Hedgcoxe Art Experience Painting
Tuesday Winter  Painting Workshop
Tuesday: December 19th, 2017

Tuition: $25.00

Ages:  Classes offered to children in grades 1st through 5th

Time: 3:00 – 5:15PM 

Place: D101 Art Room

Class maximum: 20 students 

Student Name:  

Parent Name:  

Parent Email:  

Phone Number:        Emergency Number:  

Teacher Name:        Grade:  

Please fill out the following if you are registering a sibling. Don't forget to change your quantity in your shopping cart to 2 before checkout.

Second Student Name:  

Second Student Teacher Name:        Second Student Grade:  

How will your child be picked up after class?:  

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:   

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 below and submitting this form, I am agreeing to the above statement:
Electronic Signature:  
Be sure to change quantity to 2 in cart if registering siblings!