Van Gogh and Friends Adult Art Classes

Registration Form

First Session Ten Weeks: September 16-November 19
Student Name

First NameLast Name
Birth Date
Parents Names

NameName
E-mail
example@example.com
E-mail
example@example.com
Mobile Number
Mobile Number
Emergency Number
Emergency Number
By completing and signing this form, I hereby agree to the following:

I assume full responsibility for any risks, injuries, or damages that may happen as a result of my participation in this AdultArt Classes.

3. Additionally, I WAIVE AND RELEASE, indemnify, hold harmless and forever
discharge Marcia Williams and Lakeside Joint School District and their employees and agents employees, officers, trustees, affiliates, successors, and assignsfrom any claim for such injuries, damages, or death resulting from my
participation in this event/activity.
Signature

Clear

My Products

Tuesday After School Art Class: Grades 1-5

$380.00

Wednesday After School Art Class: Grades TK-K

$380.00

Wednesday After School Art Class: Grades 1-2

$380.00 Quantity

Total

$0.00

Payment Methods

Credit Card

Apple Pay

Google Pay

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