Adult Oil Painting Class - Summer Session

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Village of Lewiston Recreation Address: 145 N. 4th Street, Lewiston, NY 14092
Contact us at (716) 754-1990 or recreation@villageoflewiston.com

RELEASE OF LIABILITY
In consideration of permitting the below-named child to participate in games, practices, and other activities of the Village of Lewiston Recreation Department, I, the undersigned as parent or guardian of said minor, do hereby release and agree to hold harmless the Village of Lewiston Recreation Department and its said agents, employees, coaches and volunteers from any liability for bodily injury, personal injury or property damage which may occur to said minor on the part of said program or its agents, employees, coaches and volunteers related to this program.

Email *

Last Name *

First Name *

Home Address *

Phone Number *

Which class would you like to be signed up for? *

Tuesdays, June 7th – August 9th from 6:30-8pm

Thursdays, June 2nd – August 4th from 6:30-8pm

Required

I understand that I will have to pay $50 per student and that covers all class materials *

Yes

Required

A copy of your responses will be emailed to the address you provided.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

Privacy Terms

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms