New Artist Registration
Ink & Cotton Co.
Artist Name
First Name
Last Name
Gender
Please Select
MALE
FEMALE
Date of Birth
-
Month
-
Day
Year
Date
Artist Phone Number
Artist Email
example@example.com
If a minor, may I contact them via email, text message, or phone call regarding lessons, scheduling or Zentangle news?
Yes
No
Contact Guardian for all notifications
Parent or Guardian (if under 18)
First Name
Last Name
Parent or Guardian Phone Number
Please enter a valid phone number.
Email
example@example.com
Why do you want to take Zentangle lessons?
Do you have any experience tangling?
What would you like to improve on in your lessons? (Click all that apply)
Increasing my focus
Learning how to be patient with myself
Developing my artistic expression
Expanding my imagination
Responding confidently to the unexpected
Feeling gratitude and appreciation for my artwork
Anything else you'd like to share?
Are you affiliated with New Harvest Christian Co-op?
Yes
No
What kind of lessons would you like to take?
Beginner Lesson: FREE with Purchase of $18 Beginner's Kit (Local Artists Only)
Beginner Lesson: NO Beginner's Kit ($20)
In Person Group:( 4 ) - 1 Hour Lessons ($85)
ZOOM Group: ( 4 )- 1 Hour Lessons (Contact for Price)
Private: ( 4 ) one on one - 1 Hour Lessons ($85)
A Mosaic Gathering (Private, large group event) - Prices Vary
Forms of Payment: Venmo, PayPal, Credit Card (In person Square reader or online square reader), Cash.
I have read "Forms of Payment" and agree to using one of these forms of payment.
Notice of Missed Lessons / Ending lessons policy: Please let me know, as soon as possible, if you will not make it to your ZOOM or In Person lesson. There are no refunds for missed lessons. If you miss a lesson, I will roll the cost of that lesson to the next week. If you wish to stop lessons in the middle of a four lesson cycle, there are no refunds as the total cost of the four lessons are charged at the beginning of each four lesson cycle. If you wish to gift your remaining paid lessons to another artist, you may do that.
I have read and agree to the Notice of Missed Lessons / Ending Lessons Policy.
I’d like to stay in touch with you! I promise to only send you emails regarding being a student of my class or information which will have value to you as a student.
Yes, I agree to be added to the email list and I understand I can unsubscribe at any time. I also agree to being contacted by one of the above forms of contact.
No, I do not want to be added to the mailing list or contacted except to receive information regarding my lessons and pertinent information.
Signature
Submit
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