All fields with * are required.

Last Name*

First Name* (child 1)

First Name (child 2)

First Name (child 3)

Child 1 Birth Year*

Child 2 Birth Year

Child 3 Birth Year

Parent Name*

Street Address*

City*

Zip*

Parent Email*

Parent Cell*

Select Session
 Thursdays from 10am-11am
 Fridays from 4:30pm-5:30pm

Select your classes!
 Membership (all eight classes)
 September 30/October 1- Simple Machines
 October 7/8- Wings to Wear
 October 14/15-Marionettes
 October 21/22- Books/Collage
 October 28/29- Wigs
 November 4/5- Beasts
 November 11/12- Framed
 November 18/19- Stars

Permission to take Photos
 By checking this box, I hereby grant FLY Children’s Art Center permission to take and use my child(ren)’s photograph(s) to be used for publications, advertisements, websites, or articles pertaining to the FCAC program. I understand that my child may be identified by first name only, if at all.
 By checking this box, I do not grant FLY permission to photograph my child(ren)

Select Payment type
 Paypal
 Check in the Mail

Additional Notes