Class Registration Sign Up For a Class Do you prefer to download a physical form? Click here. "*" indicates required fields X/TwitterThis field is for validation purposes and should be left unchanged.Participant's InformationFull Name* First Last Age*GenderMaleFemaleT-Shirt SizeYouth SmallYouth LargeAdult SmallAdult MediumAdult LargeAdult XLAdult 2XLAdult 3XLTote or Apron? Tote +$25.00 Apron +$25.00 Phone*Contact Email* Address* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State Zip Health InformationDrug AllergiesFood AllergiesOther health concernsEmergency Contact Name*Phone*How are you related?Informed Consent For Participation / Fees / Photo‐Videography / Internet Use / Phone TextingBy signing below, I am acknowledging that I understand all conditions required for my or my child’s participation in events sponsored by Soul Art School, LLC and hosted by Kay Richoux including Guest Art Instructors. I am aware of my obligation to pay all fees prior to my or my child's participation in events. I am further aware that fees are transferable BUT non‐refundable whether or not I and/or my child attends the event. I grant permission for my and/or my child, including my or my child's art products to be photographed and/ or videoed during participation in events hosted by Kay Richoux of Soul Art School, LLC, including Guest Art Instructors. The photo images and/or videos are the property of Kay Richoux of Soul Art School, LLC and may be used for promotion of any and all events hosted by Soul Art School, LLC whether in print, video, publications, internet, cell phone texting. According to Copyright Law, a participant retains Copyright Privileges for his/her individual projects. This consent is binding indefinitely.Do you agree with the statements above?* I agreeAfterschool Art ClassesOff for the Summer. Restart week of Aug. 10. Sign up for: Beginner for 6-8 years old on Tuesdays, 8-12 years old on Wednesdays, Advanced Class for mixed age group on Thursdays from 4:30-6pm, Saturdays from 11-12:30pm for ages 7-16 years old.Important Information about Afterschool Art ClassThere is required $75 supply fee and a roll paper towels. Additional supplies that parents need to buy are also required. The original signed Registration form needs to brought to class on the first day.Supplies for Adult Classes & Private LessonsA supply list will be provided after registration and cost will depend on what type class: (watercolor, acrylic, encaustic, or mixed media).Choose Your Class*Date selections are not guaranteed, but at discretion of the instructor. List of supplies upon request and depends on the class.Select your class here...Sculptures with Paper Clay ~ M-F / 10am-12pm for 1 week $275 ~ Class date arranged after registration with instructorSculptures with Paper Clay ~ M-F /10am-12pm for 2 consecutive weeks $525 ~ Class date arranged after registration with instructorArt Journaling... Jumpstart Your Week ~ 6pm - 8pm (every Monday) ~ $275 for 4 Weeks (bring your own art journal)Art Journaling... Jumpstart Your Week ~ 6pm - 8pm (every Monday) ~ $500 for 8 Weeks (bring your own art journal)Collage on Canvas Class ~ Saturdays 9am-10:30am ~ 1 Class (all supplies included to create an 11” by 14” artwork on canvas) $175 ~ Fun for a group class!Tea Bag Tuesdays ~ Every Tuesday from 6pm to 8pm ~ $275 for 4 WeeksTea Bag Tuesdays ~ Every Tuesday from 6pm to 8pm ~ $500 for 8 WeeksContemporary Florals & Botanical ~ Every Thursday morning from 10am - 12pm ~ $275 for 4 Weeks (approximately $75 for supplies - list for supplies will be sent in email)Contemporary Florals & Botanical ~ Every Thursday morning from 10am - 12pm ~ $500 for 8 Weeks (approximately $75 for supplies - list for supplies will be sent in email)Resin Smashed Glass Class ~ 4pm-6pm Saturdays or 6pm-8pm Saturdays ~ $275 for 1 Class ~ All supplies included to create an 11” by 14” art piece with glass and embedded objects. Fun for a group class!Painting with Threads ~ Saturdays 2pm-4pm ~ $275 for 4 Classes ~ All supplies included. Class dates arranged with instructor after registration.Painting with Threads ~ Saturdays 2pm-4pm ~ $500 for 8 Classes ~ All supplies included. Class dates arranged with instructor after registration.Intuitive Drawing & Painting ~ Every Thursday 2pm - 4pm ~ $275 for 4 ClassesIntuitive Drawing & Painting ~ Every Thursday 2pm - 4pm ~ $500 for 8 ClassesAfter School Art Lessons with Kay ~ class + supplies ~ 4 Weeks for $275After School Art Lessons with Kay ~ class + supplies ~ 8 Weeks for $500Adult Private Lessons ~ $275 for 4 WeeksAdult Private Lessons ~ $500 for 8 WeeksBeginner After School Art Class ~ Tuesdays 4:30 to 6 pm ~ $150 per month with a $75 supply fee due at time of registration and at beginning of each school year. ~ Additional list of supplies to be given after registration.After School Art Class ~ 8-12 Years ~ Wednesdays 4:30 to 6 pm ~ $150 per month with a $75 supply fee due at time of registration and at beginning of each school year. ~ Additional list of supplies to be given after registration.Advanced After School Art Class ~ Thursdays 4:30 to 6 pm ~ $150 per month with a $75 supply fee due at time of registration and at beginning of each school year. ~ Additional list of supplies to be given after registration.After School Art Class ~ Saturdays 11am to 12:30 pm ~ $150 per month with a $75 supply fee due at time of registration and at beginning of each school year. ~ Additional list of supplies to be given after registration.Total Payment MethodPayPal Checkout MasterCardVisaSupported Credit Cards: MasterCard, Visa Card Number Expiration Date Security Code Cardholder Name 7
