Class Registration Payment due first class. Checks payable to Minerva Arts Center. Fall 2018 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 SiblingName 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 PhoneAlternate Emergency Contact InfoKnown or Possible Schedule ConflictsChoose one or more workshop(s)* Once Upon a Time, Ages 3 - 6, (10/13 - 11/10) Treasure Island, Ages 7 - 12, (10/1 - 10/27) TBA Musical, Ages 13 + up, (10/13 - 11/17) EmailThis field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle Ajax powered Gravity Forms.