Darien Arts Center Summer Workshops and Classes 2008

Fill out the form below, print it, and send it in with your payment. Mail it to:
  • The Darien Arts Center
  • 2 Renshaw Road
  • Darien, CT 06820
 One form per student
Name: Male Female
Age (as of 6/1): Entering Grade: Birth Date:
Address:
Town: Zip Code:
Parent's Name:
Email:
Phone - Home: Work/ Cell: Emergency:
I would like to register my child in the following Workshop(s):
Code: Workshop: Days/Time: Tuition: $
Code: Workshop Days/Time: Tuition: $
    Registration Fee: $
  Donation to DAC: $
    Total Enclosed: $
SESSION 1 SESSION 2 SESSION 3 SESSION 4