Saturday Morning Art Class: Mixed Media$30.00Member Price: $27.60 Session Choose an optionOctober 19November 2November 16Clear Student Name* What is your child's date of birth? MM slash DD slash YYYY How did you hear about the program?* Parent Contact InfoName First Last Phone Number*Email* Emergency Contact First Last Emergency Contact PhoneAdults who are allowed to pick up your child at the end of class.Donate to our Youth Art Scholarship Fund $5 $10 $20 $30 FCAC’s Youth Art Program (YAP) is dedicated to providing accessible art education programs that inspire, empower, and encourage discovery through the creative process! See our Youth Art Scholarship Fund page under our Get Involved tab for more information or donate a different amount. Scholarships are awarded for classes during the academic school year, for Creatisphere Summer Art Camp, and for Title One School outreach!Consent and AcknowledgementIn consideration of my/child’s participation in programs provided by First City Art Center, I indemnify and hold First City Art Center and its affiliates, employees and agents harmless from and against any and all liability for negligence or medical expenses resulting from my/child’s participation in such programs or other activities. I further release First City Art Center and its affiliates, employees and agents from any and all negligence or other claims resulting from my child’s participation. I further understand that First City Art Center does not provide medical insurance coverage for myself/child and that any medical expenses incurred will be paid by either my own medical insurance or myself. I hereby grant permission for my child to participate in all activities. I give permission for my/child’s photo and/or likeness to be retained and used by First City Art Center without any remuneration or compensation. I authorize FCAC staff to administer immediate and emergency medical treatment, including (1) transporting myself/child to a hospital emergency room or (2) calling the local rescue squad or ambulance.Student Code of ConductConsequences include time out, notifying parents, and or in the extreme case removal from the program for the safety and well-being of all parties. Physical harm to self or other campers Conduct which constitutes harassment or bullying Refusal to follow instructions to the point of threatening the safety of their-self or other campers. Disrespectful behavior or language toward the instructors or other participants. Theft of property Intentional destruction of property. Policy Agreement* I Agree In the field below indicate that you have read, understand, and agree to the Consent and Acknowledgment Terms and the Cancellation Policy.Are there any considerations that we should be aware of? Please list any allergies, health concerns, behavioral, sensory issues, fears, gender identification, physical, visual, hearing, or motor skill limitations that you would like us to be aware of?Hidden FieldProduct Name Quantity Price: $0.00 Quantity Subtotal Options Total Saturday Morning Art Class: Mixed Media quantity Add to cart