New Student Registration Form

Name (Child 1)*

First NameLast Name

Birth Date*

MonthDayYear

Age*

Gender*

MaleFemale

Name (Child No. 2)

First NameLast Name

Birth Date

MonthDayYear

Age

Gender

MaleFemale

Address*

Zip*

Parent/Legal Guardian*

Relationship to student*

Contact Number*

Parent's Email*

example@example.com

Be certain to enter your email address correctly on the registration form to receive confirmation via email.

Emergency Contact Name(if parent or guardian is not available)*

Emergency Number (please ensure that this is different from the contact number above)*

We want to ensure that your child is well taken care of. Please inform us if there are any specific allergies, special needs etc. that we should know about the child.

How did you hear about Global Art?*

Photo Approval*

YesNo

Please select your child's preferred class type:*

Please select your ONE HOUR classes (For 4.5 - 5 years old only)

Please select your 1.5 HOUR CLASS. If you don't see the desired option, that means that class is full.

Please select your preferred class session. If you don't see the desired option, that means that class is full.*

Package Option*

Monthly renewal3 months/12 lessons (save 5%) - paid upfront6 months/24 lessons (save 10%)-paid upfront12 months/48 lessons (save 15%)-paid upfrontDrop in class

Preferred start date:*

Date

Additional Comments (Optional)

List anyone, including parents, grandparents, or family friends of whom your child can be released to leave the premises*

Ability to engage in art activities and assumption of the risk:

Global Art activities, including but not limited to paints, glues, pastels, chalk pastels, pencils, wood/plaster tools, fiber (yarn/fabric/papers), wax, plastic bags, batik dye, incense, plaster, drawing and sculpting in nature. Global Art SoCal, LLC takes all possible precautions to reduce risk and provide safe, healthy, and enjoyable experiences. You warrant that your child is able to follow directions for all activities in class. You acknowledge that risks from participation in class activities exist and that you have allowed your child to attend art camps knowing these risks and their possible consequences including personal injury.

As a parent or guardian of the child(ren) registered, you agree that you will not hold Global Art SoCal, LLC liable for any personal injury, property damage or loss of insurance. You agree to release and hold harmless Global Art SoCal, LLC from all liability incurred as a result of your child(ren)'s participation in class and that these terms serve as a release for yourself, volunteers, property owners and members of your family.

*Liability relating to Coronavirus: Global Art SoCal, LLC has put in place preventive measures to reduce the spread of COVID-19, however we cannot guarantee that you or your child will not become infected with COVID-19 (before, during or after the participation at Global Art San Diego). By signing this agreement, you will admit the contagious nature of COVID-19 and voluntary assume the risk that your child(ren) or you may be exposed to or infected by COVID-19 by attending Global Art San Diego's classes and that such exposure or infection may result in illness, hospitalization, disability or death. You will voluntary agree to assume all the foregoing and inherent risks and accept full responsibility for expenses of any kind in connection to Coronavirus exposure or infection. You hereby release; covenant not to sue, discharge, hold harmless, defend, and indemnify Global Art SoCal, LLC and its employees. You will acknowledge the understanding of this clause in this registration form by signing it at the end.

Fees Paid:

Fees paid are final. No refunds will be given for change of mind, inability to attend classes or return of materials. Make-up class credits will only be given if the make-up and absences form is filled and the studio is informed of the absence prior to the date of absence.

Monthly Fee:

A card-on-file is required for all registered students. Please see the front office to process the required payment.

By hitting SUBMIT and sign/write your initials for this registration, you agree that you are the parent/legal guardian of the above named child and you are over the age of 18.

I acknowledge the terms and conditions above.*

YesNo

Electronic signature, please initial*

Global Art (PQ location) New Student Registration Form

Student's Information

Parent or Legal Guardian Information

Other Information

Images, Photographs, and Artwork Waiver

Class Session

Authorized Pick-Up Information

Waiver and Release of Liability