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Participant Enrolment Form

If your child is participating in an art class and you would like to provide updated information, please resubmit the form below.

Please fill out a separate form for each individual child.

Please note- This form must be filled out by the parent/legal guardian.

CHILD'S INFORMATION

PARENT/LEGAL GUARDIAN INFORMATION

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EMERGENCY CONTACT INFORMATION

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AUTHORIZED ART CLASS ARRIVAL & DEPARTURE

The participant will:
The participant will:
Please note: Supervision will not be provided outside of the designated registered art class time. Participants are to arrive and depart solely during the times of the registered art class as outlined in the registration confirmaton.

AUTHORIZED PARTICIPANT PICK-UP

The parent(s), guardian(s), and emergency contact as named above are permitted to pick up the participant.
The authorized person who is picking up the participant(s) is required to enter the venue upon pick up to sign-out the participant(s) . This person may be asked to show picture I.D.
Unauthorized persons will not be permitted to pick up the partcipant.

ALLERGIES & MEDICAL CONDITIONS

PHOTO & VIDEO CONSENT

I hereby give my consent to the Dreaming Heart Art Studio to take and use photographs and videos of my child for any legal use including but not limited to advertising and publicity purposes, as follows: printed publications or materials, posters, brochures, electronic publications, and social media. I hereby waive, release, and forever discharge the Dreaming Heart Art Studio from any and all claims or liability arising from the use of my child’s photograph or video for the above purposes. This authorization is continuous and may only be withdrawn by my specific rescission of this authorization. Furthermore, I understand that no royalty, fee, nor other compensation shall become payable to me by reason of such use.

By signing below I confirm that I am the parent/legal guardian of the child listed above and I acknowledge that the information provided in this form is accurate and up to date.  If any of the above information changes I agree to promptly resubmit this online form.

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