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Creative House Co. Homeschool Registration Form
Please complete the following form to register for the following classes.
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1
Parent/Guardian Name
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First Name
Last Name
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2
Parent/Guardian Email
*
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3
Parent/Guardian Phone Number
*
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Area Code
Phone Number
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4
Please read and accept the following Terms and Conditions for Informed Consent/General Release Form
*
This field is required.
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5
Photo/Video and Social Media Consent Form
*
This field is required.
As part of our ongoing efforts to create a positive and engaging learning environment for all students, we would like to seek your consent regarding the use of photos and social media related to your child's participation in our classes. Your child's involvement in classroom activities and events may be documented through photographs, videos, or other media. These media assets may be used for educational and promotional purposes, including but not limited to: Creative House Co. presentations and instructional materials. Creative House Co. website and social media platforms. Newsletters and emails through Creative House Co. Promotional materials for Creative House Co. or specific events. To ensure that we respect your preferences and privacy concerns, please indicate your consent or preferences by completing the following: [ ] I give consent for my child's photos and videos to be used for the purposes mentioned above.
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6
Please Select One of the Following
*
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I am a parent/guardian registering for classes/camps
I am a parent/guardian registering for a party/event outside of your normal classes
I am interested in volunteering for a class/camp
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7
Student Name
*
This field is required.
First Name
Last Name
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8
Student Age
*
This field is required.
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9
Please Select Which Day(s) You are Registering for:
Please select as many dates as you would like per student. Payment for all students will be accepted at the end of this form to reserve their spot(s). We will be creating different projects each day.
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10
Thursday Holiday Camp, Class Date/Time
Please select as many dates as you would like per student. Payment for all students will be accepted at the end of this form to reserve their spot(s).
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11
Friday Holiday Camp, Class Date/Time
Please select as many dates as you would like per student. Payment for all students will be accepted at the end of this form to reserve their spot(s).
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12
Would you like to register another student?
YES
NO
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13
Additional Student Name
First Name
Last Name
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14
Additional Student Age
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15
Please Select Which Camp You are Registering for:
Please reach out as exceptions can be made for siblings etc.
Wednesday: 12/20, K-6th grade, 1-3:00 pm
Thursday: 12/21, K-6th grade, 1-3:00 pm
Friday: 12/22, K-6th grade, 1-3:00 pm
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16
Please Select Which Day(s) You are Registering for:
Please select as many dates as you would like per student. Payment for all students will be accepted at the end of this form to reserve their spot(s). We will be creating different projects each day!
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17
Wednesday Holiday Camp, Class Date/Time
Please select as many dates as you would like per student. Payment for all students will be accepted at the end of this form to reserve their spot(s).
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18
Thursday Holiday Camp, Class Date/Time
Please select as many dates as you would like per student. Payment for all students will be accepted at the end of this form to reserve their spot(s).
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19
Friday Holiday Camp, Class Date/Time
Please select as many dates as you would like per student. Payment for all students will be accepted at the end of this form to reserve their spot(s).
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20
Would you like to register another student?
You can register up to 4 children per form
YES
NO
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21
Additional Student Name
First Name
Last Name
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22
Additional Student Age
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23
Please Select Which Camp You are Registering for:
Please reach out as exceptions can be made for siblings etc.
Wednesday: 12/20, K-6th grade, 1-3:00 pm
Thursday: 12/21, K-6th grade, 1-3:00 pm
Friday: 12/22, K-6th grade, 1-3:00 pm
Other
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24
Please Select Which Day(s) You are Registering for:
Please select as many dates as you would like per student. Payment for all students will be accepted at the end of this form to reserve their spot(s). We will be creating different projects each day!
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25
Wednesday Holiday Camp, Class Date/Time
Please select as many dates as you would like per student. Payment for all students will be accepted at the end of this form to reserve their spot(s).
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26
Thursday Holiday Camp, Class Date/Time
Please select as many dates as you would like per student. Payment for all students will be accepted at the end of this form to reserve their spot(s).
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27
Friday Holiday Camp, Class Date/Time
Please select as many dates as you would like per student. Payment for all students will be accepted at the end of this form to reserve their spot(s).
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28
Would you like to register another student?
You can register up to 4 children per form
YES
NO
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29
Additional Student Name
First Name
Last Name
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30
Additional Student Age
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31
Please Select Which Class You are Registering for:
Please reach out as exceptions can be made for siblings etc.
Wednesday: 12/20, K-6th grade, 1-3:00 pm
Thursday: 12/21, K-6th grade, 1-3:00 pm
Friday: 12/22, K-6th grade, 1-3:00 pm
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32
Please Select Which Day(s) You are Registering for
Please select as many dates as you would like per student. Payment for all students will be accepted at the end of this form to reserve their spot(s). We will be creating different projects each day!
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33
Wednesday Holiday Camp, Class Date/Time
Please select as many dates as you would like per student. Payment for all students will be accepted at the end of this form to reserve their spot(s).
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Submit
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Enter
34
Thursday Holiday Camp, Class Date/Time
Please select as many dates as you would like per student. Payment for all students will be accepted at the end of this form to reserve their spot(s).
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Submit
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35
Friday Holiday Camp, Class Date/Time
Please select as many dates as you would like per student. Payment for all students will be accepted at the end of this form to reserve their spot(s).
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36
To ensure your child's safety, please let us know if they have any allergies, medical conditions, or physical/mental limitations. All information will be kept confidential.
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37
How did you hear about Creative House Art?
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38
Is there any particular art/subject/project type that your child or children would love to explore in this session?
*
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39
Invoice ID
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40
Class Packages
*
This field is required.
If you registered more than 1 student, please ensure the "Sibling Discount Package" is selected per additional student registered to a single class. All materials included.
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ORDER SUMMARY
Total cost
USD
Single Class: 1.5 hours
This option reserves 1 child in 1 class. Please adjust quantity according to the total number of sessions 1 child is signed up for above.
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Number of Children
Sibling Discount Class: 1.5 hours
Please select this option for every additional child you are adding to a single class. (i.e. if you are adding 2 more children to 2 classes each, the total quantity will be 4).
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Number of Children
Payment Methods
Credit Card
First Name
Last Name
Google Pay
After submitting the form, you will be redirected to the Google Pay to complete the payment process.
Apple Pay
After submitting the form, you will be redirected to the Apple Pay to complete the payment.
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