Langford Small Group Registration

Art class will be held on Tuesday afternoons. We will have 12 sessions this semester.

Classes will be held from 5:00-6:00pm at the Langford residence.

February: 21, 28
March: 14, 21, 28
April: 4, 11, 18, 25
May: 2, 9, 16

Cost for the semester is $160. Class size is limited to 8 students.

We are unable to hold make up classes nor offer refunds for classes missed.

Please fill out the information form below. When you submit the form, you will be taken to a page with a Paypal link. Registration is not complete until payment through Paypal is complete.

Student Name *

First

Last

Grade *

Parent Name *

First

Last

Email *

Cell Phone *

Phone/text where you can be reached

Emergency Number *

Just in case we can't reach you at the first number

Comment or Message

Photo Permissions *

Yes, you may use photos.
No, I do not want my child included in photos.

I love to take pictures of the kids and their artwork both of the class working as a group and individually. May I use photos which include your child on things like our website, school fliers and other items to promote the Art program? No children are ever identified by name! The Art Experience may use photos of my child working in the class or individually with their artwork.

Signature and Release *

I acknowledge and understand that the participating groups and instructor shall not be liable nor do they assume or accept responsibility for injury or accident which may occur to the child during class, and there by release and hold harmless the participating groups, sponsors, instructors and all other persons and entities associated directly or indirectly from injury, damage or loss. By typing my electronic signature in the box above and submitting this form, I am agreeing to the above statement.

Name

Langford Small Group Registration

Engage & Experience

Engage &
Experience