Class Registration Payment due first class. Checks payable to Minerva Arts Center. Summer 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 413-475-6228 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 InfoChoose one or more workshop(s)* Actor's Around the World (6/18-6/22), Ages 7 & up Filmmaking (7/2-7/13), Ages 7 & up Gleekers! (7/16-7/20), Ages 7 & up Little 2 Big Presents... (7/23-8/11), Ages 7 & up Once Upon a Time... (8/13-8/17), Ages 3 - 6 Known or Possible Schedule ConflictsNameThis field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle Ajax powered Gravity Forms.