Art Class Liability Waiver Form
Please complete this waiver form before participating in the art class. Your information will be used for emergency and liability purposes only.
Participant's Full Name
*
First Name
Last Name
Participant's Date of Birth
*
-
Month
-
Day
Year
Date
Participant's Email Address
*
example@example.com
Participant's Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Emergency Contact Name
*
First Name
Last Name
Emergency Contact Relationship
*
Please Select
Parent/Guardian
Spouse/Partner
Sibling
Friend
Other
Emergency Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Please list any allergies or medical conditions we should be aware of
Participant's Signature
*
Submit Waiver
Submit Waiver
Should be Empty: