Name: SCULPTURE, MIXED MEDIA
SKU: 25293
Price: 360.00 USD
Availability: InStock

Kings Bay Y

SCULPTURE, MIXED MEDIA

(Ages: Kids 8+, Teens, Adults, all levels)

Saturday 12 pm-1 pm and Thursday 6:30-7:30 pm, 11 Weeks,
Class Fee: $30 per student, per 1-hour class, Material Fee: $30 (played per student)

Sundays: January 26th, 2020 – April 5th, 2020
Thursdays: January 23rd, 2020 – April 2nd, 2020

Member Price – $275.00 plus $30 material fee
Non -Member Price – $330.00 plus $30 material fee

Members please use code “sculpturemember2020” at checkout

$360.00

Please choose day of the week

Clear

Child's Name*
First Last
Gender*
- Male
- Female
Date of Birth*
Age:*
Home Address*
Street Address Apt City State Zip
Parent/Guardian 1:*
First Last
Phone Number:*
Parent/Guardian 2:
First Last
Phone Number:
Email*
Emergency Contact Name*
First Last
Emergency Contact Phone Number*
Emergency Contact Relationship to Child:*
Membership:*
- Yes
- No
If Yes, Experation Date:*
How Did you Hear About Us?*
SECURITY ENTRY CARDS (FOR NON-MEMBERS ENTRY ONLY): $5 EACH FIRST 2 CARDS; $10 EACH CARD THEREAFTER **NON-REFUNDABLE**
T&C*
I hereby give permission to the Kings Bay YM-YWHA, Inc. to take photographs of me and/or my child to be shown in a video, brochure, advertisement, or internet display for purposes of promoting interest in the Kings Bay YM-YWHA. I release the Kings Bay YM-YWHA, Inc. from any claims resulting from the pictures taken on, before, or after the date of this communication. I do hereby give permission for my child to participate in all activities, including off-ground activities. I authorize the Kings Bay YM-YWHA, Inc. to act as parent surrogate on my behalf. I realize that itineraries and/or programs are subject to change prior to, and during, the semester. I hereby give my permission for my child to participate in all programs, activities and trips as part of the 2020 Kings Bay YM-YWHA children’s programming offerings. I understand and fully recognize that risks are involved. I hereby release the Kings Bay YM-YWHA or any of its sponsors, benefactors, or employees from any liability arising out of any injury to my child. In the event of a medical or surgical emergency, I grant permission to the physician designated by the Kings Bay YM-YWHA to hospitalize, secure proper treatment for, and order injections, anesthesia or surgery for my child. Furthermore, I understand that payment for medical services is solely the family’s responsibility.
I have carefully read the contract and other related information and agree to accept all terms as set forth above. Refund policy: No refunds will be issued for any classes missed or cancelled. The Kings Bay Y will attempt to offer make-up class.
Signature*
First
Today's Date*
MM slash DD slash YYYY

SKU: N/A Category: Specialty Classes

Description
Additional information