Newport Visual Arts Center Art Fridays
Art Friday's run from 3:45-5:45
Sign in to Google to save your progress. Learn more
Fields marked with * are required. Your registration is not complete until a screen appears thanking you for your registration. If this does not appear, scroll up and confirm all required questions have been answered. You will receive an invoice via email within 3-days of registering.
Paper & Book Arts
Class Choice(s) *
Required
Please contact me about scholarships *
Student name *
Date of birth *
MM
/
DD
/
YYYY
Address *
City *
State *
Zip *
Parent(s)/Guardian(s) name *
Email Address *
Primary phone *
Secondary phone
Emergency contact name *
Emergency contact primary phone *
Emergency contact secondary phone
Dietary restrictions *
Medical conditions and allergies *
Anything we need to know regarding child/or special considerations. *
Are you member of OCCA? *
MEDICAL RELEASE I agree to allow my child to receive medical treatment, should the need arise. I also give permission for my child to be transported to the nearest hospital in the event of a medical emergency. As parent and/or guardian of the above named child, I promise to hold Oregon Coast Council for the Arts harmless from any liabilities it may incur from the above named minor in connection with participation in art classes except as might arise because of negligence on the part of the Oregon Coast Council for the Arts.
Parent/Guardian Name *
Child Name *
Typing my name below will constitute by signature *
Relationship to child *
Date *
MM
/
DD
/
YYYY
PHOTO RELEASE I give permission for my child to be photographed and/or videographed in  Oregon Coast Council for the Arts activities. I understand and agree that all rights to these photographs and videos are reserved by and shall become property of the Oregon Coast Council for the Arts, and may be used by the Oregon Coast Council for the Arts, for promotion and publicity by the Oregon Coast Council for the Arts, including on the website, in print media, on television or online.   *
How did you hear about Art Fridays *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy