Fall Art Classes 2025

Scribbles Studio Fall Art Classes

Fill out the form carefully for registration
Child Name*

First NameMiddle NameLast Name
Child's Birth Date*

MonthDayYear
Parent/Guardian E-mail*
example@example.com
Grade
Gender*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Emergency Contact 1*

Full NameRelationship
Phone Number*
Please enter a valid phone number.
Emergency Contact 2

Full NameRelationship
Phone Number
Please enter a valid phone number.
Emergency Contact 3

Full NameRelationship
Phone Number
Please enter a valid phone number.
List all people allowed to pick up your child from class (Excluding the people stated above)
Fall Art Classes: All art classes will be at Westchase Recreation Center

December 5th 6:15pm - 8:30pm: Gingerbread, Gumdrops & Glue $50

In this festive and imaginative art project, students will design and build their very own gingerbread houses — with a creative twist! Instead of using real cookies, they’ll construct their houses from cardboard and decorate them with paint, paper candies, pom-poms, buttons, and more. Pizza Dinner Included! (P.S. Families! This is a great time to get your Christmas shopping done!)
Art Night Date Selection*
Payment will need to be sent after form submission via Venmo or Zelle

Venmo: @scribblesstudio

Zelle: lowerycasie@gmail.com

This information will also be sent to you after your registration is confirmed by Casie Lowery
Additional Comments

Consent for Treatment/Medical
I hereby give my consent to have the above applicant treated by emergency medical personnel, a physician, or surgeon, in case of sudden illness or injury while participating in the above activity. It is understood that Casie Lowery will provide no medical insurance for such treatment and that the cost thereof will be at my expense.
I have read and understood the foregoing registration liability release and parental consent form, and agree to all of its terms and conditions. Casie Lowery is not responsible for costs incurred for medical care.
Signature*

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Physician & Hospital*

Physician's NameHospital Affliation
Physician's Phone*
Please enter a valid phone number.
Does camper need to take medication(s) during camp?*

Yes (Describe below)No
If yes, explain below.
Allergies: (If none, type N/A)*
I authorize that prescribed medication be administered to my camper as needed by Casie Lowery
Signature*

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Participation Agreement

Parents, please review this form with your child prior to attending camp and sign or initial.
In preparing students for our art class, we are communicating with camp families the expectations and rules for behavior while participating in Scribble Studios Art Night.

Please review and discuss the Camper Participation Agreement with your child.
1. I will be considerate and respectful to everyone. I will keep my hands, feet, and body to myself at all times.
2. I will be respectful of the space and items that do not belong to me.
3. I will find an instructor or counselor and use my words if I need help.
4. I will listen to the instructors and counselors.
5. I will participate and do my very best. I understand that dedication, focus, and
  participation are what make camp successful for all.
- Cell Phones are prohibited. A parent may arrange for their student to have a cell phone during class, but it must be put away.
- Dress: Dress appropriately to create! We will get messy!
- Language: Foul or inappropriate language will not be tolerated.
- Belongings: We are not responsible for lost or stolen items. Please leave all
  valuables at home.
- COVID-19 Protocals: Masks will not be required. We ask that your child not come if they or someone in their immediate household is suspected or confirmed to have Covid-19, the flu, or has symptoms such as sore throat, coughing, runny nose, or fever.
- Cancellation Policy: Full refund if canceling more than 60 days from camp start date. 50% refund if canceling between 15-60 days from camp start date. No refunds if canceling less than 15 days from the start of your camp date. No credits or make-up days given for missed days during the camp week. Special refund consideration will be given to families who need to quarantine due to Covid-19 and who paid for a camp.
- Drop off and Pick up: Please drop students off no earlier than 20 minutes before or after camp start time. Also, students must be picked up no later than 20 minutes after camp end time. All other reasons will incure a $20 fee.
I understand that if I do not follow these rules I could be dismissed from class for the day. If I continue to break these rules consistently I could be dismissed from class indefinitely. I understand these rules are in place for my safety and fun at class and the fun and safety of everyone during class
Parent Signature*

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Social Media Consent Form
Please check the boxes regarding your preference for your student.*

I authorize Scribbles Studio to take photographs of my childI authorize Scribbles Studio to use my photos on the Scribbles Studio Facebook page or any other advertising purposesI DO NOT authorize Scribbles Studio to take photos of my child for the purpose of social media and advertising
Signature

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Scribbles Studio Fall Art Classes

Participation Agreement

Social Media Consent Form