Portfolio Preparation Program Enrollment Form Thank you page

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Student Details
Name of Student*
First Last
Date of Birth*
Gender*
- Girl
- Boy
Applying to Institute
Name of Institute
Name of Second Institute
Name of Third Institute
Portfolio Application Submission Year
Address*
Street Address Address Line 2 ZIP / Postal Code
Nationality*
Parent Details

*For Adult students please place just your details.

Mother's Details
Name*
First Last
Occupation
Email*
Enter Email Confirm Email
Handphone*
Landline
Nationality*
Father's Details
Name*
First Last
Occupation
Email*
Enter Email Confirm Email
Handphone*
Landline
Nationality*
Emergency Contact Details
Contact Name*
First Last
Contact Number*
Preferred Admission Start Date & Time
Date*
Time *

: HH

MM
Dates: Please give 4- 6 preferred days and times depending on your selected program. Keep in mind the Studio is closed on Fridays. Classes are available Mondays - Thursdays as well as Saturdays and Sundays subject to availability.
Date
Time

: HH

MM
Date
Time

: HH

MM
Date
Time

: HH

MM
Date
Time

: HH

MM
Date
Time

: HH

MM
Special Requests/ Area of Interest (if any):
I came to know about Little Artists from*
- Magazines
- Blogs
- Facebook
- Friend
- Brochure
- Other Social Media
Declaration
Terms and Conditions*
- I understand the school will take every effort in ensuring the safety of me and/or my child. However, I will not hold the school responsible for any accident or loss of personal items. I have read the studio policy and agree to abide by its rules and regulations.
Name of Parent/Guardian*
First Last
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