Please complete this enrolment form for Teenagers’ Studio Art Class with Michelle Zuccolo

Please email us at with the following information to complete your enrolment.

Course name: Teenagers’ Studio Art Class with Michelle Zuccolo

Parent/Guardian first name:
Parent/Guardian last name:
Parent/Guardian email address:
Parent/Guardian phone number:

Student first name:
Student last name:
Student age:

Third party emergency contact name:
Third party emergency contact relationship to student:
Third party emergency contact phone number:

Do you give Melbourne Art Class permission to include images of your artwork in our online gallery and digital marketing materials?

Do you have any special requirements to access the studio, or during the class (eg. wheelchair access, sensory impairment etc.)?