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2023-24 Class Registration Form

Please fill out this form for each individual child.

* Indicates required field

Child's Name *

First

Last

Age *

Entering grade *

Gender *

Male Female

1st Parent's Name *

First

Last

1st parent Cell Phone *

2nd parent name *

2nd parent Cell Phone *

Email Address *

Home Address *

Emergency Phone *

Check the desired class for your child. CIA = Creation in Art. DRW=Drawing *

Monday 4:15-5:15 age 6-8 CIA Monday 5:30-6:45 teens CIA Tuesday 4:00-5:00 age 5-7 CIA Tuesday 5:15-6:15 age 8-10 CIA Tuesday 6:30-7:30 age 11-15 adv drw Wednesday 4:00-5:00 age 6-8 CIA Wednesday 5:15-6:30 age 12-14 CIA (long class) Thursday 4:15-5:15 DRW 9-12 Thursday 5:45-6:45 age 9-12 CIA

Important info about your child (ADD, allergies, etc.) *

Please read the following statements and check each box if you read and agree:

Payment Plans Two different payment plans are available to choose from. Each plan is a year long (9 month) commitment, no change of plan in the middle of the year. Plan 1 - Monthly payment: 9 monthly checks, all surrendered on the first class of the enrollment month with an equal amount, regardless of how many classes are on that month. This plan contains a substantial discount. Plan 2 - Per class payment: Payment is done in the beginning of each month and calculated by the "per class" amount and number of classes in each month. (For example - if the PER CLASS amount is $25, Monday classes will pay $75 for September and $125 for October). *

Plan one - Monthly equal payments Plan two - Per class payment

Please check one

Dropping out of class should be notified two weeks in advance. No refund will be given for classes that are missed due to any reason. Best effort will be made for a makeup class based on age and space availability. *

I agree.

Please note that working with good materials means that not all materials are washable. Please send your child with clothes that can get messy. *

I agree.

Parking is only by the curbside. Do not park in our driveway. Please refrain from using your horn or alarm and drive cautiously in consideration to our neighbors. *

I agree.

Ability to engage in art activities and assumption of the risk: Art studio activities, including but not limited to paints, glues, pastels, chalk pastels, pencils, wood/plaster tools, fiber, plaster, and more. Taly’s Art Studio takes all possible precautions to reduce risk and provide safe, healthy, and enjoyable experiences. I warrant that my child is able to follow directions for all activities in studio class. I acknowledge that risks from participation in class activities exist and that I have allowed my child to attend art class knowing these risks and their possible consequences including personal injury, Waiver and Release of Liability As a parent or guardian of my child, I agree that I will not hold Taly’s Art Studio liable for any personal injury, property damage or loss of insurance. I agree to release and hold harmless Taly’s Art Studio and Taly Shemy from all liability incurred as a result of my child’s participation in studio class and that these terms serve as a release for myself, volunteers, property owners and members of my family. I am the parent/guardian of the child—who is under 18 years of age—that I am registering for Taly’s Art Studio classes. *

I agree.

Photographs: Taly’s Art Studio is granted permission to use group or individual photographs or photo images taken during class for publicity or promotional purposes. *

Yes No

Please be ON TIME for drop off and pick up. *

I agree.

Submit

THANK YOU FOR VISITING TALY'S ART STUDIO!

address

1150 Maraschino Dr.
Sunnyvale, CA 94087

Telephone

408-910-4805

Email

taly.art@gmail.com