Welcome to the AGGV Studio. We look forward to creating with you!

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* 1. Class Name

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* 2. Participant Name

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* 3. Phone Number

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* 4. Email Address

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* 5. Art Classes Newsletter

Subscribe to receive updates about classes, workshops, and more:

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* 6. Emergency Contact Name

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* 7. Emergency Contact Phone Number

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* 8. Important Information

Please note any allergies, or needs that could be helpful for our instructors to know

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* 9. Photo Release

Occasionally, we ask AGGV Staff to photograph and/or video record participants exclusively for Gallery use to help promote our programs

Please indicate if you do not want to be photographed or video recorded in class

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* 10. I HAVE READ AND AGREE TO THE CONDITIONS OF THIS CONSENT FORM

Name

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* 11. I acknowledge that by entering my name above I am providing a digital signature

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* 12. Date

Date

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