For more

 information 

and 

eligibility 

please call: 

423-320-6738


 
Short Registration Form


Name:________________________________________________

_____________________________________________________

Youth, age and grade/s:______________________________

Name of guardian(s):_________________________________

Address:_____________________________________________

_____________________________________________________

City: ______________________ State:__________________

Zip: Home phone:_____________________________________

Cell: Work:__________________________________________

Email (please print clearly):________________________

_____________________________________________________


Classes will be at James A Henry Bldg. SPLASH Art Studio located at: 1200 Grove Street, Chattanooga, TN 37402 

Fill out application when you arrive or bring application with you at time of class.