Registration

Hanukkah Camp 2019

Please fill out this form for each individual child.

* Indicates required field

Child's Name *

First

Last

Parent's Name *

First

Last

Gender *

Male Female

Grade *

Emergency Phone *

Mom's Cell Phone *

Dad's Cell Phone *

Home Address *

Email Address *

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

Please read the following statements and check each box if you read and 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.

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

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

I agree to receiving marketing and promotional materials

Submit

Hanukkah Camp 2019

THANK YOU FOR VISITING TALY'S ART STUDIO!

address

Telephone

Email