Name of Child

First Name

Last Name

Age of Child

Name of Parent

First Name

Last Name

Cell phone

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Name

First Name

Last Name

Phone

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Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Days Registering for:

Allergies? If yes, please specify.

Payment Info:

PAYMENT INFO * $595 Art CLASS SEMESTER $655 Full Week SUMMER ART CAMP $595 Full Week ART CAMP (EARLY BIRD PRICE) $133 per day (snack & lunch included) $120 per day ART CAMP (only if lunch & snack are not included) $160 per Fairy Training School Workshop $160 per Mermaid School Workshop $160 per Little Goddess Training Workshop $160 per Soulshine Rainbow Power Workshop $160 Soulshine Empowerment Workshop Payment can be made one of the following ways: VENMO: @soulshine (payment accepted via Venmo ONLY if sent the regular way as a transfer of funds and not as a purchase because otherwise they charge a fee and we don't get the full payment amount) ZELLE: peaceloveartstudio@gmail.com * Inquire about CHECK or CASH by commenting in this form Please submit payment along with this form. We will confirm registration once both are received.

Child's favorite art medium?

Child's T-shirt size

DVORAtroshane SOULSHINE Art Studio

SOULSHINE Art Studio owned by Dvora Troshane (Dara Troshane) in Port Washington NY. Offering art classes for children, art classes for adults, workshops, art camp, birthday parties, ladies nights, girlscout troops, book clubs, creative nights, retreats, and walk-in creative activities. Dvora also designs websites, creates custom art and commissions. Artwork & Paintings for sale in the shop. Inspirational Art.

Registration Form

TO REGISTER for any of our programs please FIRST send payment via Venmo or Zelle and then SECOND please fill out and submit the Registration/Emergency Contact Form below. Pre-Registration required for all classes, workshops, camps & retreats.

Payment Info: Zelle: peaceloveartstudio@gmail.com

Venmo: @soulshine (Dara Troshane)

DVORAtroshane SOULSHINE Art Studio