Explore Cultures Through Art Registration

Explore Cultures Through Art Registration

Register your child for The Art Room Collective’s art program. Please review the schedule, select the enrollment option, and complete all required contact, emergency, permission, and payment details.
Student Information
Student Name

First NameLast Name
Student Age
Select Age Group
Student Gender
Additional Student Information

Add Additional Student(s): Select "+"
For each, include: Name, Age, Age Group, Gender
Parent/Guardian Contact Info
Parent/Guardian Name

First NameMiddle NameLast Name
Parent/Guardian Email
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Parent/Guardian Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Secondary Contact Name
Secondary Contact Phone
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Emergency Contact
Emergency Contact Name

First NameMiddle NameLast Name
Relationship to Student
Emergency Contact Phone
Please enter a valid phone number.Format: (000) 000-0000.
Medical/Allergy Info
Does the student have any allergies, medical conditions, or special needs?
Please describe
Permissions/Waivers
Liability Waiver and Release of Claims:

By registering for and/or allowing my child to participate in homeschool art classes hosted by The Art Room Collective, Inc. in partnership with Pinspiration Northeast Georgia, I acknowledge and agree to the following:

I understand that participation in art activities may involve certain inherent risks, including but not limited to the use of art tools and materials (such as paint, scissors, glue, and other supplies), potential allergic reactions, slips or falls, and other unforeseen incidents. While reasonable precautions are taken to ensure a safe environment, I acknowledge that not all risks can be eliminated.

I voluntarily assume all risks associated with my child’s participation in these activities.

I hereby release, waive, and discharge The Art Room Collective, Inc., Pinspiration Northeast Georgia, and their respective owners, employees, contractors, volunteers, and affiliates from any and all liability, claims, demands, or causes of action arising out of or related to any injury, illness, loss, or damage that may occur as a result of participation in these classes.

I confirm that my child is physically able to participate in the activities and that I have disclosed any relevant medical conditions, allergies, or special needs that may impact their participation.

In the event of an emergency, I authorize staff to seek appropriate medical care for my child if I cannot be reached, and I agree to be responsible for any resulting medical expenses.
Liability Waiver and Release of Claims
Location Acknowledgment
Parent Responsibility
Photo/Media Release
Signature
Class Selection

Select Your Class(es)

Package Price

Package: Full session – all 4 classes

$80.00 Number of Students

Individual Classes

Georgia O’Keeffe – May 4/May 6

$22.00 Number of Students

Romare Bearden – May 18/May 20

$22.00 Number of Students

Jackson Pollock – June 1/June 3

$22.00 Number of Students

Jean-Michel Basquiat – June 15/June 17

$22.00 Number of Students

Enter coupon

Total

Credit Card

I understand registration is not complete until payment is received.
Notes:
Use this space to explain if your class selection is not clear (i.e. multiple students/varying class options) or if there is anything else we need to know.
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Explore Cultures Through Art Registration

Student Information

Additional Student Information

Parent/Guardian Contact Info

Emergency Contact

Medical/Allergy Info

Permissions/Waivers

Class Selection

Select Your Class(es)*

Credit Card

Select Your Class(es)