Art After School Smithville

Student Name *

First Name

Last Name

Choose an AAS Class. *

Please select the art after school class you're registering for.

Tuesdays with Brandy

Wednesdays with Bonny

Thursdays with Jessica

Permission to Photograph *

Permission is required to photograph students and their artwork for organization promotional purposes such as but not limited to flyers, social media, posters, billboards, newspapers, etc.

Yes

No

Liability Waiver *

I hereby give approval for the participation of my child in all Arts for Rural Texas activities, programs, and events. I assume all risks and hazards, incident to such participation at all ARTS campuses and/or partnering/collaborating locations, including transportation to and from Arts for Rural Texas activities, programs, and events. I hereby waive, release, absolve, indemnify, forever discharge and agree to hold harmless Arts for Rural Texas, located at 114 North Live Oak Street in Fayetteville, Texas, its affiliates, managers, members, agents, attorneys, staff, directors, board members, volunteers, instructors, counselors, heirs, representatives, predecessors, successors, and assigns, from any claims, suits, and/or actions of any kind for liability, damages, compensation, fees, and/or related costs.

I acknowledge and agree.

Discipline Policy *

At ARTS, we strive to provide quality programs for the children in rural Texas. It is important that everyone involved has the best experience. Students are expected to make positive behavior choices that promote their safety and the safety of others, so the creative environment can thrive. Arts for Rural Texas reserves the right to refuse service to any student unwilling to follow these expectations. We appreciate your understanding and cooperation with this policy.

I acknowledge and have read the discipline policy.

Parent/Guardian Name *

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Cell Phone *

Please list a good cell phone number that receives text messages.

(###)

###

####