AL Studio Fine Art Classes Registration Form
www.artclasskirkland.com
Student
First Name
Last Name
(425) 908.9908
Sex
1425 Market Street, Kirkland WA 98033
Birthday(M/D/Y)
Home Address
Parent/guardian 1
Name
Home Phone
Cell Phone
Email
Parent/guardian 2
Name
Home Phone (if different)
Cell Phone
Email
Emergency Contact. Name:
Relation:
Phone:
Allergy or other health concerns:
1. I give permission for my child/children to participate in the art program at AL Studio Fine Art Classes. In
consideration of these opportunities, I assume all risks incidental to such participation. Neither AL Studio, nor
their employees, chaperones, or teachers shall be held financially responsible or liable for any injuries that
may occur.
2. I understand AL Studio is not responsible for providing before or after class care neither for students nor for
visitors, parents, legal guardians at any time. In the event of an emergency and I cannot be reached, I hereby
authorize emergency medical treatment be administered.
3. Photo Release
I understand and give permission for art work photos of my child/children (or myself, in
the case of adult student) be used on studio website, publication and exhibitions.
For photos of my child/children (or myself) Yes, I give permission___
No, I deny permission___ to be
used on studio website, publication and exhibitions
4. Payment
I understand the classes are ongoing and billed on a per week 4 times basis. The tuition is start
collecting after 15th of every month in order to reserve for next month. I understand there are two months
during summer and winter break, tuition is paid as the student come.
5. Cancellations
I understand there are no refunds for missed classes. Missed classes cannot be deducted
from tuition or prorated for the next month's tuition. The paid classes can be attended by family.
Make-up class can be taken within one month following the missed class date. If the instructors are unable to
attend class, or snow days, students will be notified. A make-up class will be scheduled within one month or
prorated to the next month.
6. Pause
I understand there is no fee to resume class at any time. Full month tuition deposit is required for
keeping a specific spot in class, and up to two months can be reserved.
7. During Classes
I understand to allow all students in class maximum freedom of expression, parents is
requested not present in the studio during instruction time. Parents may keep child(ren) company for up to
one month when they first join the class, and occasionally special need.
I understand for the safety, I will enter the studio to pick up my child(ren), and give the studio special notice if
someone else will pick up my child (ren) when class is over.
Signature of Student's Parent/Legal Guardian
Print Name
_______________
__
________________________
Date _______________________