Kids Like Clay™ Studio

10805 Hess Drive
La Mesa, CA 91941
(619) 567-6964
This email address is being protected from spambots. You need JavaScript enabled to view it.

Individual Registration

Please enter information in the form below to process registration for event Tuesdays at Curie Elementary - (5) Classes Fall/Winter 2026-27.

Child's first name *

Child's last name *

Child's grade level *

Child's Age

Child's Teacher

Classroom Number

Parent / Responsible Party's Info

Parent's first name *

Parent's last name *

Email *

Street Address

City

State

Zip

Phone *

Authorized Pick-Up Person

Pickup person's name *

Pickup person's phone # *

Special Needs / Emergency Contact

Any special needs or concerns?

Emergency contact person *

Emergency contact phone # *

Image Releases

I give permission for my child's artwork to be used by Kids Like Clay™ on its website and any other related publicity, including print and/or broadcast media. *

yes

I give permission for my child's photograph to be used by Kids Like Clay™ on its website and any other related publicity, including print and/or broadcast media. *

yes

Release of Liability

We at Kids Like Clay™ do our very best to provide a safe art making environment. In consideration for the privilege of participating in this program, I hereby release and hold harmless Kids Like Clay™ for any injuries during Kids Like Clay™ class time. Kids Like Clay™ is not responsible for children after or before the stated class times. For more information, contact Jana or Doug Kenney (619) 567-6964 or Contact Us via Email.

Please type your name *