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Stiller Zusman 409 West Seneca St., Ithaca, NY 14850 | Call Stiller for more information 607-262-6562. 

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Spring sign up 2012

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Go to Summer Camp Sign-up  
Your child's name _____________________________________________

Abovoagogo Spring 2012 Art Classes

Agogo Afternoons |ages 5 and up , 2:30 - 3:45
Thursdays  May 3,  May 10,  May 17,  May 24, May 31,  June 7,  June 14		 _______$120
Elementary Sculpture | ages 6 and up, 2:30 - 4:00
Wednesdays,   May 2, May 9, May 16, May 23, May 30 		_______$100
Elementary Sculpture | ages 6 and up, 4:15 - 5:30
Thursdays, May 3,  May 10,  May 17,  May 24, May 31,  June7,  June 14		   _______$140
Digital Photo and Photoshop 1  | ages 6 and up,  4:15 -5:30
Mondays,     April 23,  April 30,  May 7,  May 14,  May 21  		________$80
Digital Photo and Photoshop 2 | ages 6 and up,  4:15 -5:30
Tuesdays,   April 24,   May 1,  May 8,  May 15,  May 22		 ________$80
The Meaning of Objects | Jump•Ahead ages 11 - 14,   4:15 -5:30
Wednesdays, May 2,  May 9,  May 16,  May 23,  May 30		 _______$100
Drawing Like Crazy | ages 6 and up, 2:30 - 4:00
Fridays , April 20, 27, May 4,  11, 18, 25, June 1, 8,  15    
$17/ea or $145 session

_______$145
Total_________________________________________________  

Please make checks payable to: Abovoagogo | 409 West Seneca St. | Ithaca, New York 14850

 

Abovoagogo Permissions and Medical Information 

Your Name_______________________________Child's Name_____________________________

Age____________

Address___________________________________________________________________________

Phone Numbers:  (Home)__________________________(cell)_________________(other)________

E-mail_____________________________________________________________________________

Medical Alerts: (allergies, injury, impairments)___________________________________________

__________________________________________________________________________________

Doctor’s name and phone___________________________________________________________

I ______________________________ release Stiller Zusman and Gwen Bullock from all liability while my child is in their care and I give them permission to seek medical assistance for my child.
 
I do (  ) do not (  ) give permission for my child to be photographed for publicity and/or documentation.
 
(  ) Check here if you will be dropping your child off at 409 West Seneca Street.

(  ) Check here if your child will be picked up from BJM school by  Stiller at 2:00pm. (for classes starting at 2:30)
 
My child will be picked up by___________________________________________________________
 
 

Signature____________________________________________________________Date____________

Notes:_______________________________________________________________________________

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