Registration — Little Picasso + Portfolio Prep

Portfolio Prep (8th-12th, adult),

Junior Prep(6th, 7th) & Advanced Little Picasso (4th-6th)

FALL 2023: 16-weekend classes

Aug 25th - Dec 16th (Closed for Thanksgiving break Nov, 24, 25)

Fridays: 3 - 7 pm Saturdays: 9 am- 3 pm -Choose 2-3 hours time block

SPRING 2024: 20 weekend-classes

January 12th- June 1st (closed for Spring Break March 29, 30)

Fridays: 3 - 7 pm Saturdays: 9 am- 3 pm -Choose 2-3 hours time block

*In case of heavy weather, check our website’s home page or text us at 703-399-1014

*Absences? One make-up class is available monthly and can be used within the same month.

Class Selection FIRST / SECOND CHOICES * - Choose any 2-3 hour time blocks.

Student Name

Grade and Age

School

Medical or Other Concerns?

Parent's Name

Phone Number

(###)

###

####

Address

Emergency Contact

Please list the name of the EC, a phone number, and the relation to the student

Select the Payment Type

FALL 2023 Regular classes 16-week session: $30/hr 2hrs per week - $960 + $60 (basic supply/registration) = $1020 3hr per week - $1440 + $60 (basic supply/registration) = $1500 Spring 2024 Regular classes 20-week session: $30/hr 2hrs per week - $1200 + $60 (basic supply/registration) = $1260 3hr per week - $1800 + $60 (basic supply/registration) = $1860 SUMMER 2024: close at 2pm on Saturday Regular classes 10-week session: $30/hr 2hrs per week - $600+ $50 (basic supply/registration) = $650 3hrs per week -$900 + $50 If you register early before the first class, you will be waived the $60 supply fee 8% sibling discount No refunds, No withdrawals other than extreme circumstances ----------------------- INTENSIVE PORTFOLIO preparation? : Consultation required & customized hours.

Full Payment

Monthly Payment (Monthly payment students are automatically charged the first week of each month)

Returning Student?

Please check 'YES' if you would like Ms. June to charge the card that the studio has on file from previous sessions.

YES, My information has not changed - I give permission to the studio to charge the card on file

Credit Card Auto Payment Information

If you would like to come in person or call on the phone to pay for your child, call 703-399-1014

Name on Card

Credit Card Number

Expiration Number

CVV

For online registration questions call or text: 703-399-1014

Again, if you'd rather do the entire credit card processing via the phone or in person, call the number above! Your slot will not be held until all payment processing is completed. Make sure to fill out all slots above. You may leave only the last four digits if the studio has your credit card information.

Medical & Media Release

I understand and agree that my child is expected to carry his/her own accident and medical insurance, I release Little Picasso SVA from any and all liability and/or claims and damages arising out of personal injury of any kind. If necessary, I authorize Little Picasso to administer first aid and/or authorize medical treatment for my child. I also give my permission for Little Picasso SVA to use photographs of my child and his/her work for promotional purposes.

Make Up Policy

Students are allowed one makeup per month. Makeup classes need to be arranged ahead of time since seats are limited for social distancing.

Inclement Weather

IN CASE OF HEAVY WEATHER, CHECK OUR WEBSITE'S HOME PAGE OR TEXT 703-399-1014. We do not always follow FCPS weather closings.