Saturday Morning Art Class: Mixed Media$35.00Member Price: $32.20 Session Choose an optionJune 21stJuly 5thJuly 19thAugust 2ndClear Student Name* First Last Student Age*Please note - this is a mixed age class, children ages 6+ and adults. For students 12 and under please have an adult sign up to take the class with them.Student is 12 years old or older? Yes No Accompanying adult is registered* First Choice Second Choice Third Choice This field is hidden when viewing the formParticipants QuantityHow did you hear about the program?Are there any considerations (allergies, medical, behavioral, learning, or motor skills, etc)?Contact InfoName First Last Phone Number*Email* Emergency Contact First Last Emergency Contact PhoneIf you're dropping your child off for class, please list the name(s) of adults who are allowed to pick up your child at the end of classConsent and AcknowledgeIn 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 Frist 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. Cancellation and Refund PolicyMust cancel 24 hours in advance for a refundPolicy 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. Subtotal Options Total Saturday Morning Art Class: Mixed Media quantity Add to cart