It Starts With Art!

* Required Field

Has your child taken any SMA Kids classes before? *

  Yes   No

Child's Name: *

birth date: * MonthJanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember Day1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 , Year2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997

School Child Attends: *

Special Requests or Needs:

* Required Field

Has your child received a scholarship from school? *

  Yes   No

Nominating Teacher: *

Would you like to request a scholarship? *

  Yes   No

Scholarship Statement of Interest: *

* Required Field

Are you a friend of the art museum? *

  Yes   No

Parent/Guardian's Name: *

Mailing Address: *

city, state zip: * StateAF Americas (ex CAN) AF Africa/CAN/Europe/ME AF Pacific Alabama Alaska American Samoa Arizona Arkansas California Colorado Connecticut Delaware District of Columbia F.S. of Micronesia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Marshall Islands Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota No. Mariana Islands Ohio Oklahoma Oregon Palau Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming

phone: *(home) ( ) -

phone:(work) ( ) -

phone: *(emergency) ( ) -

email address: *

Classes may be full, please call 785.864.0137 if you would like to place your child on the waiting list.