, Architects & Engineers!

TEST COMBINED FORM

TEST FORM

 

REGISTER

NOTE: If you have any issues with this form, please do not hesitate to contact us directly at (310) 625-6028.

CC - ALL schools

School

Schools:

Student Information

Each student needs to be registered individually.
Student Name
Student Name
First
Last
Does this Student attend After-Care?
Registration

Registration for this Student: $250.00

Registration for American Martyrs

Registration for this Student: $225.00

Parent Information

Parent Name
Parent Name
First
Last
Authorized Adult to pick up Student
Authorized Adult to pick up Student
First
Last

Payment

Credit Card Billing Address
Credit Card Billing Address
City
State/Province
Zip/Postal
Name as it appears on your Credit Card
Name as it appears on your Credit Card
First
Last
Credit Card

Total Amount to be Charged to your Credit Card

Total

Start Over

NOTE: Once you click the Submit button, it could take up to 1 minute for your form to process! If the form does not process after this time, please call us at (310) 625-6028.

Lil’ Sneak Peek … Art in the Classroom!