[Your Art Studio/Organization Name]
[Your Studio Address]
[Your Phone Number]
[Your Email Address]
[Your Website/Social Media Links (Optional)]
First Name
Middle Name
Last Name
Date of Birth
Last Name
Street Address
City
State/Province
Postal/Zip Code
Phone Number
Email Address
Emergency Contact Name
Emergency Contact Phone
Emergency Contact Relationship
Please provide details of any allergies or medical conditions you have.
Please indicate your class preference.
Class Name | Tuition Fees | Select | Preferred Date and Time | Total | ||
|---|---|---|---|---|---|---|
A | B | C | D | E | ||
1 | Class A | $195.00 | $0.00 | |||
2 | Class B | $195.00 | $0.00 | |||
3 | Class C | $195.00 | $0.00 | |||
4 | Class D | $195.00 | $0.00 | |||
5 | Total | $0.00 | ||||
6 | Materials Fee | $50.00 | ||||
7 | | Grand Total | $50.00 |
Please select your preferred class format.
In-Person
Online
If applicable, specify platform.
Grand Total
Payment Method
Online
Bank Transfer
Check
Cash
I understand and agree that [Your Art Studio/Organization Name] is not liable for any injuries or loss of personal property that may occur during the course of the class.
I grant permission to [Your Art Studio/Organization Name] to use photographs or videos of me/my child taken during class for promotional purposes (website, social media, brochures, etc.).
I have read and agree to the [Your Art Studio/Organization Name]'s refund policy.
I understand that class fees are non-refundable after [Date/Time or specific condition].
Applicant Signature
Parent/Guardian Signature (if student is a minor)
To configure an element, select it on the form.