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

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* 1. Class Name

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* 2. Student Name

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* 3. Parent/Caregiver Name

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* 4. Parent/Caregiver Phone Number

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* 5. Email Address

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* 6. Art Classes Newsletter

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

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* 7. Emergency Contact Name

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* 8. Emergency Contact Phone Number

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* 9. Important Information

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

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* 10. Authorized Pick-up Information

Name + Phone Number of person(s) authorized to pick up your child

Please Note
  • We cannot release your child to anyone not listed above
  • We kindly ask parents/caregivers to be on time for both drop-off and pick-up
  • Your child should arrive no more than 5 minutes before the class start time and must be picked up within 15 minutes of the class end time

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* 11. Permission to walk home independently

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* 12. 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 your child to be photographed or video recorded in class

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

Name of Parent/Caregiver

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

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* 15. Date

Date

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