Pumpkin Painting Saturday Workshop Registration Form

Pumpkin Painting: A Youth Saturday Workshop

Pumpkin Paint-a-Thon
PUMPKIN PAINT-A-THON -- YOUTH SATURDAY PAINTING WORKSHOP

OCT 26th |

10:00am - 12:00pm for ages 10 and under

1:00pm-3:00pm for ages 11 and up

This is a Youth Workshop

Join us for a fun and creative Pumpkin Paint-a-thon workshop, perfect for all youth! Celebrate this Fall season by turning pumpkins into colorful masterpieces. No carving required! This workshop will have young artists thrilled, by painting from their imaginations! Dress in your favorite costumes and come ready to paint! One pumpkin will be provided per student, feel free to bring your own pumpkins to continue the Paint-a-Thon!

This class includes one Pumpkin per Student. All other materials included.
Contact Information
Student Name*

First NameLast Name
Guardian Name*

First NameLast Name
Student Age *
Guardian Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Home Phone Number*

Area CodePhone Number
Mobile Phone (Optional)

Area CodePhone Number
E-mail*

Confirmation Email
Emergency Contact

Other than yourself, is there someone else you would like us to contact in case of an emergency? If so, please provide their contact information below.
Full Name

First NameLast Name
Relation to Adult
Relation
Phone Number

Area CodePhone Number
Standards of Conduct

All parents/guardians will be asked to sign in person.
Allergies/Accommadations
Please indicate any allergies/conditions that may require accommodations:
Photo Release
Please Check Below:*

Photo Release: I give permission for pictures taken of my child and/or my child's artwork to be used for publicity purposes.I do not give permission
Refund Policy
Please check that you have read the following:*

Full payment at time of registration is required. Up until two weeks prior to the start of the event, you will receive a full refund (minus a $10 service charge) should you need to cancel your registration. However, cancellations made after this two-week time frame are nonrefundable. Should UVA cancel the event, all participants will receive a full refund or credit toward future classes.
Registration and Billing Information

If you are in need of financial assistance, we have partial scholarships for need based individuals available. Apply for a scholarship HERE.

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Youth Education Saturday Workshop AM$20.00

Pumpkin Painting - Saturday, October 26th (10am - 12pm) Ages 10 and under

Youth Education Saturday Workshop PM$20.00

Pumpkin Painting - Saturday, October 26th (1-3pm) Ages 11 and up

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Pumpkin Painting: A Youth Saturday Workshop

Contact Information

Emergency Contact

Standards of Conduct

Allergies/Accommadations

Photo Release

Refund Policy

Registration and Billing Information

Credit Card