Imagine U Artist Information Form
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Email *
Email Confirmation *
Parent First Name *
Parent Last Name *
Artist First Name *
Artist Last Name *
Scheduling Preference - if you haven't already scheduled
Please tell us your preferred day/time - or, if you're flexible, tell us what won't work with your schedule.
Artist's Birthday
MM
/
DD
/
YYYY
Street Address *
City *
Zip *
Cell Phone *
Secondary Cell Phone *
Home Phone
Do we have your permission to send you information via email/text? *
Generally one information message a month. We also will communicate via text if there are cancellations.
Emergency Contact *
Emergency Contact- Phone *
Allergies *
Required
Special Notes
Anything that may be helpful for us to know?
Photo Video Release
Imagine U Studio  may take photographs and/or video footage of artists in the studio as well as artists' pieces of artwork. We request your permission to use these images/footage in promotional material (including printed and online media, and websites) for Imagine U Studio and on social media. Do you give your permission for use of these images and footage of you and/or your artist?
Permission for Medical Treatment *
In the event of an emergency occurring while attending Imagine U Studio, I grant permission for actions deemed necessary for the protection of the artist. Should medical attention be required, I authorize an Imagine U Studio representative to give consent for medical treatment for my child.
Required
Studio Policy & Payment Options *
Imagine U Studio charges $28 per month for 1 hour every other Saturday, $55 per month for 1 hour per week, and $105 per month for 2 hours per week. Monthly fees are due on the first lesson of the month. We accept cash, check, or debt/credit card. We also offer a monthly autodraft for your convenience. Please check below and we will contact you to set it up.   *********************************  We are happy to offer opportunities to make up missed sessions at alternate times mutually agreed upon by Imagine U Studio and the artist/art parent. We will do our best to offer options at the time of cancellation, but the responsibility of confirming a makeup time lies on the artist/art parent.
Required
THANK YOU!
Without your support, we wouldn't be able to spread our love of art and belief in the impact it can make in lives and communities!
We truly appreciate your support!
Questions or comments are welcomed! Give us a call at (815) 664-4060!
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