Student Enrollment for Art Class

Student Enrollment for Art Class

Purpose: Use this form to enroll a student in the listed art class. Completion of this form constitutes a binding enrollment agreement between the undersigned and the art program operator for the term described below, subject to the Enrollment Policies, Payment & Refund Policy, Code of Conduct, and Liability Waiver contained herein.

Student Information

Student Name:    Date of Birth:

Student ID:    Grade/Program:

Enrollment Details

Class Level:    Schedule (days):    Time:

Start Date:    Duration:

Full payment at registration    Monthly installments    Other (specify below)

Emergency & Medical Information

I authorize staff to obtain emergency medical treatment for the student if I cannot be reached, and I agree to be responsible for related expenses.

Policies, Code of Conduct & Liability

Enrollment Acceptance: Enrollment is not final until this form is signed and any required deposit is received. The program reserves the right to cancel classes for insufficient enrollment. If a class is canceled by the program, tuition paid will be refunded in full or applied to another session at the payer's election.

Payment & Refund Policy: Tuition is due upon registration unless a payment plan is agreed in writing. Deposits are non-refundable. Refunds prior to the first class are subject to a processing fee. After instruction begins, refunds are prorated at the program's discretion; no refunds will be issued after the second class session except for documented medical withdrawal. Returned payments, collection fees, and late fees are the responsibility of the payer.

Code of Conduct: Students are expected to follow instructor directions and behave respectfully. The program may dismiss a student for behavior that endangers others or significantly disrupts instruction; dismissal does not automatically entitle the payer to a full refund.

Materials and Personal Property: Some materials may be provided; students may be required to supply additional materials. The program is not responsible for loss or damage to personal property brought to class.

Photo & Likeness Release: I grant the program the right to photograph or record the student during class and to use images for promotional, educational, or archival purposes unless I indicate otherwise by checking the box below.

I DO NOT consent to photos or recordings of the student for promotional use.

Liability Waiver and Assumption of Risk: Participation in art activities involves inherent risks including, but not limited to, cuts, chemical exposure, dust inhalation, and allergic reactions. By enrolling, I acknowledge these risks and agree to release, indemnify, and hold harmless the program, its instructors, and affiliates from claims arising from injury, loss, or damage except to the extent caused by gross negligence or willful misconduct.

Data and Records: The program will maintain records necessary to administer instruction and will share student contact and health information with staff as reasonably necessary for safety and program administration. Records will be retained in accordance with the program's recordkeeping practices.

Acknowledgment: By checking the box below I confirm that I have read, understand, and agree to the Enrollment Policies, Payment & Refund Policy, Code of Conduct, Photo Release provisions, and Liability Waiver set forth in this form.

I have read and agree to the policies and waivers contained in this enrollment form.

Payment Authorization

By signing below I authorize the program to process charges consistent with the selected payment method and any payment plan recorded above. I understand that fees for returned payments and late payments will apply as described in the Payment & Refund Policy.

Certification & Signature

Student is 18 years or older: (If unchecked, a parent or legal guardian must sign below.)

Certification: I certify that the information provided on this form is true and accurate to the best of my knowledge. If signing as a parent or legal guardian, I represent that I have authority to enroll the student and to consent to medical treatment and to the other terms contained herein.

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