Optical Illusion Art Class

STEP 1: SIGN YOUR CHILD UP

Name of Student *

First

Last

Age *

Name of Guardian *

First

Last

Email *

Phone Number *

Let us know which weeks your child is attending. *

Optical Illusion Art Class

Does your child have any allergies or medical conditions that we should be aware of? Please list: *

I hereby allow the Columbus Arts Council to take photographs or videotape of me or my child during participation in its programs. Photographs or video may be used for promotional purposes (i.e. – news releases, advertisements, camp brochures, etc.). I further certify that I hold harmless and release the Columbus Arts Council, its employees, and agents from any liability, claim, and right of action, of any kind of nature which my child or legal representative may have as a result of injury, illness, or damage. I authorize the Columbus Arts Council to seek urgent medical care for my child in the event of an emergency.

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STEP 2: MAKE YOUR PAYMENT