Youth Class Registration

Mixed Media Madness - Fall 2019

Location

Healdsburg Community Center
1557 Healdsburg Ave
Healdsburg, [No State]

Summary

Seven weeks of mixed media art projects with Kelly Ebeling for 5 - 8 year olds. Wednesdays, Oct. 2 - Nov. 13.

Registrant/Parent Information

First Name: Last Name: Address: City: State: Zip Code: - Email: Day Phone: Number of Attendees: I give HCA permission to photograph my child and use the photograph for marketing art classes

Yes

Waiver Statement:

I grant my child permission to attend Healdsburg Center for the Arts After School Art. I certify that my child is fit for all art activities and will obey all art teachers and rules. I understand and certify that my child’s participation is voluntary.

In cases of minor or mild injury, I grant my permission for him/her to be treated by a member of the staff. I agree to pay all expenses for necessary treatment. I understood that Healdsburg Center for the Arts does not provide medical/liability insurance.

I understand that any participant demonstrating a willful disregard for rules is subject to being sent home with no refund of camp fees.

Yes, I agree

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