Summer Color Splash Edition Registration Form
Hosted by: Pointe Michel Village Council in collaboration with The Brush Box
Little Brushes, Big Dreams
Date: August 1st 2026 Registration Deadline: July 22nd 2026
Parent/Guardian Full Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Child Information
Child’s Full Name
*
First Name
Last Name
Age
*
Please Select
5
6
7
8
9
10
11
12
Gender
*
Male
Female
Character Selection
Which Cartoon Character would your child like to paint?
*
Stitch
Minnie Mouse
Mickey Mouse
Sonic
A Non Refundable Deposit of $25 is required to secure your child’s spot
Payment Method
*
Cash - To be paid in Pointe Michel Village Council or by Members
Mobanking - Account #: 100086327 Mobile ID: 7672768117
Mobanking - Account #: 100084299 Mobile ID: 7672958896
CU Online - Last Name: Polydore Account#: 271715 - 00
CU Online - Last Name: Guiste Account #: 271856 -00
Ready to paint 🥳
Should be Empty: