Kid and Teen Art Class Registration

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

Total

$ 0.00

Class Selection

How many children are you registering? *

For more than four children, please call our Education office to register at 251.208.5222.

Child 1 Name & Age *

Select your class (m) - Child 1 *

Fantasical Beasts June 1 - $ 10.00
Decorative Plate Carving June 1&2 - $ 10.00
Monoprinting June 29 - $ 10.00

MMofA Member rate for Kid and Teen Art classes.

Select your class (n) - Child 1 *

Fantasical Beasts June 1 - $ 20.00
Decorative Plate Carving June 1&2 - $ 20.00
Monoprinting June 29 - $ 20.00

Non-Member rate for Kid and Teen Art classes.
Join MMofA today for discounts on most classes!

Child 2 Name & Age *

Select your class (m) - Child 2 *

Fantasical Beasts June 1 - $ 10.00
Decorative Plate Carving June 1&2 - $ 10.00
Monoprinting June 29 - $ 10.00

MMofA Member rate for Kid and Teen Art classes.

Select your class (n) - Child 2 *

Fantasical Beasts June 1 - $ 20.00
Decorative Plate Carving June 1&2 - $ 20.00
Monoprinting June 29 - $ 20.00

Non-Member rate for Kid and Teen Art classes.
Join MMofA today for discounts on most classes!

Child 3 Name & Age *

Select your class (m) - Child 3 *

Fantasical Beasts June 1 - $ 10.00
Decorative Plate Carving June 1&2 - $ 10.00
Monoprinting June 29 - $ 10.00

MMofA Member rate for Kid and Teen Art classes.

Select your class (n) - Child 3 *

Fantasical Beasts June 1 - $ 20.00
Decorative Plate Carving June 1&2 - $ 20.00
Monoprinting June 29 - $ 20.00

Non-Member rate for Kid and Teen Art classes.
Join MMofA today for discounts on most classes!

Child 4 Name & Age *

Select your class (m) - Child 4 *

Fantasical Beasts June 1 - $ 10.00
Decorative Plate Carving June 1&2 - $ 10.00
Monoprinting June 29 - $ 10.00

MMofA Member rate for Kid and Teen Art classes.

Select your class (n) - Child 4 *

Fantasical Beasts June 1 - $ 20.00
Decorative Plate Carving June 1&2 - $ 20.00
Monoprinting June 29 - $ 20.00

Non-Member rate for Kid and Teen Art classes.
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

Vaccinations *

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
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.

Please read acknowledged *

I've read and understand the above information.

Total

$ 0.00

Credit Card *

Card

Name on Card

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MMoArt

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