Name of Child Participant *

First Name

Last Name

Name of Parent or Legal Guardian *

First Name

Last Name

Date of Class *

MM

DD

YYYY

PROGRAM REGULATIONS *

Each child must be signed in and out of the program. If a different adult is signing the child out at the end of the program -- please indicate this at sign in. Children cannot sign themselves in or out of the program. Each parents or guardian is expected to screen their child for wellness prior to signing them into class. Advance registration and payment is required. Refunds will not be provided when the program has begun or if the participant misses the program.

I have read the program's regulations and agree to abide by them.

EXPECTATIONS FOR PARTICIPANT BEHAVIOUR *

Each student will need to be independent and able to engage in the planned activities. A respectful and encouraging environment will be promoted and expected. Each participant is expected to follow instructions of the instructor. This makes the class a more enjoyable experience for all involved

I have read the statement above and understand the expectations required to attend the class

WAIVER OF LIABILITY *

I acknowledge that Wasagaming Community Arts and associated Board Members and Staff will not be responsible for any injuries incurred to myself or any minor under my care during the participation in any workshop, activity of event at the Art Gallery. I acknowledge no refunds will be offered for missed classes or sick days. Full refunds will be provided for any classes cancelled by the instructor.

I have read and understood the regulations for the program, I have provided complete information and waive any liability.

PHOTO PERMISSIONS *

I acknowledge that photos may be taken of myself or minors under my care during the participation in workshops, classes, and events at the Wasagaming Community Arts, and that these photos may be used for promotional purposes by Wasagaming Community Arts. This includes printed materials, website features, social media. I will not expect any compensation for use.

Photo Release Permitted

Photo Release NOT Permitted