Registration Form

* Indicates required field

I am registering my child(ren) for: *

About My Child(ren):

Child 1 Name: *

First

Last

Choose One *

Male Female

Age *

DOB: (MM/DD) *

Child 2 Name *

First

Last

Choose One *

Male Female

Age *

DOB (MM/DD) *

Child 3 Name *

First

Last

Choose One *

Male Female

Age *

DOB (MM/DD) *

Please indicate any allergies and/or special instructions: *

About Me:

Parent/Guardian Name *

First

Last

Email *

Street Address *

City *

Select One *

ZIP Code *

Cell Number *

Alternate Number *

Emergency Contact 1 *

First

Last

Cell Number *

Relationship to Child *

Emergency Contact 2 *

First

Last

Cell Number *

Relationship to Child *

Releases:

Medical: My child has my permission to participate in the activities provided by Time For Art, LLC. I certify that the my child(ren) has no conditions that prohibit full participation. In case of an emergency, I authorize Time For Art, LLC, the studio instructors and/or employees to contact and secure for my child any necessary medical attention and/or transportation to the nearest medical facility. By signing below, in person or electronically, I assume all ordinary risks for my child's use of the facilities and hereby release Time For Art, LLC and any of its employees or contractors for any injury or damages suffered in connection with said use of equipment or facilities.

Photography: By signing below, in person or electronically, I give permission to Time For Art, LLC to use photographs or videos of my child(ren) and their art in any media or publications without limitation, for the sole purpose of publicity and advertising for Time For Art, LLC.

Email: I consent to receive occasional promotional email updates from Time For Art, LLC, from which I can unsubscribe at any time. I understand that my information will never be shared or sold to a third party.

Opt-Outs *

Photography (please don't use my child's art or photos) Email (please don't send me occasional email updates)

I understand that this waiver serves as valid permissions for future classes and events my child(dren) attends at Time For Art, LLC. It is my responsibility to update this information and initial/date any changes.

My e-signature below indicates that I have read, understand, and accept all participant terms and conditions. *

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