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Archive for the ‘Forms’ Category

Summer Art Camp registration

Posted on: May 12th, 2022

Not a member? Sign up below and receive discount on classes TODAY.

Please fill in your information below to begin. Select your course at the bottom of this page.

Questions? Comments? Call us at 251.208.5205

Parent/Guardian Name *

First

Last

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Email *

Phone *

This is only used to contact you directly about your class.

Are you a member of MMofA? *

What is your Membership number? *

Please enter the number on your membership card. If you do not have a card, please enter 00000.

Membership Renewal Date *

Please enter the date on your membership card. If you do not have a card, please enter today's date.

Join now and receive our member discounts on programs and classes for the entire year.

Family Membership
Not at this time

Class Selection

How many children are you registering? *

Child 1 Name *

Child 1 Rising Grade *

K5 - 2
3 - 5
6 - 12

Select your class (m) *

Rising K5 – 2nd graders: July 18 – 22, 9 am – 12 pm - $ 125.00

MMofA Member rate for the class for Summer Art.

Select your class (m) *

Rising 3rd – 5th graders: June 27 – July 1, 9 am – 12 pm - $ 125.00

MMofA Member rate for the class for Summer Art.

Select your class (m) *

Rising 6th – 12th graders: June 13 – 17, 9 am – 12 pm - $ 125.00

MMofA Member rate for the class for Summer Art.

Select your class (n) *

Rising K5 – 2nd graders: July 18 – 22, 9 am – 12 pm - $ 175.00

Non-Member rate for the class for Summer Art.
Join MMofA today for discounts on most classes!

Select your class (n) *

Rising 3rd – 5th graders: June 27 – July 1, 9 am – 12 pm - $ 175.00

Non-Member rate for the class for Summer Art.
Join MMofA today for discounts on most classes!

Select your class (n) *

Rising 6th – 12th graders: June 13 – 17, 9 am – 12 pm - $ 175.00

Non-Member rate for the class for Summer Art.
Join MMofA today for discounts on most classes!

Child 2 Name *

Child 2 Rising Grade *

K5 - 2
3 - 5
6 - 12

Select your class (m) *

Rising K5 – 2nd graders: July 18 – 22, 9 am – 12 pm - $ 125.00

MMofA Member rate for the class for Summer Art.

Select your class (m) *

Rising 3rd – 5th graders: June 27 – July 1, 9 am – 12 pm - $ 125.00

MMofA Member rate for the class for Summer Art.

Select your class (m) *

Rising 6th – 12th graders: June 13 – 17, 9 am – 12 pm - $ 125.00

MMofA Member rate for the class for Summer Art.

Select your class (n) *

Rising K5 – 2nd graders: July 18 – 22, 9 am – 12 pm - $ 175.00

Non-Member rate for the class for Summer Art.
Join MMofA today for discounts on most classes!

Select your class (n) *

Rising 3rd – 5th graders: June 27 – July 1, 9 am – 12 pm - $ 175.00

Non-Member rate for the class for Summer Art.
Join MMofA today for discounts on most classes!

Select your class (n) *

Rising 6th – 12th graders: June 13 – 17, 9 am – 12 pm - $ 175.00

Non-Member rate for the class for Summer Art.
Join MMofA today for discounts on most classes!

Child 3 Name *

Child 3 Rising Grade *

K5 - 2
3 - 5
6 - 12

Select your class (m) *

Rising K5 – 2nd graders: July 18 – 22, 9 am – 12 pm - $ 125.00

MMofA Member rate for the class for Summer Art.

Select your class (m) *

Rising 3rd – 5th graders: June 27 – July 1, 9 am – 12 pm - $ 125.00

MMofA Member rate for the class for Summer Art.

Select your class (m) *

Rising 6th – 12th graders: June 13 – 17, 9 am – 12 pm - $ 125.00

MMofA Member rate for the class for Summer Art.

Select your class (n) *

Rising K5 – 2nd graders: July 18 – 22, 9 am – 12 pm - $ 175.00

Non-Member rate for the class for Summer Art.
Join MMofA today for discounts on most classes!

Select your class (n) *

Rising 3rd – 5th graders: June 27 – July 1, 9 am – 12 pm - $ 175.00

Non-Member rate for the class for Summer Art.
Join MMofA today for discounts on most classes!

