Art Night Out

Art Night Out

Registration & Payment Form
Child's Name *

First Name Last Name
Child's Date of Birth *

Month Day Year
Date
Child's Name

First Name Last Name
Child's Date of Birth

Month Day Year
Date
Please include any and all names & phone numbers of those authorized to pick up your child from Artworks.

*Matching photo ID may be requested at the front desk*
Parent/Guardian 1 *

First Name Last Name
Emergency Contact *

Area Code Phone Number
Parent/Guardian 2

First Name Last Name
Emergency Contact

Area Code Phone Number
Parent/Guardian 3

First Name Last Name
Emergency Contact

Area Code Phone Number
Email *
In the box below, please let us know if your child has any food allergies; snacks will be provided. If there is anything else you would like us to know about your child please include it here:
Payment Form

Art Night Out $ 20.00

Quantity

Earth Clay Add-On $ 10.00

Quantity

Polymer Clay Add-On $ 10.00

Quantity

Canvas Painting Add-On $ 10.00

Quantity

Tie Dye Add-On (Shirt Provided) $ 10.00

Quantity

Total $ 0.00

Payment Form