Class Registration Payment due first class. Checks payable to Minerva Arts Center. Winter 2019 Please fill out a registration form for each student. For sibling discounts, please click the "sibling" option. Student full and partial scholarships available to inquire contact Jennifer at 413-884-0050 or info@minervaartscenter.org.Name of Student*AgeThis student has a sibling in the SAME workshop?*yesnoName of Sibling (for Sibling Discount)Please fill out a separate registration for each student.Name of Parent or Guardian (if student is under 18)Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email* Second Email (optional) PhoneAlternate Emergency Contact InfoKnown or Possible Schedule ConflictsPlease choose a workshop* Once Upon a Time, PreK & K (ages 3 & up), (1/8-2/5) Mulan, Grades 1 & up, (1/12 - 2/16) EmailThis field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle Ajax powered Gravity Forms.