Kids Programming
Spring Mixed Media Art Camp - ages 6 - 9
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Email *
Participants Name (only register one child per form) *
 Age 
*
Parent/Guardian Name *
Parent/Guardian Phone Number *
Emergency Contact Information  *
Please include a Name AND Phone Number of your child's emergency contact. 
Photo Release *
Do you give permission for photos to be taken during the program to be used in the gallery’s online and print promotion? (e.g. Facebook, Instagram, website, annual report etc.)
Covid-19 Waiver
If you are interested in reading our Covid-19 policy click HERE 
Payment *
Please clarify how you will be paying - 
E-transfers must be sent to programming@smithersart.org. 
To pay with credit, debit, cash or cheque please stop by the gallery by the next business day. 
All payments must be made to the Smithers Art Gallery - please DO NOT pay instructor upon arrival. 
We do not process payments over the phone. 

*Payment must be received through e-transfer immediately (or in person by the next business day). Class spots will be filled in order of payment received. No spots can be held without payment.*
Class Location *
Required
Arrival/Departure Information *
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