Thank you - new form - Art Strong NYC

New Student Registration

Registration form must be filled out before the start of all classes and events. Please fill out an additional form if you are signing up more than 1 child.

Child's Name

Child's Age

Allergies (if no allergies, please write "none")

Parent/Guardian Name

Phone Number

Is the emergency contact info the same as above?

Yes No

If No, list Name & Phone # of emergency contact.

Is there anything else you would like us to know about your child? (special needs, learning styles, interests)

Consent & Waiver

I understand that I am solely responsible for the delivery and the pickup of my Child from Art Strong NYC activities. I agree that Art Strong NYC assumes no responsibility for the supervision of my Child at times other than during the class sessions unless previously agreed upon.
I hereby waive and release any right I may have or acquire to make a claim against the property of Art Strong NYC or any of its members employees, or agents for monetary damages caused by injury to my Child or damage to the property of my Child or myself arising from my Child’s participation in the activities and use of the facilities and property of Art Strong NYC.
I hereby consent to allow my Child’s picture or likeness to appear in any official documentary or advertisement of Art Strong NYC in any manner incidental to their participation in the event and without compensation to me.
I have carefully read this agreement and fully understand its contents.

I have carefully read this agreement and agree to its contents.

Thank you – new form

New Student Registration