Event Registration Form

Artist's Name*

First NameLast Name

Second Artist's Name

First NameLast Name

Third Artist's Name

First NameLast Name

Forth Artist's Name

First NameLast Name

Email*

example@example.com

Phone Number*

Please enter a valid phone number.

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Would you like to be added to the Art with Jada News Letter?

YesNo

Paint Night Registration*

Adult Paint Night at Taphouse Craft Beer + Kitchen

Canvas painting, great food & drinks in Downtown Orangeville's favourite hangout. More Dates Coming $39.95 per person (does not include food or drinks)

$34.95CAD

	Quantity	Price
Sunday December 14th 4-6pm		$34.95CAD
Sunday December 14th 4-6pm Group Rate (please specify which group in notes)		$29.95CAD
Friday January 16th 6-8pm		$34.95CAD
Friday January 16th 6-8pm Group Rate (please specify which group in notes)		$29.95CAD

Family Paint Nights

Bring the whole family for a fun night of canvas painting. Parents can join in the fun or have a date night while the kids create with Jada.

$29.95CAD

	Quantity	Price
Friday December 12th 5:30pm		$29.95CAD
Friday January 9th 5:30pm		$29.95CAD

Private Paint Party Guest Registration

Please book your party before registering. Please specify which party you are registering for in the notes below.

$44.95CAD

	Quantity	Price
4-6 Guests (per painter)		$44.95CAD
6-10 Guests (per painter)		$39.95CAD
10-16 Guests (per painter)		$34.95CAD

Item subtotal:$0.00CAD

Subtotal

$0.00CAD

Tax

$0.00CAD

Total

$0.00CAD

Credit Card

Signature

Notes

Please verify that you are human*

Paint Night Registration Form

Credit Card