Select your class (n) *

Rising 6th – 12th graders: June 13 – 17, 9 am – 12 pm - $ 175.00

Non-Member rate for the class for Summer Art.
Join MMofA today for discounts on most classes!

Child 4 Name *

Child 4 Rising Grade *

K5 - 2
3 - 5
6 - 12

Select your class (m) *

Rising K5 – 2nd graders: July 18 – 22, 9 am – 12 pm - $ 125.00

MMofA Member rate for the class for Summer Art.

Select your class (m) *

Rising 3rd – 5th graders: June 27 – July 1, 9 am – 12 pm - $ 125.00

MMofA Member rate for the class for Summer Art.

Select your class (m) *

Rising 6th – 12th graders: June 13 – 17, 9 am – 12 pm - $ 125.00

MMofA Member rate for the class for Summer Art.

Select your class (n) *

Rising K5 – 2nd graders: July 18 – 22, 9 am – 12 pm - $ 175.00

Non-Member rate for the class for Summer Art.
Join MMofA today for discounts on most classes!

Select your class (n) *

Rising 3rd – 5th graders: June 27 – July 1, 9 am – 12 pm - $ 175.00

Non-Member rate for the class for Summer Art.
Join MMofA today for discounts on most classes!

Select your class (n) *

Rising 6th – 12th graders: June 13 – 17, 9 am – 12 pm - $ 175.00

Non-Member rate for the class for Summer Art.
Join MMofA today for discounts on most classes!

Total

$ 0.00

Emergency Contact Information & Permission Form

Emergency Contact 1 Name *

Emergency Contact 1 Relationship *

Emergency Contact 1 Cell *

Emergency Contact 1 Work

Emergency Contact 1 Home

Emergency Contact 2 Name *

Emergency Contact 2 Relationship *

Emergency Contact 2 Cell *

Emergency Contact 2 Work

Emergency Contact 2 Home

Health Insurance Policy Holder *

Insurance Carrier: *

Please list below any health conditions, medications, allergies, or other information that we may need to know about your child(ren).

I grant permission for my child(ren) to leave with the following adult guardians other than myself:

Name

Phone

Name

Phone

I certify that tetanus and all vaccinations are up to date for my child(ren).

Photo Release *

I authorize having my child(ren) to be photographed during the class.
I do not authorize having my child(ren) to be photographed during the class.

Photos are often taken on the premises during classes and special programs to capture images for use in publicity materials, grants, and our website.

Where did you hear about our children's classes? *

Facebook
Instagram
Twitter
Friend
MMofA Email
Brochure or Flyer
I've taken classes before
Other

Please elaborate below.

Would you like to receive email updates about classes and programs in the future? *

Yes
No
I am already on the list

Payment

PLEASE READ BEFORE SUBMITTING YOUR FORM!

Registration Deadlines: Classes and workshops are small, and space is limited. Students are encouraged to register at the earliest opportunity in the event a popular course fills quickly. Waiting until the last moment to register may also result in disappointment if a course is cancelled due to low enrollment.

Registration is complete and confirmed when payment is received and processed.

Refunds will not be issued for withdrawals from a class or workshop within 72 hours before start time.

No refunds or transfers will be given once the class has started.

No-shows will be charged the full price of the class.

Total

$ 0.00

Credit Card *

Card

Name on Card

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This is a preview of your submission. It has not been submitted yet!
Please take a moment to verify your information. You can also go back to make changes.

Phone

Fantastical Forest member reservations

Posted on: May 9th, 2022

Night Market registration

Posted on: March 7th, 2022

Sorry, this form is now closed.

Contact Mary Beth Lursen at 251.208.5234 or MaryBeth.Lursen@MobileMuseumofArt.com if you have any questions or concerns.

Interested in becoming a market vendor? Sign up for our mailing list >>

Join us at MMofA!

Art — and in turn, museums like Mobile Museum of Art — offer a balm for our community, a refuge of beauty, calm, and safety, and to continue doing so, we need your support. Join MMofA as a member so we can continue providing a safe space for the people of our community.

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Call Us: 1.251.208.5200 Locate Us: 4850 Museum Dr. • Mobile, AL 36608-1917

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