Registration for Term 4 Art Classes, 2018. 8+ Years Registration form for Term 4, 2018 Art Classes for 8+ Years. Theme: The Figure in the Landscape I wish to register my child for:*Complete Term - $250Wednesday 10 October - $40 DRAWING FROM LIFEWednesday 17 October $40 DRAW PAINT YOUR FAVOURITE LOIVED ONEWednesday 24 October - $40 Nature Up Close, Scientific IllustrationWednesday 31 October - $40 Plein Air Excursion, Neil Hawkins ParkWednesday 7 November - $40 The figure in the landscape/The lonely figureWednesday 14 November - $40 Shadows and shineWednesday 21 November - $40 - Grid work - Crowds of PeopleWednesday 28 November - $40 - Finalise Paintings and End of Term ExhibitionChild's DetailsChild's Name* Child's First Name Child's Surname Date of Birth*Day12345678910111213141516171819202122232425262728293031Month123456789101112Year2019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Gender*FemaleMaleI give permission for my child to be photographed*YesNoDoes your child have any Allergies or dietary requirements?*Please note any allergies your child has, or dietary requirements. Particularly please note if your child carries and epipen for anaphalaxisGuardian/Parent's DetailsName* First Last Email* Phone*Address* Street Address Address Line 2 Suburb State Postcode Are you the best person to contact in an emergency?*YesNoEmergency Contact Name* First Last Emergency Contact Phone*Emergency Contact Email* Terms and ConditionsDisclaimer: As the person I am registering is a participant in the Annette Peterson Art Workshops I understand and acknowledge: I release and indemnify Annette Peterson, her servants and agents from all and against all and any actions or claims which may be made by me, or on my behalf by other parties or in respect for or arising out of injury, loss, damage or death caused to me or my property whether by negligence, breach of contract or in anyway whatsoever. I also agree that in the event that I or my child is injured or my property is damaged I will bring no claim, legal or otherwise, against Annette Peterson in respect of that injury or damage. I understand and acknowledge: Full refunds will be granted up to one month prior to the class If less than one month, the child can transfer to another class (if places are available), or carry their registration over to a future class within the next six months. Refunds or credit will only be granted if a child cannot attend and a Dr certificate is produced, provided you have notified us in advance of the class. If you do not notify us and your child does not attend, there will be no refund or credit. If we cancel a class and your child is unable to attend at a rescheduled time, a full refund or credit to be used within the next six months will be given. Inappropriate behaviour will not be tolerated. The Joondalup Art Gallery will be open 15 minutes before and after class times. I have read and agree to be bound by the Terms and Conditions above*YesNoEnter your details to Pay and complete RegistrationComplete Term 4 Art Classes, Wednesdays, 10 October to November 28 2018 Price: $ 250.00 Single Class Price: $ 40.00 Total $ 0.00 Credit Card* MasterCardVisa Card Number Expiration Date Month010203040506070809101112 Year20182019202020212022202320242025202620272028202920302031203220332034203520362037 Security Code Cardholder Name UntitledFirst ChoiceSecond ChoiceThird ChoiceCommentsThis field is for validation purposes and should be left unchanged.