Thank you for your interest in our painting classes! Please fill out the form below to register. Ensure all information is accurate and complete.
Full Name
First Name
Last Name
Date of Birth
Gender
Contact Details
Phone Number
Email Address
Street Address
Address Line 1
Address Line 2
City/Suburb
State/Province
Postal/Zip Code
Emergency Contact
First Name
Last Name
Phone Number
Relationship
Please indicate your class preference.
Class Type | Weekday | Weekend | Total ($) | |
|---|---|---|---|---|
Beginner Weekday classes are $50 per week, and weekend classes are $70 per week. | $0.00 | |||
Intermediate Weekday classes are $60 per week, and weekend classes are $80 per week. | $0.00 | |||
Advanced Weekday classes are $70 per week, and weekend classes are $90 per week. | $0.00 | |||
Children’s Class (Ages 6-12) Weekday classes are $50 per week, and weekend classes are $70 per week. | $0.00 | |||
Teen Class (Ages 13-17) Weekday classes are $60 per week, and weekend classes are $80 per week. | $0.00 | |||
Adult Class (18+) Weekday classes are $70 per week, and weekend classes are $90 per week. | $0.00 | |||
Total | $0.00 |
Preferred Medium
Acrylic
Oil
Watercolor
Mixed Media
Other:
Preferred Schedule
Weekday Morning (10 AM - 12 PM)
Weekday Afternoon (2 PM - 4 PM)
Weekday Evening (6 PM - 8 PM)
Weekend Morning (10 AM - 12 PM)
Weekend Afternoon (2 PM - 4 PM)
Start Date Preference
Do you have any prior painting experience?
Total Payment
Payment Method
Online Payment
Bank Transfer
Check
Cash
Do you have any allergies or medical conditions we should be aware of?
How did you hear about us?
Friend/Family Referral
Website
Social Media
Flyer/Poster
Additional Comments or Special Requests.
By signing below, I agree to the terms and conditions of the painting class, including payment policies, cancellation policies, and liability waivers. I also confirm that all information provided is accurate.
Signature
| Item total | $0.00 |
| Total | $0.00 |