Class Registration Sign Up For a Class Do you prefer to download a physical form? Click here. "*" indicates required fields 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 Allergies Food Allergies Other 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 agreeChoose Your Class*Select your class here...Sculptures with Paper Clay ~ October 17th - 21st from 10am to 12 pm ~ $150 (all supplies included)Art Journaling... Jumpstart Your Week ~ 6pm - 8pm (every moday) ~ $100 per month (bring your own art journal)Collage on Canvas Workshop ~ October 15th & 16th from 10am to 12pm ~ $100 (all materials provided)Tea Bag Tuesdays ~ Every Tuesday from 6pm to 8pm ~ $100 per monthContemporary Florals & Botanical ~ Every Thursday morning from 10am - 12pm ~ $25 (approximately $75 for supplies - list for supplies will be sent in email)Resin Smashed Glass Workshop ~ October 22nd from 10am - 3pm ~ $150Resin Smashed Glass Workshop ~ December 3rd from 10am - 3pm ~ $150Painting with Threads ~ October 8th & 9th from 10am - 3pm ~ $125Painting with Threads ~ November 19th & 20th from 10am - 3pm ~ $125Intuitive Drawing & Painting ~ Every Thursday 2pm - 4pm ~ $35After School Art Lessons with Kay ~ class + suppliesAdult Private Lessons ~ $55 for an hourAfterschool Art Class ~ Tuesdays 4:30 to 6 pm ~ Starting October 1st ~ $125 per monthAfterschool Art Class ~ Wednesdays 4:30 to 6 pm ~ Starting September 25th ~ $125 per monthAfterschool Art Class ~ Thursdays 4:30 to 6 pm ~ Starting September 26th ~ $125 per monthAfterschool Art Class ~ Saturdays 11am to 12:30 pm ~ Starting September 28th ~ $125 per monthTotal Payment MethodPayPal Checkout MasterCardVisaSupported Credit Cards: MasterCard, Visa Card Number Expiration Date Security Code Cardholder Name NameThis field is for validation purposes and should be left unchanged. 7
