After School Art Program - Thursdays                 April 4 to June 6, 2024
After School Art Program
  • Thursdays 
  • April 4 to June 6, 2024
  • 3:30pm to 5pm
  • 10 sessions - $180
  • Ages 6 to 12 years
Payable by cash, credit, interact, cheque or e-transfer to qathetART@gmail.com

in the qathet Art Centre Studio , above the Library

Creative explorations in drawing, painting and sculpting inspired by nature to develop each participants language of expression, symbols and story telling

Please fill out all information below.
If you will have more than one child attending the class, please fill out a form for each child.

Registration is finalized with payment.

Please feel free to contact us with any questions or concerns at qathetART@gmail.com
Thank you!
Sign in to Google to save your progress. Learn more
Email *
Name of Parent or Guardian *
Parent or Guardian Phone Number *
Child or Youth full name *
Child's Age *
Child's Date of Birth *
Child's BC Personal Health Number *
Does your child have any allergies or other needs, that we should be aware of? *
Address of Parent or Guardian
Names of any people authorized to pick up your child: *
Phone number of people authorized to pick up your child: *
Emergency Contact Information (Name, Phone Number, Relation) *
$180 - Payment method
Clear selection
Any other questions, concerns or special considerations for your child?
Please select photo permission for your child: *
Required
Please read and agree to the Accident Release and Financial Responsibility Waiver: By registering for the Youth Art Programming  at qathet Art Centre I declare that my child is in good physical condition and has no disease or injury that would be aggravated by participation in activities related to Youth Art Programming at qathet Art Centre. I understand the art program provided by qathet Art Centre, as well as understand the inherent dangers and the possibility of not reasonably foreseeable risks involved with my child’s participation in these programs including the risk of personal and bodily injury and damage to my child and my property while participating in these programs. I further understand and acknowledge that participants in such programs are not covered under insurance of qathet Art Centre. I hereby give my consent and authorize and grant permission to representative(s) of qathet Art Centre to administer first aid and/or to obtain emergency medical care or treatment from any licensed physician or hospital and/or activities. I freely and voluntarily execute this release and with such knowledge, assume the risk of personal injury and/or property loss arising from or in any connection with my child’s participation in the youth art program offered by qathet Art Centre. I hereby release and forever discharge qathet Art Centre and any and all agents of qathet Art Centre and the qathet Art Council from any and all liability, claim, cause of action, demand or damages from injury, damage or loss of any kind to my child and my property as a result of my child’s participation in any art programs of qathet Art Centre. I further waive, release, absolve and agree to indemnify and hold harmless qathet Art Centre as a result of my child’s participation in any educational program sponsored by qathet Art Centre and the qathet Art Council.  I understand that should my child become a disruptive force during the educational program that the instructor may choose to release my child from the program. *
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy