Moharaz - Children's Progressive Art Studio
Registration Form
Your Name
Child's name
Phone #
E-mail
Address
Child's Birthday
2nd contact's name, phone & relationship
Activity (ies)- B-Day Party Theme
Child's (dren) Favorite color
Child's Favorite Character
Date
Time
Hours
 
 : 
Minutes
 
Medical Problem(s) Dr's Name
Accident Waiver-Release Of Liability. Consent For Medical Treatment of a minor.- The undersigned agrees to the fullers extent permitted by law to save and hold harmless and indemnify Children*s Progressive Art Studio,LLC , it*s elected and appointed employers and volunteers of Children*s Progressive Art Studio, LLC from all liability, loss, cost claim, loss, cost claim, or damage whatsoever which may imposed upon or incurred by said parties because of resulting from the participation in the events shown, even if arising their own negligence. In the event of an emergency and parent or guardian or emergency contact person cannot be reached. I hereby give permission to be transported to the nearest medical facility. It is hereby understood and agreed that I shall assume full financial responsibility for any costs over and above which is not covered by my health insurance. A photocopy of this waiver form with my signature shall be considered as valid as the original. Parental Permission (If under 18 Yrs) I hereby give permission for my child to participate in Children*s Progressive Art Studio Programs. I understand that any activity can inquire in any misfortune, but I feel my child has the ability needed for participate. I hereby to the conditions seen above. Refund Policy. I understand and agree that no refunds will be given after the program starts or for circumstances beyond the control of Children*s Progressive Art Studio, LLC. Special needs and Children Age 6 and under must be with caregivers.For Party in our location, we add $50
I read policy