4-Week Creative Fun Art Classes for Kids at your Location

Participant *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Session *

Single Class

4 Weeks Class

Parent/Guardian (If under 18) *

First Name

Last Name

Phone *

(###)

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1. Liability Waiver & Assumption of Risk *

I understand that participation in classes with Ceramics on Wheels USA involves risks ( art tools, paints, art equipment, etc.) and I voluntarily assume all risks. I release Ceramics on Wheels USA its sta;, and volunteers from liability for injury, loss, or damage, including from negligence.

2. Emergency Care Authorization *

In case of emergency, I authorize staff to seek medical care for the participant.

Emergency Contact *

First Name

Last Name

Phone *

(###)

###

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Physician Phone *

(###)

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Media Release (optional)

I allow Ceramics on Wheels USA to use photos/videos of the participant for promotional purposes.

No, I do not give permission.

Acknowledgment of Refund & Cancellation Policy *

1. Organization Cancellation: Full refund or transfer if the class is canceled. 2. Participant Cancellation:• 14+ days before first class: Full refund• 7–13 days before first class: 50% refund• Less than 7 days: No refund 3. Missed Classes: Cannot be refunded/rescheduled except documented medical emergencies. 4. Class Transfers: Must be requested 7+ days before & first class; subject to availability. 5. Refund Method: Issued via original payment method within 7–10 business days

Acknowledgment & Signature *

I have read, understood, and agree to all terms above.

Participant/Parent *

First Name

Last Name

Date *

MM

DD

YYYY