Art Studio Class Participation Waiver Form
Please complete this form to participate in the art studio class. All fields are required for registration and waiver acknowledgment.
Participant Full Name
*
First Name
Last Name
Participant Email Address
*
example@example.com
Participant Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Participant Age
*
Emergency Contact Name
*
First Name
Last Name
Emergency Contact Relationship
*
Please Select
Parent
Guardian
Sibling
Spouse/Partner
Friend
Other
Emergency Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Class/Session Name
*
Please Select
Beginner Painting
Intermediate Drawing
Advanced Sculpture
Mixed Media Workshop
Youth Art Exploration
Other
Preferred Session Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Submit
Should be Empty: