Paint Your Partner & Kids Night Out Registration Form Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Primary Registrant Name *FirstLastPartner’s Name *FirstLastEmail *PhoneEmergency Contact *FirstLastEmergency Contact PhoneDo you need childcare during this class? *YesNoChildcare Registration | Drop-off at The WellChild's Name *FirstLastChild's Date of Birth: *Parent/Guardian Name *FirstLastParent/Guardian Phone *Allergies or Medical Concerns: *Are you registering more than one student? *--- Select Choice ---12 child during or Student #2 Name: *FirstLastStudent #2 Date of Birth: *Student #2 Allergies or Medical Concerns: *Childcare Fee | $50 per child *Price: $50.00Paint-your-Partner + Childcare Fee *Price: $125.00Paint-your-Partner Fee *Price: $75.00Total *$0.00Photo & Video Consent *I give permission for Wayfinder Art Studio to photograph or video me/my child during classes or events. These images may be shared on our website, social media, and other studio promotions.I would prefer for my child(ren) not to be included in photos/videos at the studio.Childcare Provider Acknowledgement *I understand that my child(ren) will be supervised by a separate childcare provider located at The Well during this event.Wayfinder Studio & Payment Policy Agreement *I have read and agree to Wayfinder Art Studio Policies including attendance, behavior, and refund policies.Payment *CardName on CardSubmit
