Are you a new or returning customer for camp or classes at Unicoi Art Studio?
*
Please select
New
Returning
If you are a returning customer skip down to student information
Mothers full name
(optional)
Mothers mobile phone
(optional)
Fathers full name
(optional)
Fathers mobile phone
(optional)
Emergency contact's name
(optional)
Emergency contact phone
(optional)
Main e-mail
(optional)
May we e-mail you our newsletter with session info, special events and promotions?
*
Please select
Yes
No
How did you here about our camp?
(optional)
Please select
Unicoi Art Studio or website
Online search
A friend
Lives in the neighborhood
Pearachute
Other
Student 1: Information
Student 1 Name
Student 1 Age
(optional)
Student 1 School
(optional)
What allergies or health conditions should we be aware of for this child?
Student 1: Sessions
Select a session
(optional)
Please select
Session 3: March 12th- June 2nd (11 classes) no class March 26-31st
Select a class
(optional)
Please select
One class: Wee 1- Playdough, play and open crafts Wednesday 11:00-11:45 $144.00
One class: Wee 2- Wee wiggle Time Wednesday 12:00-12:45 $64.00
One class: Wee 3--Happy Hands Wednesday 1:00-1:45 $144.00
Two classes: Wee 1 and 2 Wednesday 11:00-12:45 $200.00
Two classes: Wee 2 and 3 Wednesday 12:00-1:45 $200.00
Three classes: Wee 1,2 AND 3 Wednesday 11:00-1:45 $352.00
Student 2: Information
Student 2 Name
(optional)
Student 2 Age
(optional)
Student 2 School
(optional)
What allergies or health conditions should we be aware of for this child?
Student 2: Sessions
Select a session
(optional)
Please select
Session 3: March 12th- June 2nd (11 classes) no class March 26-31st
How many classes would you like per day?
(optional)
Please select
One class: Wee 1- Playdough, play and open crafts Wednesday 11:00-11:45 $144.00
One class: Wee 2- Wee wiggle Time Wednesday 12:00-12:45 $64.00
One class: Wee 3--Happy Hands Wednesday 1:00-1:45 $144.00
Two classes: Wee 1 and 2 Wednesday 11:00-12:45 $200.00
Two classes: Wee 2 and 3 Wednesday 12:00-1:45 $200.00
Three classes: Wee 1,2 AND 3 Wednesday 11:00-1:45 $352.00
Single class drop-ins
Single class drop-ins
(optional)
Please select
None $0.00
PLAYDOUGH AND PLAY $12.00
HAPPY HANDS or WEE WIGGLE $22.00
PLAYDOUNGH AND WEE WIGGLE $30.00
HAPPY HANDS AND WEE WIGGLE YIME $30.00
ALL THREE WEE CLASSES 1 day $50.00
Select the number of times you would like to drop-in on the class chosen above
Max of 9
List drop-in details here: dates and classes for each student
(optional)
Discounts and Late Registration Fees
SIBLING DISCOUNT- I am enrolling more than one sibling at this time (5% off)
(optional)
LATE REGISTRATION- I am registering late (after 3pm, the day before I attend my drop-in class)
WAIVERS AND POLICIES
I acknowledge and understand that Unicoi has a NO NUT product requirement for all Participants. Please do not bring nut products to class or camp. If my child does have a nut allergy, I do hereby authorize and allow Unicoi Art Studio, LLC, all of its employees, officers, members, managers, agents and other affiliated persons or entities (“Unicoi”) to administer emergency anaphylactic shock medication to Participant for the purpose of alleviating the symptoms of an allergic reaction. I, for other good and valuable consideration, hereby fully and forever waive, relinquish, release and discharge Unicoi and all of its employees, officers, members, managers, agents and other affiliated persons or entities, from any and all claims, demands, and causes of action this emergency allergic reaction medication administration form and waiver. I agree not to sue Unicoi or any of its employees, officers, members, managers, agents or other affiliated persons or entities as a result of any claim, injury or event that may occur as a result of this agreement. I have provided Unicoi with the emergency medication that my child, Participant, requires in the event of anaphylactic shock. I have provided this emergency medication to Unicoi and have advised Unicoi on the medication’s use and administration according to the terms of the medication’s instructions and disclaimers.
NO NUT POLICY
In the event of a medical emergency involving my child, I hereby authorize Unicoi Art Studio to act in loco parentis to my child. The studio may authorize all necessary medical and/or surgical procedures that are deemed vital for the health of my child. I understand that every effort will be made to contact me immediately and that medical or surgical procedures will be implemented only in the event that I cannot be contacted. I understand and will comply with all registration, tuition and cancellation policies, rules and procedures and have read and agree to accept the above obligations and responsibilities of all programs at Unicoi Art Studio.
I also acknowledge that Unicoi may periodically photograph or video its participants and their artwork and I grant my full permission for Unicoi to photograph, video, record, or reproduce images of my child and their artwork. I consent to Unicoi’s use of these recordings and agree to relinquish any claims to royalties or damages. I acknowledge and understand that Unicoi has a no nut product requirement for all Participants and their families. This means that I promise not to provide my child with any food items containing nuts, nut by-products, or made in contact with nuts for consumption at Unicoi or
on any Unicoi function. I understand that many children have peanut and other nut allergies and that sending my child with nut-containing products may cause allergic reactions in other participants. If my child has a nut allergy, I understand that it is impossible to eliminate all nut contact. I hereby waive any and all claims against Unicoi for any exposure, intentional and/or negligent, my child may encounter to nut, nut by-product, or product made in contact with nuts.
LIABILITY WAIVER
Pay in cash at the studio for 5% off any single class or session